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Health Policy and Planning Advance Access published online on February 14, 2008
Health Policy and Planning, doi:10.1093/heapol/czm048
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© The Author 2008; all rights reserved.
The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and Oxford University Press are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oxfordjournals.org Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine

Review of corruption in the health sector: theory, methods and interventions

Taryn Vian

Assistant Professor of International Health, Boston University School of Public Health, 715 Albany St. Crosstown Centre, 3rd floor, Boston, MA 02118, USA. Tel: +1 617–638–5234.

E-mail: tvian{at}bu.edu

There is increasing interest among health policymakers, planners and donors in how corruption affects health care access and outcomes, and what can be done to combat corruption in the health sector. Efforts to explain the risk of abuse of entrusted power for private gain have examined the links between corruption and various aspects of management, financing and governance. Behavioural scientists and anthropologists also point to individual and social characteristics which influence the behaviour of government agents and clients. This article presents a comprehensive framework and a set of methodologies for describing and measuring how opportunities, pressures and rationalizations influence corruption in the health sector. The article discusses implications for intervention, and presents examples of how theory has been applied in research and practice. Challenges of tailoring anti-corruption strategies to particular contexts, and future directions for research, are addressed.

Key Words: Corruption, informal payments, health policy, health care management, transparency, accountability, developing countries, international health

Accepted for publication 21 November 2007.


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