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Technical Consultant – Report on Corruption in Healthcare Service Delivery

  • Application Closing Date: 25th October 2018
  • Duration: approx. 22 – 26 working days
  • Start and End Date: 1 November 2018 – 10 December 2018
  • Location of Consultancy: remote, with site visits to London office


Corruption in the healthcare sector has a pervasive negative impact on services and outcomes globally. This injustice is felt most strongly by the vulnerable and those least able to respond, particularly the poor, women, and children. Types of corruption experienced by communities and patients at the service delivery level include demanding bribes for free public services or to jump waiting lists; absenteeism (absence of healthcare professionals from health posts); nepotism in the appointment of posts (especially where the qualifications of the appointee do not match need); unnecessary referrals, particularly from public to private practice; the private use of healthcare professionals of health products, equipment and facilities intended for public use; outright embezzlement of public funds; favouritism of patients; overcharging or providing inferior services; and the manipulation of health data. Corruption in healthcare service delivery has deleterious effects not only on health outcomes, but also levels of poverty and therefore overall economic growth.

There is extensive primary quantitative and qualitative research on the realities that patients face when accessing health services, however, these data sources are disjointed and therefore the scale and impact of corruption’s corrosive effects on patients can appear isolated and exceptional. Furthermore, there exists a gap in understanding and appreciation among global health leaders and decision makers of the scale and prevalence of corruption within service delivery and thus a lack of engagement with potential solutions and approaches to dealing with the issue.



The purpose of this assignment is to develop a report on corruption in healthcare service delivery. The primary aim of the report is to establish a consolidated evidence base that builds on existing research and information in order to increase global awareness and advocate for specific policy change in countries with endemic corruption at the point of service delivery. Furthermore, this robust analysis will strengthen the research foundation of Transparency International’s Pharmaceuticals & Healthcare Programme (TIPHP; see http://ti-health.org/corruption-categories/) and inform its upcoming global work and focus on tackling corruption in healthcare service delivery.



The primary deliverable of this consultancy is a completed, detailed report on corruption in healthcare service delivery. The report could include the following main elements but should go beyond a literature review and commentary to explore the unintended consequences of corruption in health service delivery and the practical techniques and tools that stakeholders (particularly those working at local and district levels) may apply.

  • Types of corruption in healthcare service delivery
  • Causes of corruption in healthcare service delivery
  • The health impact of corruption in healthcare service delivery on individuals and communities
  • The economic impact of corruption in healthcare service delivery on individuals and communities
  • Socio-cultural dimensions of corruption in healthcare service delivery on individuals and communities
  • Outcomes of tried mitigating approaches
  • Potential new pilot approaches and recommendations
  • Case studies

The report will be completed using the TIPHP report format and the desired length of the report is between 30-45 pages excluding Executive Summary and Bibliography. Furthermore, a presentation of research findings will be provided to TIPHP, including a PowerPoint presentation.

All deliverables must be completed by 10 December 2018. The report output will be completed in accordance with the Transparency International Style Guide. The final design of the report will be completed by the TI’s Communications Department.


Any extensions to the timeline will be discussed and agreed in advance.




TIPHP aims to produce publications of an exceptionally high standard that can be used to drive policy change, to advocate on matters concerning corruption in the health sector and to identify new approaches to old problems, which TIPHP and partners can pilot. The consultant will be responsible for delivering the agreed project outputs using a methodology and approach as agreed by TIPHP. The Consultant will achieve this by working collaboratively with TIPHP and relevant partners.


  • Conduct comprehensive desk research of corruption and anti-corruption literature on healthcare service delivery-related corruption worldwide
  • Conduct interviews with key experts (incl. TI national chapters)
  • Weekly liaison with TIPHP
  • Presentation of report findings to TIPHP (including PowerPoint)
  • Delivery of final report as per the agreed timeline


The Consultant should provide a detailed breakdown, before any VAT or other charges, of all their estimated costs, including but not limited to; total fee as a lump sum or standard daily or hourly rates, and if applicable, work materials. Any costs related to international travel will be covered by TIPHP. The anticipated number of working days is 22-26 days, including travel days.




  • University degree in global health or corruption or political science or related field from a reputed institution and postgraduate education in international development or equivalent experience
  • Proven relevant professional experience in developing solutions-focused research reports for advocacy organisations
  • Substantial experience of conducting desk research and literature review
  • Excellent drafting and report writing capacities in English language
  • Highly motivated and committed to the values of transparency and integrity


  • Thematic knowledge in the area of anti-corruption in global health
  • Previous experience researching and drafting reports on health topics for large international organisations, such as UN or INGOs
  • Experience in collecting and managing primary data from a variety of sources and ensuring integrity of data in a development context, with preference for such experience in the health sector


  • English



Applications (in English language) must be sent by email to Sarah Steingrüber (ssteingrueber@transparency.org) by 11:59pm on 25 October 2018 with “Application: Service Delivery Report Consultant” in the subject line. Applications should contain:

  • A cover letter outlining motivation and evidence that the consultant is qualified to undertake the work as described in the terms of reference
  • Curriculum Vitae with full description of the applicants profile and experience
  • A sample of previous work (confidentiality guaranteed)
  • A technical proposal of the approach and proposed data collection methodology based on the information provided in these Terms of Reference including proposed timeline if different from that quoted above
  • Financial offer for undertaking the work with estimation as to the number of days that will be spent on each task
  • Contact details for a least two independent referees with in-depth and proven knowledge of the applicants expertise and relevant work experience
  • Completed VAT form for tenders


Editorial control

Research publications are published under the TIPHP name and therefore editorial control rests with TIPHP. Once a research text has been agreed in final draft, TIPHP typically adapts it to publish reports and papers with policy recommendations.


Researchers are acknowledged in the publication as are those who have made a significant contribution. Researchers and key contributors are given sight of the final text before publication, including introductions, summaries and policy recommendations written by TIPHP, and are entitled to ask for their name to be removed from the acknowledgements if they are not in agreement with the final publication.

Intellectual Property & Copyright

The IP for the research and copyright for all research commissioned by TIPHP and all our publications rests with TIPHP. However, it is our aim to disseminate any of the training materials and related outputs to as many people as possible. Hence, it is feasible to agree non-exclusive licenses for stakeholders that wish to incorporate the materials into their own training materials.

Please note that only shortlisted applicants will be contacted. TI retains the right to reject any or all of the applications and/or to enter into additional negotiations with one or more of the tendering parties.


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