Transparency and Accountability in Bolivia: Does Voice Matter?

35 Pages Posted: 19 Apr 2011

See all articles by George Gray-Molina

George Gray-Molina

affiliation not provided to SSRN

Ernesto Perez de Rada

affiliation not provided to SSRN

Ernesto Yáñez

affiliation not provided to SSRN

Date Written: December 1999

Abstract

Using a survey of clients, doctors and nurses in thirty municipal hospitals, this study examines the scope and determinants of corruption in Bolivia`s public health sector. The authors find that `voice` mechanisms such as citizen activism and oversight are significant in exposing bribery and deterring the overpricing of medical supplies. The existence of `exit` options, such as recourse to private health service providers, additionally serves to deter corruption. Hierarchical controls, such as administrative regulations and procedures, seem to have little impact on hospital corruption, though further research is needed to verify this finding.

Suggested Citation

Gray-Molina, George and de Rada, Ernesto Perez and Yáñez, Ernesto, Transparency and Accountability in Bolivia: Does Voice Matter? (December 1999). IDB Working Paper No. 113, Available at SSRN: https://ssrn.com/abstract=1814658 or http://dx.doi.org/10.2139/ssrn.1814658

George Gray-Molina (Contact Author)

affiliation not provided to SSRN

No Address Available

Ernesto Perez De Rada

affiliation not provided to SSRN

No Address Available

Ernesto Yáñez

affiliation not provided to SSRN

No Address Available

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