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Please give your view on the four recommended points that public health professionals can do to fight corruption.
Do you agree or disagree, why? Any other suggestion which could work better to fight corruption in your setting? (10 marks)—————————- Deadline 17 January 2022 Pls reply before ————————————
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I do agree with the recommendations. It may looks good on the paper but, in my opinion, it is kind of difficult to apply to the real-world setting especially in the context of Thailand. First, megalomaniac and narcissistic are the description of our leader, we had seen that before. So when it comes to push the ‘anti-corruption policy’ into the practice, it’s less likely to be approved by the policy-makers. Second, seniority system is deeply rooted in Thai society. The people who witnessed the corruption are not tend to unravel their corruptions. There are many factors that make the recommendations not viable in Thailand which I’m not mentioned here. To make the recommendations viable, we need to reconstruct social structure and political institution.
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The four recommendations written in the article looks theoretical reasonable. There are many issues such as talking with stakeholders, prioritizing actions, creating pragmatic solution, doing and improving about researches, that could be good to deal with general corruption issues.
However, there are many more factors and social context that could influence and affect the happening of corruption in each society. For example, hierarchy is involved in most organization in Thailand and that’s similar to difficulty mentioned in the first recommendation. I think that we should apply the recommendations above combining with consideration of specific social context and factors in each society to decrease corruptions.
Another thing that might help to decrease corruption is to do something like a decent “Internal Audit” but in national level. But we also have to trust that the organization ,having responsibility to do an internal audit, won’t corrupt.
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I agree with all of the recommendations. However, in reality, it is much harder to follow the recommended steps. In my opinion, unlike making a decision in clinical care in which there are clear cuts between normal and abnormal(disease), defining the act of corruption is often difficult. If we cannot start by defining what is wrong and what is acceptable, it is much harder to move to the next steps.
And I also agree about the difficulty of explaining the corruption situation, because it is difficult to do the research. Like the article said, it is hard (and might be immoral or worst, illegal) to conduct research that detects the corruption and let it happen (In my opinion, it is like conducting research in human even though we know that the intervention clearly harms the patient)
I think the first step to start to fight corruption is to seek an agreement between stakeholders about the definition of what is considered to be corruption. And I also agree with other participants’ ideas about the seniority and hierarchy culture (which prevent someone who witnesses corruption to speak up) that is much difficult to change. However, if we build a newer culture to the younger or current generation about an anti-corruption idea, this problem might be lower in the future.
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I agree with the recommendations that the author gives in the paper. However, as other classmates said, the implementation of the recommended points is not as easy as it sounds. Even taking the first step of discussion about what is corruption might be hard. In my opinion, the hierarchy culture, as mentioned by other classmates, is one of the obstacles. People at the low level of the hierarchy are reluctant to speak because they feel powerless.
Other recommendation I can think of is transparency between the stakeholders and the public. I think clearly stating the plan/process, budget, and doing routine reporting can help prevent the act of corruption because the public will watch your action.
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I agree with the recommendations in the journal and, like other classmates, think that it is not an easy thing to do.
In Indonesia, every time we conduct training in the health sector organized by the government, there are particular materials on anti-corruption. Besides that, there are special institutions that deal with corruption, and audit mechanisms are carried out internally and externally, but corruption remains a problem in the health sector in Indonesia.
Improving the quality of information systems and updating technology can prevent corruption. For example, upgrading the flight ticket system to be online can prevent people from marking up airline ticket prices because now auditors can check the status of airline tickets in the information system.
Another example, if there is a good logistics information system, then the distribution of medical equipment and materials to people who do not have rights will decrease.
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I do generally agree with the recommendations and I agree with my colleagues that these aren’t easy to execute. Corruption has been one of the enemies of holistic success of a nation. Some people have leveraged other people’s weaknesses to make them as their strengths – usually abuse of power to gain hold of money while taking less of responsibilities. In the Philippines, it has the potential to be an economic powerhouse but the absolute greediness and self-feeding political interests have severed the nation’s success. One example is that, our country has loaned billions of dollars on the World Bank as a response to the COVID-19 pandemic. However, two years into the pandemic, we are still having problems on testing capacity and providing care on isolation centers.
In fighting corruption, two measures to look at are accountability and, what Karina has mentioned, transparency. Both are important measures whether the responsibility is being undertaken based on the desired needs and is not abused. Fighting corruption isn’t an overnight work. In the case of the health sector, maintaining the balance among the building blocks would result to better outcomes for the general people. Instituting independent bodies who oversee the work of others may be beneficial in fighting corruption.
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Regarding the measures to address corruption, I agree with all the recommendations given in the article.
As a first step in promoting transparency, it is important for all stakeholders to have a common understanding about the definition of corruption, although it might not be as easy as it sounds in some contexts. As mentioned by others, social hierarchy may be one of the major obstacles.
Possible actions may include the establishment of an internal audit mechanism, and defining punishment regardless of the rank or position. -
I agree with the recommendations from the journal regarding dealing with corruption. Leaders, policymakers are the most corrupted in regards to the developing nations. In my opinion, most of them are due to lack of education and few are under the influence of power, nepotism, and money. Many investigations are conducted against corruption but most of the cases are dismissed as they are very influential.
As mentioned in the journal, government health workers arrive late and leave early, emphasis more on private practices. Even though these are not regarded seriously it impacts a lot on the health outcome of the people. -
I agree with the recommendations stated in the article. I also agree with several opinions from classmates that it is difficult to do in reality. Hierarchy and seniority are presented in some Thai organizations. Also, organizational culture is very important, which could affect people’s courage to speak up and make changes.
I think the role model and creating an organization’s culture for anti-corruption is crucial. It would be great to provide a hotline for reporting suspected events anonymously, creating a clear workflow/SOP, and recording evidence clearly while performing tasks. Therefore, it would be easier to retrieve and track the action.
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I agree with all four points that the author has recommended. Corruption is the challenging and formidable issue. According to organizational structure, policy makers and all stakeholders should make an agreement about the clear definition of corruption in the organization, which activities can be considered as ‘corruption’? and decide the punishment of any corruption activities. The strong policy dimension should be communicated to all employee and should be reviewed continuously to create the awareness. It seems so hard in practical way, but it’s crucial to have someone to lead and to be a role model to establish the corruption-free (or at least, decrease) organization.
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I agree with the article about four recommended points against corruption because they provide all perspectives of anti-corruption efforts. Like others in discuss room already mentioned about patronage system that had been used in Thailand for a long time, which led to a problematic change in the system. Therefore, in my opinion, I would suggest that we should create an anti-fraud culture that should begin with a clear commitment to tackling corruption led by the government and leaders. Secondly, building a fraud awareness culture for everyone that has been involved in the health sector and creating a professional anti-corruption team to scan the potential gap of strategies or policy that may lead to fraud easily. In addition, the anti-fraud procedure should have a guideline on what to do next when your suspicions of fraud arise, a response plan, and a whistleblowing protection plan. Lastly, sharing and reporting the outcome on a successful anti-fraud measurement, money saved, creditability, and qualified anti-fraud system to an internal and external organization.
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I really agree with the four recommend points to fight the corruption in health system. According to the nature of the corruption, it’s a complex issues which need multi-disciplinary responses. Therefore, the corruption resolution in the system should be under the agreement of all stakeholder in health systems such as policy maker, executive, workers and healthcare professionals.
However, the implementation of corruption resolution seen to be difficult, if lacking of alertness on the issue. So, cultivating of alertness and attention on the problems should be done in all levels of the healthcare workers. In addition, the participation of people and non-government organization representative on health organization audit committee should be performed, for effective verification process.
Taksin U.
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