BY Fraser Tennant
Widespread corruption is undermining healthcare systems and threatening the global recovery from the coronavirus (COVID-19) pandemic, according to a new Transparency International report published this week.
In its ‘2020 Corruption Perceptions Index’ (CPI), Transparency International ranks 180 countries and territories by their perceived levels of public sector corruption, drawing on 13 expert assessments and surveys of business executives. The index uses a scale of zero (highly corrupt) to 100 (very clean).
According to the CPI, corruption poses a critical threat to citizens’ lives and livelihoods, especially when such behaviour is combined with a public health emergency such as COVID-19.
At the upper end of the CPI, clean public sectors correlate with greater investment in healthcare. Uruguay, for example, at 71 on the scale, has the highest CPI score in Latin America, invests heavily in healthcare and has a robust epidemiological surveillance system, which has aided its response to COVID-19 and other infectious diseases.
In contrast, Bangladesh, at 26 on the scale, invests little in healthcare while corruption flourishes during COVID-19, ranging from bribery in health clinics to misappropriated aid. Corruption is also pervasive in the procurement of medical supplies. Countries with higher corruption levels also tend to be the worst violators of rule of law and democratic institutions during the COVID-19 crisis.
“COVID-19 is not just a health and economic crisis, it is a corruption crisis,” said Delia Ferreira Rubio, chair of Transparency International. “And one that we are currently failing to manage. The past year has tested governments like no other in memory, and those with higher levels of corruption have been less able to meet the challenge. But even those at the top of the CPI must urgently address their role in perpetuating corruption at home and abroad.”
To reduce corruption and better respond to future crises, Transparency International recommends that all governments: (i) strengthen oversight institutions to ensure resources reach those most in need; (ii) provide anti-corruption authorities and oversight institutions with sufficient funds, resources and independence to perform their duties; and (iii) ensure open and transparent contracting to combat wrongdoing, identify conflicts of interest and ensure fair pricing.
“It is not surprising to see that there is a correlation between a country’s index score and their response to COVID-19,” said Michael Harris, financial crime consultant at LexisNexis Risk Solutions. “The pandemic exemplifies the impact corruption can have on government systems and more needs to be done to tackle this problem, including strengthening institutional oversight and ensuring thorough due diligence is carried out, regardless of the wider circumstances.”