Why Are the Poor More Vulnerable to Bribery in Africa? The Institutional Effects of Services

Peiffer, Caryn; Rose, Richard

doi:10.1080/00220388.2016.1257121

Cited by 43 publications

(18 citation statements)

References 26 publications

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“…Having to pay illegal fees or bribes to receive medical care is a particular type of financial barrier that has important implications for access to care. This is especially true for poorer patients who are more reliant on public services and thus more vulnerable to bribery [12]. Patients who are frequently confronted with having to pay a bribe at the point of care may decide to delay seeking care until they are much sicker (or may not seek care at all); they may also rely instead on traditional/spiritual healers or informal drug sellers that could exacerbate their health [13].…”

Section: Introductionmentioning

confidence: 99%

Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa

2019

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Background Achieving Universal Health Coverage (UHC) by improving financial protection and effective service coverage is target 3.8 of the Sustainable Development Goals. Little is known, however, about the extent to which paying bribes within healthcare acts as a financial barrier to access and, thus, UHC. Methods Using survey data in adults from 32 sub-Saharan African countries in 2014–2015, we constructed a multilevel model to evaluate the relationship between paying bribes and reported difficulties of obtaining medical care. We controlled for individual-, region-, and country-level variables. Results Having paid bribes for medical care significantly increased the odds of reporting difficulties in obtaining care by 4.11 (CI: 3.70–4.57) compared to those who never paid bribes, and more than doubled for those who paid bribes often (OR = 9.52; 95% CI: 7.77–11.67). Respondents with higher levels of education and more lived poverty also had increased odds. Those who lived in rural areas or within walking distance to a health clinic had reduced odds of reporting difficulties. Sex, age, living in a capital region, healthcare expenditures per capita, and country Corruption Perception Index were not significant predictors. Conclusions We found that bribery in healthcare is a significant barrier to healthcare access, negatively affecting the potential of African countries to make progress toward UHC. Future increases in health expenditures—which are needed in many countries to achieve UHC—should be accompanied by greater efforts to fight corruption in order to avoid wasting money. Measuring and tracking health sector-specific corruption is critical for progress toward UHC.

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Section: Introductionmentioning

confidence: 99%

Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa

2019

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“…Lyons (2009) posits that the process is ignited by need or a requirement. In their study, Peiffer and Rose (2016) outlined seven key elements driving the success of a procurement process. The study recommends the effectiveness in management information, clarity in procurement strategy, design of expertise, proactive approach, a corporate view, focused co-ordination and effortless give in.…”

Section: Empirical Literaturementioning

confidence: 99%

Effectiveness of Service Delivery in Public Secondary Schools: The Role of School Needs Identification Procedure and Tendering Process

Sila

Kirwok

2021

EJES

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Despite the Kenyan government allocation of billions of shillings to schools each year and the existing legal frameworks, service delivery has been faced with irregular procurement procedures. Thus, the purpose of the study was to investigate the effectiveness of service delivery in public secondary schools with a school needs identification procedure and tendering process perspective. Guided by the Agency Theory and Cultural Theory, the study adopted descriptive survey method design and carried out in Likoni sub-county, Mombasa. With a sample size of 116 respondents, questionnaires were administered among schools’ principals, deputies, bursars and storekeepers. The instrument was examined for reliability at a correlation coefficient of .73. Data analysis entailed descriptive and inferential statistics using SPSS Version 24.0. The study findings showed that the element of needs identification plays a role in the culmination of the requirements which in turn has effect on service delivery in public secondary schools. The study also revealed that the influence of tendering process on service delivery is insignificant at level .05 and concludes that there is no significant relationship between tendering process and service delivery. Article visualizations:<img src="/-counters-/edu_01/0880/a.php" alt="Hit counter" />

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“…Foregoing the services can result in lack of access to necessary health care or quality education. Moreover, empirical studies have consistently found that lower-income households pay a higher proportion of their income in bribes than middle- or upper-income households and, as such, bribes are similar to a regressive tax on the poor because they (the poor) must allocate a greater amount of their income than the rich to bribes (Justesen and Bjørnskov, 2014; Mbate, 2018; Menocal and Others, 2015; Peiffer and Rose, 2018).…”

Section: Corruption Channels In Africa: Trends and Extent Of Financial Crimesmentioning

confidence: 99%

Channels of corruption in Africa: analytical review of trends in financial crimes

Hope¹

2020

JFC

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Purpose The purpose of this paper is to identify and analytically review the trends of financial crimes as channels of corruption that impact the development process and economic progress in Africa. Design/methodology/approach This paper outlines the trends in financial crimes by compiling statistics derived from a scan of the publicly available survey and other published data related. Findings The financial crimes of embezzlement and theft, bribes and kickbacks, money laundering and illicit financial flows and state capture are all channels of corruption that are prevalent in Africa with significant negative effects on the continent’s socio-economic development progress. The magnitude of these crimes has been trending upward with the resultant effect that corruption continues to have significant negative impacts on Africa’s current and future development prospects. To develop policies to minimise these negative effects, it is necessary to quantify and continuously monitor the magnitude of these various corruption channels. Originality/value The main value of the study is the insights it provides on the nature and extent of the trends in financial crimes as channels of corruption in Africa, and the resultant negative impact on socio-economic development in the region.

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Why Are the Poor More Vulnerable to Bribery in Africa? The Institutional Effects of Services

Cited by 43 publications

References 26 publications

Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa

Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa

Effectiveness of Service Delivery in Public Secondary Schools: The Role of School Needs Identification Procedure and Tendering Process

Channels of corruption in Africa: analytical review of trends in financial crimes

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