Where Do We Start? Building Consensus on Drivers of Health Sector Corruption in Nigeria and Ways to Address It

Obinna Onwujekwe ^1,2 , Charles T. Orjiakor ^1,3 * , Eleanor Hutchinson ⁴ , Martin McKee ⁴ , Prince Agwu ^1,5 , Chinyere Mbachu ^1,6 , Pamela Ogbozor ¹ , Uche Obi ^1,6 , Aloysius Odii ^1,7 , Hyacinth Ichoku ^1,8,9, Dina Balabanova ⁴

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1- Orjiakor C, Onwujekwe O, McKee M, Hutchison E, Agwu P, Balabanova D. “I can’t kill myself”: Local narratives and meanings that foster absenteeism in Nigerian primary health centres. J Glob Health. 2023;13 [Crossref]

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9- Agwu P, Ogbozor P, Odii A, Orjiakor C, Onwujekwe O. Private money-making indulgence and inefficiency of primary healthcare in Nigeria: a qualitative study of health workers’ absenteeism. Int J Public Health. 2020;65(7):1019 [Crossref]

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12- Длугопольський О. СУЧАСНІ ПІДХОДИ ДО ОЦІНКИ КОРУПЦІЙНИХ РИЗИКІВ: АНАЛІЗ КЛЮЧОВИХ ІНДИКАТОРІВ. SER. 2024;3(53):91 [Crossref]

13- Onu D. Treatment adherence mediates the relationship between HIV-related stigma and health-related quality of life. AIDS Care. 2021;33(10):1335 [Crossref]

14- Mphande-Namangale A, Kazanga-Chiumia I. Informal payments in public hospitals in Malawi: the case of Kamuzu Central Hospital. glob health res policy. 2021;6(1) [Crossref]

15- Pieterse P, Saracini F. Unsalaried health workers in Sierra Leone: a scoping review of the literature to establish their impact on healthcare delivery. Int J Equity Health. 2023;22(1) [Crossref]

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18- Wang X, Zhang T, Gong H, Li J, Wu B, Chen B, Zhao S. Game-theoretic analysis of governance and corruption in China's pharmaceutical industry. Front Med. 2024;11 [Crossref]

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20- Onwujekwe O, Agwu P. Can Strategic Health Purchasing Reduce Inefficiency and Corruption in the Health Sector? The Case of Nigeria. Health Systems & Reform. 2022;8(2) [Crossref]

21- Mohammed A, Agwu P, Okoye U. When Primary Healthcare Facilities are Available but Mothers Look the Other Way: Maternal Mortality in Northern Nigeria. Social Work in Public Health. 2020;35(1-2):11 [Crossref]

22- Moradzadeh M, Karamouzian M, Najafizadeh S, Yazdi-Feyzabadi V, Haghdoost A. International Journal of Health Policy and Management (IJHPM): A Decade of Advancing Knowledge and Influencing Global Health Policy (2013-2023). Int J Health Policy Manag. 2023;12:8124 [Crossref]

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27- Dougherty L, Adediran M, Akinola A, Alabi M, Etim E, Ohioghame J, Adedimeji A. An evaluation of a multi-partner approach to increase routine immunization coverage in six northern Nigerian States. BMC Health Serv Res. 2024;24(1) [Crossref]

28- DLUHOPOLSKYI O, IVASHUK Y, MYRONENKO O. AGGREGATED CORRUPTION RATINGS: ASSESSMENT OF POSITIONS USING THE CASE OF UKRAINIAN ECONOMY. JEE. 2024;(Vol 23, No 4 (2024)):539 [Crossref]

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