Corruption remains high in the region of Eastern Europe and Central Asia. Governments have undertaken many reforms to tackle corruption. However, empirical data and perception surveys show a poor enforcement track record and that countries have not fully aligned their laws with the international standards. This report takes stock of the actions that countries in the region took to address corruption since 2016. It identifies progress achieved as well as remaining challenges that require further action by countries.

Relationships of power, responsibility and accountability between health systems actors are considered central to health governance. Despite increasing attention to the role of accountability in health governance a gap remains in understanding how local accountability relations function within the health system in Central Asia. This study addresses this gap by exploring local health governance in two districts of Tajikistan using principal-agent theory.

The results of the study: