Browsing by Author "Muchena, Ratidzo Ingrid"
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- ItemAn exploration of corruption in the health sector : a case of Zimbabwe(Stellenbosch : Stellenbosch University, 2019-12) Muchena, Ratidzo Ingrid; Mantzaris, Evangelos A., 1953-; Stellenbosch University. Faculty of Economic and Management Sciences. School of Public Leadership.ENGLISH SUMMARY : One of the main issues that have wreaked havoc in the health sector in Zimbabwe is corruption. The problem of corruption is not unique to Zimbabwe but has become universal in the health care system across the globe. There are many forms of corruption and it happens on both small and large scales. Regardless of the magnitude of corruption, it has a negative effect overall on the welfare and health of the citizens as it undermines the efficiency in the delivery of health care services. In an attempt to fight corruption, the Government of Zimbabwe set up an Anti-Corruption commission. Despite this move by the government, corruption is still rampant. There is need for the government to set up Anti-Corruption initiatives and enforce several legislations to help in combating corruption. There is a need for the government to prioritise lobbying for better rules, transparency in public spending and contracting and also ensure that public institutions and officials are held accountable for their actions. In the light of this, the study examined corruption in the Zimbabwean health sector. The study sought to identify the different forms or manifestations of corruption in the health sector, the root causes of the corruption, how the various occurrences of corruption affect service delivery and also how these forms of corruption can be curbed. The primary objective of this study was to identify the possible ways to intervene in the corruption problem in an effort to increase accountability and transparency. To explore the conceptualisation of the forms of corruption and the anti-corruption strategies, a literary review was conducted. The literary review shows that there is a need for an effective, accountable and transparent management and also an effective application of anti-corruption strategies to curb corruption. A descriptive research design was adopted for the study. Simple random and purposive sampling techniques were used to select the corruption cases for the study. Data was collected in the form of cases and academic sources and was analysed using textual methods. The results of the study indicate that there is massive corruption in the health sector. The main causes of corruption in Zimbabwe include low public funding, family networks and referrals, lack of detection and enforcement of punishments of corrupt officials as well as a lack of transparency and accountability in the health sector. The research also established that corruption in the public sector has negatively affected the delivery of health services which has resulted in shortages in health supplies and obsolete equipment. The study concluded that corruption in the heath sector in Zimbabwe is prevalent. Although the government has implemented the anti-corruption Act, corruption is still prevalent. The study recommends restructuring the management in the health sector and also an effective implementation of anti-corruption strategies. The study further recommends the development of a culture of excellent service provision in order to create public confidence in the health institutions.