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124 Fighting the Diseases of Poverty<br />

in institutions require these kinds of initiatives, and donors are in a<br />

position to foster such improvements with both funding and advice<br />

to oil the wheels of progress and support the emergence of strong<br />

institutions.<br />

Where public services are free or subsidized, with the intention<br />

to promote access and utilization of vital health services, the abuses<br />

related to lack of drugs, staff absences and informal payments<br />

undermine these objectives as well as the credibility and effectiveness<br />

of public services more generally. Without attention to these<br />

non-medical issues, clinical care quality and equity in access will be<br />

lost, leading to both lower health status and poorly spent public<br />

revenues. Addressing these public program failures are critical to<br />

effective government to and functioning health care systems.<br />

Because good governance promotes economic growth and effective<br />

public services, the health sector cannot afford to be sidelined on<br />

this agenda.<br />

Source appendix 1: figures 4 and 5<br />

Country Data Source<br />

year<br />

Albania 2002 Vitosha, 2002<br />

Albania 2002 World Bank LSMS Survey<br />

Armenia 2001 Murrugarra & Cnobloch, 2003<br />

Bangladesh 2002 Transparency <strong>International</strong>, 2002<br />

Bolivia 2001 World Bank 2001b<br />

Bosnia 2000 World Bank, 2001e<br />

Bosnia 2002 Vitosha, 2002<br />

Bulgaria 2001 LSMS Survey<br />

Bulgaria 2002 Vitosha, 2002<br />

Cambodia 1999 World Bank, 2000b<br />

China n.d. Bloom, Han and Li, 2001<br />

Colombia n.d. Corruption Survey<br />

Croatia 2002 Vitosha, 2002<br />

Czech Republic 2002 Horthava, Maly', 2002<br />

Georgia 2000 Chawla, 2001<br />

Ghana 1998 Worldbank LSMS Survey

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