Training workshop
Corruption in the health sector:
Causes, consequences, and avenues for action
Syllabus for Malawi
Objectives
At the end of this 2 day workshop, participants will be able to:
1. Define corruption and identify the types of corrupt activities that occur in the health sector.
2. Explain why corruption occurs, applying principles of economics, governance, and crime prevention to understand the issues involved.
3. Assess specific risks which make corruption more likely in certain settings, and identify the consequences which can result from corruption
4. Identify the core elements of corruption prevention and control programs.
5. Examine problems of corruption in procurement, extortion of bribes for services (informal payments), and theft of medical equipment/supplies.
6. Become an effective advocate for anti-corruption strategies and reforms to promote accountability and transparency in health programs.
Audience
This course is intended for donor agency program managers, government health professionals, and civil society advocates who are interested in designing grants, programs, and projects in ways that minimize opportunities for abuse, and maximize development impact.
Day 1 Wednesday 7th October 2009
Welcome and introductions: (8:00 – 8.30 a.m.)
Session 1 Corruption basics (8.30 – 10:45 a.m. Mathisen, Vian)
--definitions of corruption, accountability, transparency and other concepts; discussion of how corruption is measured; analysis of causes and consequences
--exercises to help ground the concepts in specifics, make them less theoretical.
Break (10:45 a.m. – 11:00 a.m.)
Session 2 Health and corruption in Malawi (11:00 a.m. – 12:30 p.m.) with input from Malawi actors
--Discussion on knowledge of health sector reforms, recent events highlighting corruption, transparency, and accountability issues; identify opportunities and threats to fighting corruption in health sector (45 minutes)
--Work in pairs to identify or set priorities on issues. (15 minutes)
--Large group discussion of priorities, opportunities, threats. (30 minutes)
Lunch (12:30 – 1:30 p.m.)
Session 3: AC Toolkit: Core elements of control & prevention (1:30 – 5:00 p.m., including break Savedoff, Vian)
--Presentation of rational choice model and toolkit (1 hr.)
--Case studies and analysis (2.5 hrs.)
Day 2 Thursday 8th October 2009
Session 1: Procurement and drug logistics systems corruption (8:30 – 09:45 a.m. Vian)
--Pharmaceutical decision point model, strategies for prevention, evidence of effectiveness
Break (09:45 – 10:00a.m.)
Session 2: Presentation and discussion of budget monitoring and equity. (10:00 – 12:30 p.m. Savedoff)
--Principles of budget transparency: how to make sure government budget processes are open, understandable, and accessible to Malawians.
--International experience
--Discussion on Equity; User Fees and Informal Payments.
Lunch (12:30 – 1:30 p.m.)
Session 3: Question and Answer Period (1:30 – 2:30 p.m. Mathisen, Vian, Savedoff)
--Opportunity to ask questions of the presenters and of the other participants
--Discuss links between health sector and democracy & governance programs & resources
Session 4: Group work on action plans (2:30 – 4:00 p.m. Mathisen, Vian, Savedoff)
--Form groups based on interests (i.e. procurement) or by organization.
--Develop goals and objectives, and an initial plan of action for going forward
Summary of Workshop (4:00 – 4:15 p.m.)
Workshop Closing (4:15 – 4:30 p.m.)
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