Drivers of health systems corruption in the area of laboratory services
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Date
2022-03-10
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Kamuzu University of Health Sciences
Abstract
TYPE OF STUDY: This is a qualitative study design that will utilize phenomenological study
design.
BACKGROUND: Corruption is a substantial cost-related driver that affects a program's
sustainability and effectiveness as well as the possibility of a country's graduation from aid or
support. Corruption is spread all over the world. It still remains a challenge in both developed
and developing countries. Corruption is more embedded in the health system, which makes it
hard to achieve the sustainable development goals and ensure healthy lives for everyone. This is
why we must think of corruption as an important area of study in the same way we think about
diseases. There are no known studies that have looked at corruption in the laboratory. This study
seeks to look for the drivers of corruption, particularly in the laboratory services within the
health systems of Malawi. This will help in designing viable interventions for dealing with
corruption in the laboratory.
MAIN OBJECTIVE: The main objective of this study is to identify potential drivers for
corruption in the health facility laboratory services.
SPECIFIC OBJECTIVES
To identify potential causes of corruption in laboratory services,
To explore the existence of accountability mechanisms in the health system,
to establish the conditions that incentivize corruption among laboratory workers.
METHODS: The study will be conducted at Queen Elizabeth Central Hospital and Ndirande
Health Centre. A question guide containing relevant questions to answer the study objectives will
be used to conduct interviews among laboratory staff and clients that will have access to
laboratory services. As this is a qualitative study whose sample size is determined throughsaturation, a sample size of 20 participants will be purposively sampled. An audio recording
device will be used during the interviews. Data will be transcribed and managed using a
qualitative package called NVivo. Thematic content analysis will be conducted, aided by NVivo.
EXPECTED FINDINGS: Based on literature, the following are expected to be some of the
drivers of health system corruption: large amounts of resources, information asymmetry, large
numbers of actors, system complexity and fragmentation, the globalized nature of the supply
chain for drugs and medical devices, inadequate salaries for health workers, poor working
conditions, among others.
DISSEMINATION OF RESULTS: The results will be presented to the college faculty. A copy
of the results will be submitted to COMREC and will also be peer reviewed
Description
TYPE OF STUDY: This is a qualitative study design that will utilize phenomenological study
design.