abstract: '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.'
affiliation: 'Naher, N (Corresponding Author), BRAC Univ, BRAC James P Grant BRAC
  Sch Publ Hlth, 5th Floor Level 6,Icddrb Bldg, Dhaka 1212, Bangladesh.

  Naher, Nahitun; Hoque, Roksana; Hassan, Muhammad Shaikh; Ahmed, Syed Masud, BRAC
  Univ, BRAC James P Grant BRAC Sch Publ Hlth, 5th Floor Level 6,Icddrb Bldg, Dhaka
  1212, Bangladesh.

  Balabanova, Dina, London Sch Hyg \& Trop Med LSHTM, Dept Global Hlth \& Dev, Room
  TP 308,15-17 Tavistock Pl, London WC1H 9SH, England.

  Adams, Alayne M., McGill Univ, Fac Med, Dept Family Med, 5858 Cote Neiges,Room 332,
  Quebec City, PQ H3S 1Z1, Canada.'
article-number: '880'
author: Naher, Nahitun and Hoque, Roksana and Hassan, Muhammad Shaikh and Balabanova,
  Dina and Adams, Alayne M. and Ahmed, Syed Masud
author-email: nahitun.naher@bracu.ac.bd
author_list:
- family: Naher
  given: Nahitun
- family: Hoque
  given: Roksana
- family: Hassan
  given: Muhammad Shaikh
- family: Balabanova
  given: Dina
- family: Adams
  given: Alayne M.
- family: Ahmed
  given: Syed Masud
da: '2023-09-28'
doi: 10.1186/s12889-020-08975-0
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Health-sector corruption; Good governance; Frontline health care

  services; Frontline health care providers; UHC; LMICs'
keywords-plus: SOCIAL ACCOUNTABILITY; INFORMAL PAYMENTS; BANGLADESH; COVERAGE; OUTCOMES
language: English
month: JUN 8
number: '1'
number-of-cited-references: '78'
orcid-numbers: 'Ahmed, Syed Masud/0000-0001-5032-7181

  Balabanova, Dina/0000-0001-7163-3428

  Adams, Alayne Mary/0000-0002-0961-9825

  Hassan, Muhammad Shaikh/0000-0003-3484-2540'
papis_id: dfd470c4307782001c6644a065cf4091
ref: Naher2020influencecorruption
researcherid-numbers: 'Ahmed, Syed/GSN-7305-2022

  Sorenson, T/AAM-6778-2021

  Ahmed, Syed Masud/AGQ-4786-2022

  '
tags:
- review
times-cited: '35'
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'
type: Review
unique-id: WOS:000540800600006
usage-count-last-180-days: '2'
usage-count-since-2013: '16'
volume: '20'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2020'