Handbook on Corruption, Ethics and Integrity in Public Administration
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Handbook on Corruption, Ethics and Integrity in Public Administration

Edited by Adam Graycar

This timely Handbook unpacks the underlying common factors that give rise to corrupting environments. Investigating opportunities to deliver ethical public policy, it explores global trends in public administration and its vulnerability to corruption today, as well as proposing strategies for building integrity and diminishing corruption in public sectors around the globe.
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Chapter 9: Corruption and administration in healthcare

Taryn Vian


Corruption affects the health and well-being of populations and threatens economic development. It undermines health by limiting access to health services and financial protection from catastrophic health expenditures. Patterns of corruption in health systems vary depending on how the sector is organized and financed. Corrupt practices include undue denial of coverage, overbilling or underprovision of care, embezzlement, informal payments, bid rigging, kickbacks and conflicts of interest affecting procurement and prescribing, and inappropriate business practices. The World Health Organization (WHO) has advanced a strategy to integrate anti-corruption efforts into health systems strengthening towards the goal of universal health coverage. This chapter shows how the WHO strategy encompasses the six core “building blocks” of the health system including service delivery, human resources management, medicines, information systems, financing and governance. The vulnerabilities to corruption in each of these building blocks is discussed, and avenues for prevention are described. Fighting corruption is essential to save lives.

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