PROBLEM STATEMENT AND PURPOSE Sample Clauses

PROBLEM STATEMENT AND PURPOSE. This activity will address pervasive corruption in the health sector. This corruption results in the loss of a significant portion of limited health care resources and ultimately contributes to poor health outcomes. Corruption in Ukraine’s health sector has many faces. It includes high informal out-of-pocket payments for health services, deterring patients from seeking care in a timely manner. It is persistent vertical public financing of subventions for health services, channeled from the center to Oblast Healthcare Departments and then to hospitals and clinics. It is health workers facing corruption through their entire career, starting from being asked to pay bribes for interim exams in medical school and thereafter “buying” positions with a symbolic official payroll from a hospital chief doctor; charging patients informal fees to make up for the investment; prescribing brand name drugs that a patient doesn’t need to receive a kickback from pharmaceutical companies; and paying a tuition fee for the post-diploma qualification course that a doctor will never attend, but will receive a certificate in order to reach the next, higher attestation level. The first and most important victims of the current situation are patients, required to “contribute” to semi-formal hospital “charity funds”, asked to buy and bring necessary drugs and materials into the hospital for a surgery, while still receiving substandard care from a run-down facility with obsolete medical equipment and unhappy medical personnel.
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