Throughout the world, the practice of informal payments in health care services undermines public policies aimed at assuring equitable, low-cost and efficient access to care. Defined by Transparency International as the “abuse of entrusted power for private gain”, corruption in Vietnam’s health sector is of increasing concern to policy makers and the general public. In a recent study conducted by the World Bank,1 65 to 85 per cent of Vietnamese citizens perceived corruption to exist in public health services at the central and local levels.
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