Promoting Accountability and Transparency for Health through research, consulting, and teaching. An initiative of the Department of Global Health at the Boston University School of Public Health.

News and Events:

BU Global Health researchers recently published an article in the journal Health Affairs documenting the impact of a hospital public-private partnership (PPP) in Lesotho on clinical outcomes. See this announcement on the BU School of Public Health web site, and link to the article on the journal’s web site. The PPP hospital has been criticized because of cost issues and implications for health system-level access to care. This work suggests that the hospital is delivering more and higher quality services, and achieving better health outcomes, than the government-managed hospital it replaced. Transparency on outputs and outcomes is an important ingredient to data-based policy making on this controversial issue.

The OECD recently released a report on the Consequences of Corruption at the Sector Level and Implications for Economic Growth and Development. Taryn Vian led the sector-specific analysis on health (Chapter 5) working with Julia Noguchi, MPH.

Working with the World Health Organization (WHO) country office in the Republic of Moldova, Taryn Vian and Rich Feeley analyzed evidence of out-of-pocket (OOP) payments and developed a framework to control informal payments. The report released in 2014 suggests a range of strategies to influence medicine-related, system-related, and patient-patient related factors to reduce impunity and  strengthen transparency and accountability.

Taryn Vian was lead author on a Corruption Risk Assessment in Kosovo commissioned by UNDP Kosovo’s project Support to Anti-Corruption Efforts in Kosovo (SAEK), in close collaboration with the national Anti-Corruption Agency. The corruption risks identified included informal payments, private practice by public employees outside allowable bounds, procurement corruption and theft of medicines.

An article by Dr. Vian and colleagues was recently published in Health Systems & Reform. The authors examine hospital public private partnerships (PPP) in low resource settings, with a focus on the Lesotho hospital PPP. The article looks specifically at how management systems and accountability may improve through PPPs, leading to a reliable work environment and better health outcomes.

Add to your anti-corruption library: Anticorruption in the Health Sector: Strategies for Transparency and Accountability, available in the U.S. through Kumarian Press (now Lynne Rienner Publishers), and in Europe through Eurospan

Our Motivation: Why we need to fight corruption in the health sector

Recent Publications and Papers

Linking Governance Mechanisms to Health Outcomes: A review of the literature in low- and middle-income countries
Dana Karen Ciccone, Taryn Vian, Lydia Maurer, Elizabeth H. Bradley. 2014. Social Science & Medicine. 117: 86-95.

Budget reform in Lesotho public hospitals: Performance, root causes and reality
Taryn Vian and William J Bicknell. 2013. Health Policy & Planning. doi: 10.1093/heapol/czs121

Complaint mechanisms in health organizations. U4 Brief. Bergen, Norway: U4 Anti-corruption Resource Centre, Chr. Michelsen Institute. September 2013.
Taryn Vian

Implementing a Transparency and Accountability Policy to reduce corruption: the GAVI Alliance in Cameroon.  U4 Brief. Bergen, Norway: U4 Anti-corruption Resource Centre, Chr. Michelsen Institute. September 2013.
Taryn Vian

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