Problem
2.7.4. Insufficiently transparent recruitment procedures at healthcare institutions hinder competition and create opportunities for manifestations of corruption in appointments to such positions
General information about the problem
Corruption risks in the healthcare sector are associated with the conduct of dishonest healthcare professionals. Therefore, an important aspect of anticorruption policy in this field is to prevent unscrupulous persons from providing medical services by improving medical staff recruitment procedures at healthcare institutions.
Information on vacant positions of managers of municipal healthcare institutions is available in a large number of different sources. The scale of this dispersion is even greater when taking into account the total number of all vacant positions at state and municipal healthcare facilities. At the same time, it is common practice for healthcare institutions to post information about vacancies in the news sections of their official websites, where this information quickly moves down and is not visible, or its publication is delayed. This situation makes it difficult to exercise effective control over the selection of medical staff and artificially restricts competition. The most dangerous consequence of this problem is the emergence of corrupt practices.
Since 2018, in accordance with the Procedure for conducting a competitive selection process to fill the position of the manager of a state or municipal healthcare institution, approved by Resolution No. 1094 of the Cabinet of Ministers of Ukraine dated December 27, 2017, for the first time, members of the public can elect the manager of a hospital, as they make up one third of the members of the competition committee. Despite this, in practice, representatives of independent civil society organizations experienced difficulties accessing the competitive selection process. Moreover, Ukrainian courts have repeatedly found that candidates submitted false information to participate in the competitive selection process, which points to the need to improve the competitive selection procedure.
Information on vacant positions of managers of municipal healthcare institutions is available in a large number of different sources. The scale of this dispersion is even greater when taking into account the total number of all vacant positions at state and municipal healthcare facilities. At the same time, it is common practice for healthcare institutions to post information about vacancies in the news sections of their official websites, where this information quickly moves down and is not visible, or its publication is delayed. This situation makes it difficult to exercise effective control over the selection of medical staff and artificially restricts competition. The most dangerous consequence of this problem is the emergence of corrupt practices.
Since 2018, in accordance with the Procedure for conducting a competitive selection process to fill the position of the manager of a state or municipal healthcare institution, approved by Resolution No. 1094 of the Cabinet of Ministers of Ukraine dated December 27, 2017, for the first time, members of the public can elect the manager of a hospital, as they make up one third of the members of the competition committee. Despite this, in practice, representatives of independent civil society organizations experienced difficulties accessing the competitive selection process. Moreover, Ukrainian courts have repeatedly found that candidates submitted false information to participate in the competitive selection process, which points to the need to improve the competitive selection procedure.
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Implementation of SACP measures within the limits of the problem
The total number of OSR –
2
All measures of the SACP
measures, the implementation of which as of
30.09.2024
is about to begin
to be completed
4
1
5
Implemented
Partially implemented
Measures implemented (fully and partially) - 5 (100%)
Deadlines for all measures
01.03.2023 -
31.07.2024
Implementation of SACP measures within the scope of the Problem by main main performers
Ministry of Health of Ukraine
5
Achievement of ESR within the limits of the Problem
The total number of OSR – 2