142 lines
4.8 KiB
YAML
142 lines
4.8 KiB
YAML
abstract: 'Background The dynamic intersection of a pluralistic health system,
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large informal sector, and poor regulatory environment have provided
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conditions favourable for `corruption'' in the LMICs of south and
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south-east Asia region. `Corruption'' works to undermine the UHC goals of
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achieving equity, quality, and responsiveness including financial
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protection, especially while delivering frontline health care services.
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This scoping review examines current situation regarding health sector
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corruption at frontlines of service delivery in this region, related
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policy perspectives, and alternative strategies currently being tested
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to address this pervasive phenomenon. Methods A scoping review following
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the Preferred Reporting Items for Systematic Reviews and Meta-Analysis
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(PRISMA) was conducted, using three search engines i.e., PubMed, SCOPUS
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and Google Scholar. A total of 15 articles and documents on corruption
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and 18 on governance were selected for analysis. A PRISMA extension for
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Scoping Reviews (PRISMA-ScR) checklist was filled-in to complete this
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report. Data were extracted using a pre-designed template and analysed
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by `mixed studies review'' method. Results Common types of corruption
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like informal payments, bribery and absenteeism identified in the review
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have largely financial factors as the underlying cause. Poor salary and
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benefits, poor incentives and motivation, and poor governance have a
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damaging impact on health outcomes and the quality of health care
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services. These result in high out-of-pocket expenditure, erosion of
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trust in the system, and reduced service utilization. Implementing
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regulations remain constrained not only due to lack of institutional
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capacity but also political commitment. Lack of good governance
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encourage frontline health care providers to bend the rules of law and
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make centrally designed anti-corruption measures largely in-effective.
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Alternatively, a few bottom-up community-engaged interventions have been
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tested showing promising results. The challenge is to scale up the
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successful ones for measurable impact. Conclusions Corruption and lack
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of good governance in these countries undermine the delivery of quality
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essential health care services in an equitable manner, make it costly
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for the poor and disadvantaged, and results in poor health outcomes.
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Traditional measures to combat corruption have largely been ineffective,
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necessitating the need for innovative thinking if UHC is to be achieved
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by 2030.'
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affiliation: 'Naher, N (Corresponding Author), BRAC Univ, BRAC James P Grant BRAC
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Sch Publ Hlth, 5th Floor Level 6,Icddrb Bldg, Dhaka 1212, Bangladesh.
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Naher, Nahitun; Hoque, Roksana; Hassan, Muhammad Shaikh; Ahmed, Syed Masud, BRAC
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Univ, BRAC James P Grant BRAC Sch Publ Hlth, 5th Floor Level 6,Icddrb Bldg, Dhaka
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1212, Bangladesh.
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Balabanova, Dina, London Sch Hyg \& Trop Med LSHTM, Dept Global Hlth \& Dev, Room
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TP 308,15-17 Tavistock Pl, London WC1H 9SH, England.
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Adams, Alayne M., McGill Univ, Fac Med, Dept Family Med, 5858 Cote Neiges,Room 332,
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Quebec City, PQ H3S 1Z1, Canada.'
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article-number: '880'
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author: Naher, Nahitun and Hoque, Roksana and Hassan, Muhammad Shaikh and Balabanova,
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Dina and Adams, Alayne M. and Ahmed, Syed Masud
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author-email: nahitun.naher@bracu.ac.bd
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author_list:
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- family: Naher
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given: Nahitun
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- family: Hoque
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given: Roksana
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- family: Hassan
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given: Muhammad Shaikh
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- family: Balabanova
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given: Dina
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- family: Adams
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given: Alayne M.
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- family: Ahmed
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given: Syed Masud
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da: '2023-09-28'
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doi: 10.1186/s12889-020-08975-0
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eissn: 1471-2458
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files: []
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journal: BMC PUBLIC HEALTH
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keywords: 'Health-sector corruption; Good governance; Frontline health care
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services; Frontline health care providers; UHC; LMICs'
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keywords-plus: SOCIAL ACCOUNTABILITY; INFORMAL PAYMENTS; BANGLADESH; COVERAGE; OUTCOMES
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language: English
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month: JUN 8
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number: '1'
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number-of-cited-references: '78'
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orcid-numbers: 'Ahmed, Syed Masud/0000-0001-5032-7181
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Balabanova, Dina/0000-0001-7163-3428
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Adams, Alayne Mary/0000-0002-0961-9825
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Hassan, Muhammad Shaikh/0000-0003-3484-2540'
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papis_id: dfd470c4307782001c6644a065cf4091
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ref: Naher2020influencecorruption
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researcherid-numbers: 'Ahmed, Syed/GSN-7305-2022
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Sorenson, T/AAM-6778-2021
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Ahmed, Syed Masud/AGQ-4786-2022
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'
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tags:
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- review
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times-cited: '35'
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title: 'The influence of corruption and governance in the delivery of frontline health
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care services in the public sector: a scoping review of current and future prospects
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in low and middle-income countries of south and south-east Asia'
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type: article
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unique-id: WOS:000540800600006
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usage-count-last-180-days: '2'
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usage-count-since-2013: '16'
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volume: '20'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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