Análise do fenómeno corrupção no sector da saúde: o caso do Hospital Central de Maputo

Abstract

The increase in the focus of dissemination and propagation of corrupt practices in the public sector was evidenced by the study carried out by Etica Mozambique (2001) on corruption, led - we wonder about the reasons that lead to the spread of this phenomenon public sector. In this Research Project, we seek to develop a critical and practical understanding on the manifestation of corruption in the health sector, the specific case of Hospital Central de Maputo We chose this health unit because it is the largest and can therefore offer us elements that make it possible to analyze the sector as a whole The analysis followed the period from September 2004 to April 2005 and was carried out with based on data collected through documents and interviews carried out at the Central Hospital de Maputo, Ministry of Health and City Health Directorate. Based on institutionalist theory as our theoretical perspective, the results of the field work leads us to three variables for the occurrence of corrupt practices that are: the weak institutional capacity in the specific case of the National Health System of Mozambique to fully respond to user demand, low wages earned in the civil service, and finally a third variable that arises as a consequence of the two first than the loss of organizational objectives that can contribute to the demoralization of civil servants, lack of interest etc. Thus the work presents the introduction where the theme is contextualized, it is presented the problem, delimiting the general and specific objective of the study, exposed to justification of the study as well as the methodology followed and the concepts used. Then the work presents four chapters where we have the bibliographic review, analysis of the structure organizational structure of the National Health System, actors and perceptions of corruption these who Maputo Central Hospital and finally the conclusion where we present some Suggestions that can contribute to minimizing corrupt practices in the sector.