And one of our first actions was to create a @bsky.app account (of course!)
Follow us @pen-connect.bsky.social if interested in non-communicable disease manage in low and middle income countries
@dinabalabanova.bsky.social
@tolibmirzoev.bsky.social
@eleanorhutch.bsky.social

7/
We will identify quick wins and systemic change for anti-corruption, engage and foster a movement towards real change. Join us in finding viable solutions. #HealthIntegrity #Anti-corruption
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬ @preslavastoeva.bsky.social

6/
With funding and right to health under threat, the time to act is now. Our Lancet GH Commission on Anti-Corruption approach:
🔍 Evidence-based
🌍 Context-specific
🤝 Civil society-led
⚖️ Changing incentives and structures
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

5/
Most anti-corruption efforts fail. Why? They ignore the political and institutional factors underpinning #corruption. To fix corruption we must fix broken health systems and political networks enabling it #PolicyReform
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

4/
Corruption is global and not just a low-income country issue —and so must be our response. From COVID-era procurement scandals to opaque pharma lobbying, some richer countries enable corruption via tax havens/lax oversight
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

3/
From informal payments to rigged procurement of medicines, corruption erodes trust and harms the most vulnerable most. And it’s local and global—from health clinics to offshore tax havens #HealthEquity #Governance
@martinmckee.bsky.social @eleanorhutch.bsky.social @lancetgh.bsky.social‬

2/
Corruption kills - it is linked to higher child and adult mortality, infectious disease, poor mental health, fake medicines. The cost in lives and money is massive #Accountability
@martinmckee.bsky.social @eleanorhutch.bsky.social @preslavastoeva.bsky.social @lancetgh.bsky.social‬

6️⃣ The way forward
Invest in:
• Skilled personnel 👩‍💻
• Data interoperability 📂
• Participatory oversight mechanisms 🗳️
• Ethical AI policies 🌐

AI should support—not replace—human judgment.

5️⃣ AI’s dual nature
AI can uncover hidden fraud or enable corruption on an unprecedented scale. Success hinges on who controls the data and tools—governments, civil society, or private entities.

4️⃣ Governance is key
For AI to be effective, we need:
• Transparent algorithms ⚖️
• Strong human oversight 🧑‍⚖️
• Legal and ethical frameworks 🛡️
Poor implementation risks false accusations and perpetuating inequities.

3️⃣ But risks abound…
AI isn’t neutral. Biases in data and algorithms can reinforce corruption rather than combat it. Authoritarian misuse of AI can suppress dissent while protecting elites.

2️⃣ How AI helps: Anti-Corruption Tools (ACTs)
• Detect anomalies in procurement & billing 📊
• Spot counterfeit medicines 🔍
• Enhance transparency via blockchain integration 🔗
Examples: AI bots flagging suspicious expenses, detecting bid-rigging, or mapping drug supply chains.