Tip:
Highlight text to annotate it
X
Promoting Good Governance Anticorruption Guidelines: Fighting corruption in the Public Health System - methods, technics and tools
When purchasing medication and pharmaceutical supplies, there really is a big concern with
overpricing and with acquiring by procurements.
If resources are diverted, if professionals are absent, if there's no appropriate treatment,
human life will be at risk. The project in association with UNDP
has an estrategical value for the state of São Paulo.
Even the governor Geraldo Alckmin himself joined this project at the beggining,
in January 2012, when we first discussed this theme and the partnership took its place.
The first idea was: Ok. Let's do a capacitation project.
But we realized at beginning an interesting point.
It would be very hard to impose knowledge about corruption to these workers.
For two reasons: first the theme itself. Telling them that we are offering a corruption course,
it could look like we were saying they are corrupt, and that would create some aversion.
And second, we realized it was kind of stupid to impose knowledge to them
because we didn't know the subject as much as they do.
We realized that if we did from top to bottom, they would never really assimilate the subject.
The server would see it as knowledge he is receiving from someone that doesn't know his day by day duties.
Then we had the idea of a collective construction, using the government official's knowledge
as basis to create the state guidelines for corruption fight.
The workers involvement is very important, both at central and regional level.
So we created a model in which those persons, who are the Secretary's estrategical actors,
could use their abilities to think about the problems they meet related to vulnerability and corruption,
and over that, build strategies and compromises of habit changes inside their governability,
inside of what regards their job itself, their work routine.
When servers are involved in this theme, when they feel they are part of the solution
they will also have the ability to do something, they feel stimulated.
Stimulated to work against corruption daily.
The whole idea is to find where these tentacles are, these gaps for corruption,
from who is at the top, working daily.
There was an effort. First, to take some distance from stories.
At the beginning is always like collective therapy, isn't it?
Then, to organize what is my role in this job, inside my unity, where there's a gap, where there's not,
what are the attitudes that give margin for a diversion process or don't.
At the same time, that kind of corruption which is "the bad for good", something that is wrong, but leads to a good ending.
So, how can we fight the causes? It was very interesting as a reflection process,
as a sharing experiences process.
Being able to talk with friends from a different place,
from the same region, about the same problems,
gave them empowerment to think about solutions.
Improving these activities and the control is simple, but the understanding is not.
Because we are dealing with people and with a culture that is already spreaded.
But, as time walks on, we can contribute for that. We can do it.
Everybody has to know how the sequence will follow, and mainly the final product,
which is the patient, impaired, that will take the medicine and get better.
Consciousness, control, passes through transparency.
Nowadays, transparency in Brazil is gaining the importance it deserves.
Everything in administration is now public. Exceptionally, it will be confidential.
So, what is the publicity for? Precisely to increase control.
Regardless of each sector's internal control agencies,
with transparency, society effectively started to have contact with what happens inside administration
and with that to contribute, making complaints, stimulating the public machine's improvement.
This really means evolution. It is a paradigm shift inside public administration,
in which this agreement is certainly part of the context.
We believe it will be an initiative that can be multiplied for other government areas,
as well as other government spheres.
The UNDP identifies that fighting against corruption in sectors can be more efficient than fighting it globally.
From that, since last year, UNDP is supporting projects all over the world. 18 projects are being supported
in the corruption area in the three sectors: water resources, education and healt,
in a way these global experiences may result in sucessful projects,
so that these practices may be disseminated,
with concrete examples and adding new informations and new methodology all over the world.