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Record W4412946432 · doi:10.1093/jphsr/rmaf010

Rethinking corruption: a decolonial inquiry into the intersection of historical systems and anti-corruption efforts

2025· article· en· W4412946432 on OpenAlexaff
Nana Koomson, Tolulope Ojo, Eustace Orleans-Lindsay, Andrea Bowra

Bibliographic record

VenueJournal of Pharmaceutical Health Services Research · 2025
Typearticle
Languageen
FieldMedicine
TopicGlobal Maternal and Child Health
Canadian institutionsPublic Health OntarioUniversity of Toronto
Fundersnot available
KeywordsLanguage changeColonialismNeocolonialismPolitical sciencePolitical economyPower (physics)Development economicsSociologyEconomicsLaw

Abstract

fetched live from OpenAlex

Abstract Objectives Corruption in the health sector is particularly harmful as it undermines equitable access to quality medicines which are essential for healthcare delivery. Despite anti-corruption efforts, success has been limited, often due to a gap between policy design and on-the-ground realities in low- and middle-income countries. This article argues that colonial and neocolonial legacies continue to shape environments where corruption thrives, necessitating a re-conceptualization of the field of anti-corruption through a decolonial lens. Methods This article provides a critical overview of the literature relevant to corruption in the health sector, and the enduring impacts of colonialism and neocolonialism. Key findings Re-conceptualizations of corruption must avoid the superficial sloganism and tokenism that have characterized the decolonization discourse in recent years. Effective anti-corruption efforts require decentring Western ideologies as the dominant framework for understanding corruption and to consider the colonial and neocolonial processes that make corruption a survival tactic in some contexts, and a part of the moral economy in others. Moreover, this approach calls for critical reflection on how corruption is defined by (neo)colonial legacies, global power structures, and neoliberal agendas. Conclusions Addressing corruption in the health sector requires a shift away from Western-centric frameworks and a deeper engagement with the colonial and neocolonial contexts that enable it. By adopting a decolonial lens, anti-corruption efforts can become more attuned to the complexities of local realities and global power structures, paving the way for more effective and equitable solutions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.204
Threshold uncertainty score0.569

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0050.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.105
GPT teacher head0.493
Teacher spread0.388 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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