Informal Economy https://blogs.worldbank.org/publicsphere/taxonomy/term/618/all en Why doctors leave their posts – problem-solving irregularities in the health sector with healthcare workers in Bangladesh https://blogs.worldbank.org/publicsphere/why-doctors-leave-their-posts-problem-solving-irregularities-health-sector-healthcare-workers <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><p> <img alt="" height="213" src="https://blogs.worldbank.org/publicsphere/files/publicsphere/6792819478_ce19ec1b85_z.jpg" style="float:left" title=" Art Writ" width="320" />It’s not often you get together the very people working on the frontline to sit down together and discuss why and how irregular practices occur in their sector – and what can be done about them. But that’s just what we did with a group of frontline health workers at a <a href="https://ace.soas.ac.uk/health-2/" target="_blank" rel="nofollow">workshop</a> in Bangladesh’s capital Dhaka in December 2017. We wanted to understand why corrupt and irregular practices occur in the health sector - what are the underlying incentives and processes? And what are some feasible and impactful ways to change these practices?<br /><br /> Many developing countries, including the three where our research consortium, the <a href="https://ace.soas.ac.uk/" target="_blank" rel="nofollow">Anti-Corruption Evidence research consortium</a> is working, Bangladesh, Nigeria and Tanzania, struggle to provide free or low-cost healthcare to all their citizens. Instead, citizens are often forced to buy services from the private sector at higher fees or worse, approach untrained or traditional healers. There is <a href="https://www.gov.uk/government/publications/why-corruption-matters-understanding-causes-effects-and-how-to-address-them" target="_blank" rel="nofollow">agreement in the literature</a> that a large proportion of these inefficiencies occur due to corrupt practices (though there’s an active debate about whether using the <a href="https://oxfamblogs.org/fp2p/how-should-the-aid-business-think-and-act-about-corruption/" target="_blank" rel="nofollow">c-word</a> is helpful in this debate, which is why we talked about ‘irregularities’ during this workshop). Many of these practices are related to the way societies in developing countries are organized around patron-client relations, where tax resources are insufficient, and resources, jobs and promotions require lobbying powerful politicians.</p> </div></div></div> Wed, 28 Feb 2018 20:17:00 +0000 Mushtaq Khan 7783 at https://blogs.worldbank.org/publicsphere