Anti-Corruption in the Health Sector: Reducing Vulnerabilities to Corruption in User Fee Systems

Abstract

Designed to promote efficiency and expand access to health care services by leveraging financial contributions from patients, user fee systems are in place in government and private facilities throughout the world. Yet, without proper financial controls and personnel management systems, user fee revenue is vulnerable to corruption. This case-based brief illustrates how one hospital was able to introduce policy and system changes to reduce corruption and increase responsible stewardship of user fee revenues for the public good.