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Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009

BACKGROUND: Four social audits in 1998, 2003, 2006 and 2009 identified actions that Nicaragua could take to reduce corruption and public perception in primary health care and other key services. METHODS: In a 71-cluster sample, weighted according to the 1995 census and stratified by geographic regio...

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Autores principales: Arosteguí, Jorge, Hernandez, Carlos, Suazo, Harold, Cárcamo, Alvaro, Reyes, Rosa Maria, Andersson, Neil, Ledogar, Robert J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332562/
https://www.ncbi.nlm.nih.gov/pubmed/22375610
http://dx.doi.org/10.1186/1472-6963-11-S2-S3
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author Arosteguí, Jorge
Hernandez, Carlos
Suazo, Harold
Cárcamo, Alvaro
Reyes, Rosa Maria
Andersson, Neil
Ledogar, Robert J
author_facet Arosteguí, Jorge
Hernandez, Carlos
Suazo, Harold
Cárcamo, Alvaro
Reyes, Rosa Maria
Andersson, Neil
Ledogar, Robert J
author_sort Arosteguí, Jorge
collection PubMed
description BACKGROUND: Four social audits in 1998, 2003, 2006 and 2009 identified actions that Nicaragua could take to reduce corruption and public perception in primary health care and other key services. METHODS: In a 71-cluster sample, weighted according to the 1995 census and stratified by geographic region and settlement type, we audited the same five public services: health centres and health posts, public primary schools, municipal government, transit police and the courts. Some 6,000 households answered questions about perception and personal experience of unofficial and involuntary payments, payments without obtaining receipts or to the wrong person, and payments "to facilitate" services in municipal offices or courts. Additional questions covered complaints about corruption and confidence in the country's anti-corruption struggle. Logistic regression analyses helped clarify local variations and explanatory variables. Feedback to participants and the services at both national and local levels followed each social audit. RESULTS: Users' experience of corruption in health services, education and municipal government decreased. The wider population's perception of corruption in these sectors decreased also, but not as quickly. Progress among traffic police faltered between 2006 and 2009 and public perception of police corruption ticked upwards in parallel with drivers' experience. Users' experience of corruption in the courts worsened over the study period -- with the possible exception of Managua between 2006 and 2009 -- but public perception of judicial corruption, after peaking in 2003, declined from then on. Confidence in the anti-corruption struggle grew from 50% to 60% between 2003 and 2009. Never more than 8% of respondents registered complaints about corruption. Factors associated with public perception of corruption were: personal experience of corruption, quality of the service itself, and the perception that municipal government takes community opinion into account and keeps people informed about how it uses public funds. CONCLUSIONS: Lowering citizens' perception of corruption in public services depends on reducing their experience of it, on improving service quality and access and -- perhaps most importantly -- on making citizens feel they are well-informed participants in the work of government.
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spelling pubmed-33325622012-04-24 Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009 Arosteguí, Jorge Hernandez, Carlos Suazo, Harold Cárcamo, Alvaro Reyes, Rosa Maria Andersson, Neil Ledogar, Robert J BMC Health Serv Res Research Article BACKGROUND: Four social audits in 1998, 2003, 2006 and 2009 identified actions that Nicaragua could take to reduce corruption and public perception in primary health care and other key services. METHODS: In a 71-cluster sample, weighted according to the 1995 census and stratified by geographic region and settlement type, we audited the same five public services: health centres and health posts, public primary schools, municipal government, transit police and the courts. Some 6,000 households answered questions about perception and personal experience of unofficial and involuntary payments, payments without obtaining receipts or to the wrong person, and payments "to facilitate" services in municipal offices or courts. Additional questions covered complaints about corruption and confidence in the country's anti-corruption struggle. Logistic regression analyses helped clarify local variations and explanatory variables. Feedback to participants and the services at both national and local levels followed each social audit. RESULTS: Users' experience of corruption in health services, education and municipal government decreased. The wider population's perception of corruption in these sectors decreased also, but not as quickly. Progress among traffic police faltered between 2006 and 2009 and public perception of police corruption ticked upwards in parallel with drivers' experience. Users' experience of corruption in the courts worsened over the study period -- with the possible exception of Managua between 2006 and 2009 -- but public perception of judicial corruption, after peaking in 2003, declined from then on. Confidence in the anti-corruption struggle grew from 50% to 60% between 2003 and 2009. Never more than 8% of respondents registered complaints about corruption. Factors associated with public perception of corruption were: personal experience of corruption, quality of the service itself, and the perception that municipal government takes community opinion into account and keeps people informed about how it uses public funds. CONCLUSIONS: Lowering citizens' perception of corruption in public services depends on reducing their experience of it, on improving service quality and access and -- perhaps most importantly -- on making citizens feel they are well-informed participants in the work of government. BioMed Central 2011-12-21 /pmc/articles/PMC3332562/ /pubmed/22375610 http://dx.doi.org/10.1186/1472-6963-11-S2-S3 Text en Copyright ©2011 Arosteguí et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Arosteguí, Jorge
Hernandez, Carlos
Suazo, Harold
Cárcamo, Alvaro
Reyes, Rosa Maria
Andersson, Neil
Ledogar, Robert J
Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009
title Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009
title_full Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009
title_fullStr Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009
title_full_unstemmed Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009
title_short Auditing Nicaragua’s anti-corruption struggle, 1998 to 2009
title_sort auditing nicaragua’s anti-corruption struggle, 1998 to 2009
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332562/
https://www.ncbi.nlm.nih.gov/pubmed/22375610
http://dx.doi.org/10.1186/1472-6963-11-S2-S3
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