Edited by Adam Graycar
Chapter 9: Corruption and administration in healthcare
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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