The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia
This article was published in BMC Public Health [ © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License] and the definite version is available at: https://doi.org/10.1186/s12889-020-08975-0 The Journal's website is at: https:/...
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10361-165442022-04-13T21:01:31Z The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia Naher, Nahitun Hoque, Roksana Hassan, Muhammad Shaikh Balabanova, Dina Adams, Alayne M. Ahmed, Syed Masud Brac James P. Grant School of Public Health Health-sector corruption Good governance Frontline health care services Frontline health care providers UHC LMICs This article was published in BMC Public Health [ © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License] and the definite version is available at: https://doi.org/10.1186/s12889-020-08975-0 The Journal's website is at: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08975-0#citeas Background: The dynamic intersection of a pluralistic health system, large informal sector, and poor regulatory environment have provided conditions favourable for ‘corruption’ in the LMICs of south and south-east Asia region. ‘Corruption’ works to undermine the UHC goals of achieving equity, quality, and responsiveness including financial protection, especially while delivering frontline health care services. This scoping review examines current situation regarding health sector corruption at frontlines of service delivery in this region, related policy perspectives, and alternative strategies currently being tested to address this pervasive phenomenon. Methods: A scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was conducted, using three search engines i.e., PubMed, SCOPUS and Google Scholar. A total of 15 articles and documents on corruption and 18 on governance were selected for analysis. A PRISMA extension for Scoping Reviews (PRISMA-ScR) checklist was filled-in to complete this report. Data were extracted using a pre-designed template and analysed by ‘mixed studies review’ method. Results: Common types of corruption like informal payments, bribery and absenteeism identified in the review have largely financial factors as the underlying cause. Poor salary and benefits, poor incentives and motivation, and poor governance have a damaging impact on health outcomes and the quality of health care services. These result in high out-of-pocket expenditure, erosion of trust in the system, and reduced service utilization. Implementing regulations remain constrained not only due to lack of institutional capacity but also political commitment. Lack of good governance encourage frontline health care providers to bend the rules of law and make centrally designed anti-corruption measures largely in-effective. Alternatively, a few bottom-up community-engaged interventions have been tested showing promising results. The challenge is to scale up the successful ones for measurable impact. Conclusions: Corruption and lack of good governance in these countries undermine the delivery of quality essential health care services in an equitable manner, make it costly for the poor and disadvantaged, and results in poor health outcomes. Traditional measures to combat corruption have largely been ineffective, necessitating the need for innovative thinking if UHC is to be achieved by 2030. Published 2022-04-13T04:55:02Z 2022-04-13T04:55:02Z 2020 2020-06-08 Journal Article Naher, N., Hoque, R., Hassan, M. S., Balabanova, D., Adams, A. M., & Ahmed, S. M. (2020). The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia. BMC Public Health, 20(1) doi:10.1186/s12889-020-08975-0 http://hdl.handle.net/10361/16544 https://doi.org/10.1186/s12889-020-08975-0 en_US https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08975-0#citeas BMC Public Health application/pdf BMC |
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Health-sector corruption Good governance Frontline health care services Frontline health care providers UHC LMICs |
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Health-sector corruption Good governance Frontline health care services Frontline health care providers UHC LMICs Naher, Nahitun Hoque, Roksana Hassan, Muhammad Shaikh Balabanova, Dina Adams, Alayne M. Ahmed, Syed Masud The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia |
description |
This article was published in BMC Public Health [ © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License] and the definite version is available at: https://doi.org/10.1186/s12889-020-08975-0
The Journal's website is at: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08975-0#citeas |
author2 |
Brac James P. Grant School of Public Health |
author_facet |
Brac James P. Grant School of Public Health Naher, Nahitun Hoque, Roksana Hassan, Muhammad Shaikh Balabanova, Dina Adams, Alayne M. Ahmed, Syed Masud |
format |
Journal Article |
author |
Naher, Nahitun Hoque, Roksana Hassan, Muhammad Shaikh Balabanova, Dina Adams, Alayne M. Ahmed, Syed Masud |
author_sort |
Naher, Nahitun |
title |
The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia |
title_short |
The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia |
title_full |
The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia |
title_fullStr |
The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia |
title_full_unstemmed |
The influence of corruption and governance in the delivery of frontline health care services in the public sector: A scoping review of current and future prospects in low and middle-income countries of south and south-east Asia |
title_sort |
influence of corruption and governance in the delivery of frontline health care services in the public sector: a scoping review of current and future prospects in low and middle-income countries of south and south-east asia |
publisher |
BMC |
publishDate |
2022 |
url |
http://hdl.handle.net/10361/16544 https://doi.org/10.1186/s12889-020-08975-0 |
work_keys_str_mv |
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