Create and Broadcast Social Advertisements That Target Corruption in the Healthcare System (LT0018)
Action Plan: Lithuania National Action Plan 2016-2018
Action Plan Cycle: 2016
Lead Institution: Ministry of Health
Support Institution(s): Special Investigation Service
Policy AreasAnti-Corruption, Anti-Corruption Institutions, Capacity Building, E-Government, Health, Public Service Delivery
Status quo or problem addressed by the commitment Until now, awareness has been raised only across healthcare institutions, by handing out stickers with a slogan: “The best gratitude to a doctor is a smile of a patient and a word of thanks”. It had no effect, however, on the general public and potential patients. Main objective To reduce factors for the rise and spread of corruption in healthcare system. To publish regular information about measures for corruption prevention in order to reduce informal payments and eradicate conditions for the rise of corruption, as well as the risks for the rise of corruption in healthcare system. Brief description of commitment Publicity on corruption prevention in healthcare system will be created and will be broadcast every year by 31 December 2019. In order to apply targeted anti-corruption measures, a strategy to implement anti-corruption publicity (corruption prevention in healthcare system) will be created. A plan of measures will be drawn up: aims and objectives for anti-corruption publicity will be set, specific entities responsible for drafting and provision of anti-corruption information to its disseminators will be appointed, broadcasting intensity will be scheduled, and budget for drafting and dissemination of information will be planned. The anti-corruption publicity implementation system (strategy) is necessary to seek that awareness-raising and education campaigns were carried out systemically and involved several mass media technologies, in order to achieve larger coverage of the information disseminated. A package of audio-visual measures will be developed.
IRM Midterm Status Summary
Publicity on corruption prevention in healthcare system will be created and will be broadcast every year by 31 December 2019. In order to apply targeted anti-corruption measures, a strategy to implement anti-corruption publicity (corruption prevention in healthcare system) will be created. A plan of measures will be drawn up: aims and objectives for anti-corruption publicity will be set, specific entities responsible for drafting and provision of anti-corruption information to its disseminators will be appointed, broadcasting intensity will be scheduled, and budget for drafting and dissemination of information will be planned. The anti-corruption publicity implementation system (strategy) is necessary to seek that awareness-raising and education campaigns were carried out systemically and involved several mass media technologies, in order to achieve larger coverage of the information disseminated. A package of audio-visual measures will be developed.
4.1. A package of audio-visual measures to prevent corruption in healthcare system has been drafted.
Responsible institution: Ministry of Health
Supporting institution: Special Investigation Service
Start date: 1 January 2016
End date: 31 December 2016
Context and Objectives
According to sociological research by the Special Investigative Service, Lithuania’s health care system is one of the most corrupt sectors in the country, with patients frequently giving bribes to health care providers for better treatment.[Note: Lithuanian Map of Corruption, Special Investigative Service, 2016, https://goo.gl/974GZG. ] Among European countries, Romanian and Lithuanian citizens are most likely to pay a bribe for services in the health care sector.[Note: Special Eurobarometer Survey on Corruption, European Commission, Directorate-General for Home Affairs, 2014, https://goo.gl/S88bGn. ] 21 percent of Lithuanian residents say they have had to pay a bribe or give a gift or hospital donation in the past few years.[Note: Special Eurobarometer Survey on Corruption, European Commission, Directorate-General for Home Affairs, 2014, https://goo.gl/S88bGn. ] Public procurement in health care is also vulnerable to corruption, mainly due to high knowledge asymmetry and shadow lobbying. According to the Public Procurement Office, 16 percent of all procurement funds are allocated to health care.[Note: Analysis of public procurements in health care, Public Procurement Office, 2015, https://goo.gl/MVXkUq. ] The Lithuanian government acknowledged the problem in 2016 and set a goal to reduce corruption in health care by more than one half (from 24 percent to 10 percent by 2020) as part of its National Anti-Corruption Program.[Note: The Action plan of the program of Lithuanian Government, No. 167, 2017, https://goo.gl/A8ACwM. ]
To reduce corruption in the health care system, this commitment calls on the Ministry of Health to create and broadcast social advertisements that will provide citizens with anti-corruption information. The commitment is taken directly from the National Anti-Corruption Program and copied to the OGP action plan. However, the commitment does not specify what information will be included in these advertisements, or how the advertisements will be disseminated (apart from 'audio-visual measures'), thus the specificity is low. Also, given the scale and scope of the problem of health care corruption, the dissemination of social advertisements as described in the commitment will only have a minor potential impact on this issue. Martynas Gedminas, the CEO at the Association of Young Doctors, noted that advertisements might change public perception of corruption slightly, but the Ministry should cooperate with doctors who could publicly say that bribes are not tolerated in their working space.[Note: Martyas Gedminas, Association of Young Doctors, interview by IRM researcher, 25 September 2017.]
The Ministry of Health has not yet begun the implementation of the commitment. Nadezda Buinickiene, the assistant to the minister, informed the IRM researcher that the Ministry of Health is preparing a project proposal for the European Social Fund Agency to secure the funding.[Note: Nadezda Buinickiene, the Ministry of Health, interview by IRM researcher, 19 September 2017.] The deadline for applications is 15 November 2017.[Note: Official invitation for the Ministry of Health to apply for European Social Fund Agency, No. 00621, a copy of invitation obtained by IRM researcher.]
At the time of writing (September 2017), the proposal was not finalized and did not have concrete activities within the commitment confirmed.
The commitment is only one of several measures taken by the Government of Lithuania to address corruption in the health care system. Although it might play an important role together with other anticorruption tools, as written, this commitment is not in line with any OGP values. For this reason, the IRM researcher does not recommend carrying it forward to the next action plan.
LT0024, 2018, Access to Information
NGO Database, NGO Fund
LT0025, 2018, Civic Space
Publish Fiscal Information
LT0026, 2018, E-Government
Public Services by NGOs
LT0027, 2018, Capacity Building
Monitoring and Evlauation for Public Participation
LT0028, 2018, Public Participation
Legislative Process Evaluation
LT0029, 2018, Capacity Building
Build Open Data Portal, and Integrate Into the European Single Digital Market.
LT0015, 2016, Access to Information
Publicize Information About Government Activities and Civic Participation in Governance.
LT0016, 2016, Capacity Building
Publish Online Information About Revenues and Spending of National and Municipal Institutions
LT0017, 2016, E-Government
Create and Broadcast Social Advertisements That Target Corruption in the Healthcare System
LT0018, 2016, Anti-Corruption
Create Legal, Organizational and Technical Tools to Easily Access Detailed Information About Election and Voting Procedures
LT0019, 2016, E-Government
Create Public Consultation Mechanism
LT0020, 2016, Capacity Building
Foster Open Public Governance Culture in Public Sector
LT0021, 2016, Capacity Building
Creation of NGO Database.
LT0022, 2016, Civic Space
Creation of NGO Fund.
LT0023, 2016, Capacity Building
Public Service Quality Improvements
LT0007, 2014, Capacity Building
Developing and Promoting E-Services
LT0008, 2014, E-Government
Encouraging Public Participation
LT0009, 2014, E-Government
Raising Civic Awareness
LT0010, 2014, Education
National Civil Society Fund Model Development
LT0011, 2014, Civic Space
Accessibility of Public Information
LT0012, 2014, Access to Information
Public Decision-Making Transparency
LT0013, 2014, Anti-Corruption
Promoting Anti-Corruption Education
LT0014, 2014, Anti-Corruption
Increase of the Accessibility of the Information Held by Public Administration Authorities.
Centralised Publishing of Information on Government Activities
More Extensive Public Consultations
LT0003, 2012, Public Participation
Promotion of Public Participation in Public Administration Processes
LT0004, 2012, Legislative
Increasing the Accessibility of Services Provided to the Public.
LT0005, 2012, E-Government
Promotion of Public Participation in the Process for the Improvement of Service Provision
LT0006, 2012, Public Participation