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Corruption and the right to sexual and reproductive health in sub-Saharan Africa

Corruption negatively affects access to sexual and reproductive health (SRH) in sub-Saharan Africa in several ways. Political corruption, patronage and illicit financial flows divert resources away from healthcare more broadly and SRH service delivery in particular. At the service delivery level, access to care is restricted by bribery, absenteeism of healthcare staff, theft and embezzlement of essential medicines and supplies, as well as corruption in procurement processes. Marginalised populations, including women, LGBTQI populations, people engaging in sex work, youth and the poor are exposed to particular corruption risks. Mitigating corruption risks in SRH requires both reforms of the healthcare system, such as increasing accountability and improving management processes, as well as tackling the specific marginalisation of SRH’s main target users.

26 April 2021
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Corruption and the right to sexual and reproductive health in sub-Saharan Africa

Main points

  • Sexual and reproductive health rights challenges in SSA include limited access to maternal health, high maternal and infant mortality, high rates of HIV infections and unsafe abortions.
  • Challenges are compounded by weak healthcare systems, healthcare funds lost to corruption and restricted access for patients due to petty corruption.
  • Women, youth, the rural poor, sex workers and LGBTQI individuals face some of the biggest challenges in realising their SRHR due to stigmatisation, economic weakness and a lack of political power.
  • Limited accountability and transparency in the healthcare system and vulnerabilities of patients facilitate corruption in SRH service delivery.
  • As yet, insufficient and inadequate data hampers evidence-based decision and policy making.

Cite this publication


Schöberlein, J. (2021) Corruption and the right to sexual and reproductive health in sub-Saharan Africa. Bergen: U4 Anti-Corruption Resource Centre, Chr. Michelsen Institute (U4 Helpdesk Answer 2021:5)

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Jennifer Schöberlein

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All views in this text are the author(s)’, and may differ from the U4 partner agencies’ policies.

This work is licenced under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence (CC BY-NC-ND 4.0)

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