… studies about the widespread use of informal health workers within the public sector in Africa. It’s a type of informality/ corruption that has received little attention. @researchireland.ie @rcsiglobalsurgery.bsky.social

Awful, just awful

fragile state averages, worst than Somalia, despite being 23 yrs post-war. Providing unsalaried jobs suits many, facilities are well staffed, health workers are blamed for ‘misbehaviour’. Public +private health worker training is lucrative business, training women for non-existing jobs #publichealth

… unsalaried. At hospital level perhaps even more. Negative consequences include reduced access to care due to informal charging, staff selling privately bought meds thus prioritizing sales over accurate diagnosis, and absenteeism of salaried staff. Many of SL’s health outcomes are worst than…