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:

Every day, an unknown number of elephant tusks, rhino horn, pangolin scales and other wildlife products – alive and dead – cross the oceans in container ships and cargo flights for use in traditional medicine, crafts and the illegal pet trade. Rare trees are felled in ancient forests and shipped out under false certificates.

They leave behind the butchered carcasses of the last remaining animals of many species, scarred and emptied landscapes, legal livelihoods undermined by corruption and criminal activity, and communities ravaged by organised crime networks.

Given the vast dimensions of the multibillion-dollar illegal wildlife trade (IWT), it may be surprising that until recently, global efforts to tackle IWT came mainly from the conservation sector. This has typically consisted of numerous donor-funded efforts to catch poachers and raise public awareness of the plight of endangered species.

Valuable as those efforts are, they do little to impact the organised crime networks, corruption and illicit financial flows that allow the lucrative illegal trade in wildlife products to continue.

High-profile law enforcement operations against illegal wildlife trade (IWT), such as Interpol’s Operation Thunderball in July and the arrest of notorious trafficker Moazu Kromah in Uganda in June 2019, have drawn welcome attention to IWT as a financial and organised crime and not only a conservation issue.

Yet in working to strengthen legal frameworks and law enforcement capacity in countries that suffer from high levels of IWT, we must not forget the social drivers and facilitators behind wildlife trafficking – factors that laws alone are powerless to change.

This quick guide by Claudia Baez Camargo, Head of Governance Research, draws on Ms Baez Camargo's decades of research on social norms and their implications for anti-corruption practice. She explores:

  • What is a social norm?
  • How do social norms drive and perpetuate corrupt behaviour?
  • The case of health facilities in East Africa
  • How to identify social norms that drive corrupt behaviour
  • What are the implications for anti-corruption practice?

And finally:

“We see countries where corruption is endemic in spite of them having adopted all the recommended legal and institutional frameworks and best practices. Most receive ratings with flying colours for their formal anti-corruption systems and in practice they do very little.”

This was an observation of Claudia Baez Camargo, Head of Governance Research at the Basel Institute on Governance, in a new report published by The Economist Intelligence Unit and UNOPS.