7/
We will identify quick wins and systemic change for anti-corruption, engage and foster a movement towards real change. Join us in finding viable solutions. #HealthIntegrity #Anti-corruption
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬ @preslavastoeva.bsky.social

6/
With funding and right to health under threat, the time to act is now. Our Lancet GH Commission on Anti-Corruption approach:
🔍 Evidence-based
🌍 Context-specific
🤝 Civil society-led
⚖️ Changing incentives and structures
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

5/
Most anti-corruption efforts fail. Why? They ignore the political and institutional factors underpinning #corruption. To fix corruption we must fix broken health systems and political networks enabling it #PolicyReform
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

4/
Corruption is global and not just a low-income country issue —and so must be our response. From COVID-era procurement scandals to opaque pharma lobbying, some richer countries enable corruption via tax havens/lax oversight
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

3/
From informal payments to rigged procurement of medicines, corruption erodes trust and harms the most vulnerable most. And it’s local and global—from health clinics to offshore tax havens #HealthEquity #Governance
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

2/
Corruption kills - it is linked to higher child and adult mortality, infectious disease, poor mental health, fake medicines. The cost in lives and money is massive #Accountability
@martinmckee.bsky.social @eleanorhutch.bsky.social @preslavastoeva.bsky.social @lancetgh.bsky.social‬

1/
🚨 New Lancet Global Health Commission on Anti-Corruption in Health: Corruption - an institutional failure & a global threat
www.sciencedirect.com/science/arti...
#GlobalHealth #AntiCorruption
@martinmckee.bsky.social @eleanorhutch.bsky.social @preslavastoeva.bsky.social @tolibmirzoev.bsky.social

Important paper for our forthcoming #LancetGlobalHealthCommissiononAnti-corruption. A lot can be gained by using AI-enabled approaches but there is a need for new skills, capacities and power to use it for good
We need a nuanced argument @eleanorhutch.bsky.social @anticorruption.bsky.social

6️⃣ The way forward
Invest in:
• Skilled personnel 👩‍💻
• Data interoperability 📂
• Participatory oversight mechanisms 🗳️
• Ethical AI policies 🌐

AI should support—not replace—human judgment.

5️⃣ AI’s dual nature
AI can uncover hidden fraud or enable corruption on an unprecedented scale. Success hinges on who controls the data and tools—governments, civil society, or private entities.

4️⃣ Governance is key
For AI to be effective, we need:
• Transparent algorithms ⚖️
• Strong human oversight 🧑‍⚖️
• Legal and ethical frameworks 🛡️
Poor implementation risks false accusations and perpetuating inequities.

3️⃣ But risks abound…
AI isn’t neutral. Biases in data and algorithms can reinforce corruption rather than combat it. Authoritarian misuse of AI can suppress dissent while protecting elites.

2️⃣ How AI helps: Anti-Corruption Tools (ACTs)
• Detect anomalies in procurement & billing 📊
• Spot counterfeit medicines 🔍
• Enhance transparency via blockchain integration 🔗
Examples: AI bots flagging suspicious expenses, detecting bid-rigging, or mapping drug supply chains.

🧵 1️⃣ Corruption in health systems is pervasive. It diverts resources, erodes trust, and lowers care quality. Our new paper in Int J Health Plan Management led by @paula171.bsky.social w/ @dinabalabanova.bsky.social asks whether AI might help or hinder?

Can’t wait for tomorrow’s event!
Looking forward to connecting with sharp minds to tackle corruption and brainstorm real solutions for our region.
Let’s make a difference together!

#AntiCorruption #Research #Health

@dinabalabanova.bsky.social @martinmckee.bsky.social @alanzarychta.bsky.social

La #corrupción es omnipresente en nuestra región, sin embargo medirla, entenderla y encontrar soluciones es un reto mayúsculo.

Acompañanos para discutir algunas oportunidades.

Registro: ow.ly/81kN50VQX5u

@dinabalabanova.bsky.social @martinmckee.bsky.social @alanzarychta.bsky.social

Great commentary by Helen Walls @martinmckee.bsky.social & @dinabalabanova.bsky.social @thelancet.bsky.social

It's corruption!

www.thelancet.com/journals/lan...

The need to call out corporate corruption in health - The Lancet

Excellent from Helen Walls @martinmckee.bsky.social and @dinabalabanova.bsky.social
www.thelancet.com/journals/lan...

Written by Helen Walls, @martinmckee.bsky.social and @dinabalabanova.bsky.social of @lshtm.bsky.social

Pleased to see our #realist analysis of maternal mental health from RESPONSE project is out in HPP. Great lead by Dr Lucy Yevoo! @hsr-lshtm.bsky.social @dinabalabanova.bsky.social @alliancehpsr.bsky.social @lshtm.bsky.social @lucygilson.bsky.social
academic.oup.com/heapol/advan...

Big congrats Dr Zehra Zeinali, Dr Abdul Ghaffar and Dr Keith Cloete on well deserved joint Health Systems Global - @alliancehpsr.bsky.social societal awards #HSR2024!!!
@lucygilson.bsky.social @karengrepin.bsky.social @dinabalabanova.bsky.social @martinmckee.bsky.social
👏👏🏿👏🏻

Join us to find out how to study illicit practices in health systems - unspoken rules, patronage, rule breaking networks. Join our clinic, bring our issue at #HSG2024 at 8 am in room 108

www.linkedin.com/posts/dina-b...