Case Study

Ukraine: Combating Corruption Disguised as Charity

October 2016 | by Iryna Postolovska, Harvard School of Public Health

Corruption takes many forms and guises, some seemingly innocuous. When governments fail to provide enough resources to deliver quality healthcare, can’t charitable contributions help cover the gap? However, when charitable contributions are made to seem like requirements to receive services, and when the funds involved are opaque and unaccountable, there is cause for suspicion.

This case study describes how health advocates in the Ukrainian city of Poltava created the Institute of Analysis and Advocacy (IAA) to take on entrenched corruption in the provision of local healthcare. IAA’s campaign targeted different levels of government and links in the service delivery chain, from individual hospitals to the national legislature. Reformers undertook a variety of complementary tactics to uncover and document corruption, lobby for change, and address the root causes of corruption in the healthcare system. All of this took place against a backdrop of the toppling of a corrupt regime during Ukraine’s Euromaidan Revolution in 2014.




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