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Complaints about the state of medical care are increasing in today’s India: whether it’s unnecessary investigations, botched operations or expensive—sometimes even harmful—medication. But while the unease is widespread, few outside the profession understand the extent to which the medical system is being distorted. Dr Arun Gadre and Dr Abhay Shukla have gathered evidence from seventy-eight practising doctors, in both the private and public medical sectors, to expose the ways in which vulnerable patients are exploited by a system that promotes unscrupulous medical practices. At a time when the medical sector is growing rapidly, especially in urban areas, with the proliferation of multi-specialty hospitals and the adoption of ever-more sophisticated technologies, rational and ethical medical care is becoming increasingly rare. Honest doctors feel under siege, professional bodies meant to regulate the medical sector fail to do so, and the influence of the powerful pharmaceutical industry becomes even more pervasive. Drawing on the frank and courageous statements of these seventy-eight doctors dismayed at the state of their profession, Dissenting Diagnosis lays bare the corruption afflicting the medical sector in India and sets out solutions for a healthier future.
This is a study of the nature of corruption in Ethiopia. It maps eight key sectors. The diagnostics strongly suggest that, in Ethiopia, corrupt practice in the delivery of basic services is potentially much lower than other low-income countries, but that there are emerging patterns in sector level corruption.
“Pluralism by Default will change the way we understand the emergence of democracies and the consolidation of autocracies.” —Chrystia Freeland, author of Plutocrats Exploring sources of political contestation in the former Soviet Union and beyond, Pluralism by Default proposes that pluralism in “new democracies” is often grounded less in democratic leadership or emerging civil society and more in the failure of authoritarianism. Dynamic competition frequently emerges because autocrats lack the state capacity to steal elections, impose censorship, or repress opposition. In fact, the same institutional failures that facilitate political competition may also thwart the development of stable democracy. “A tour de force brimming with theoretical originality and effective use of in-depth case studies. It will enrich our understanding of post-communist politics and help reshape the way we think about democracy, authoritarianism, and regime change more broadly.” —M. Steven Fish, author of Democracy Derailed in Russia: The Failure of Open Politics
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Much of the devastation caused by the recent earthquake in Turkey was the result of widespread corruption between the construction industry and government officials. Corruption is part of everyday public life and we tend to take it for granted. However, preventing corruption helps to raise city revenues, improve service delivery, stimulate public confidence and participation, and win elections. This book is designed to help citizens and public officials diagnose, investigate and prevent various kinds of corrupt and illicit behaviour. It focuses on systematic corruption rather than the free-lance activity of a few law-breakers, and emphasises practical preventive measures rather than purely punitive or moralistic campaigns.
Why have so few countries managed to leave systematic corruption behind, while in many others modernization is still a mere façade? How do we escape the trap of corruption, to reach a governance system based on ethical universalism? In this unique book, Alina Mungiu-Pippidi and Michael Johnston lead a team of eminent researchers on an illuminating path towards deconstructing the few virtuous circles in contemporary governance. The book combines a solid theoretical framework with quantitative evidence and case studies from around the world. While extracting lessons to be learned from the success cases covered, Transitions to Good Governance avoids being prescriptive and successfully contributes to the understanding of virtuous circles in contemporary good governance.
For decades, corruption in Ethiopia has only been discussed at the margins. Perhaps because many have not experienced corruption as a significant constraint to their lives and businesses, or perhaps because a culture of circumspection has dampened open dialogue, Ethiopia has neither seen the information flows nor the debate on corruption that most other countries have seen in recent years. This study attempts to fill this information gap. Conducted by the World Bank (with financial support from the UK, the Netherlands and Canada) in conjunction with the Federal Ethics and Anti-Corruption Commission of Ethiopia (FEACC), the study is an independent overview of corruption. It attempts to map the nature of corruption in eight sectors in the country. The studies focuses on three key objectives: (i) to develop sector frameworks that enable mapping of the potential areas of corruption on a sector-by-sector basis; (ii) to map the different forms, and types of corrupt practices in the selected sectors; and (iii) to consider the higher risk areas and identify appropriate sector or cross cutting responses for Government and other stakeholders. The sectors covered are health, education, water, justice, construction, land, telecommunications and mining. In designing the methodologies for undertaking the diagnostics, the sector experts developed approaches that most suited the sector and stakeholder context. However, a number of universal principles have guided the approach. One commonality in the methodology has been the effort to tap into the perceptions and knowledge of all stakeholders, be they politicians, senior government officials, private sector businessmen, civil society advocates or consumers of services. The diagnostics strongly suggest that, in Ethiopia, corrupt practice in the delivery of basic services is comparatively limited and is potentially much lower than other low-income countries. When viewed together, the findings of the study point towards an emerging pattern in sector level corruption, with interesting variations in the levels of corruption across the sectors studied.