This presentation tries to summarize the article presented by Luis Moreno
Ocampo and myself to be published by Governance, the journal of the Economic
Development Institute of the World Bark The article refers to the experience
of the Dominican Republic, were the Interamerican Development Bank funded
the "Programa para 91 Mejoramiento de Ia Transparencia en la Gestion
Publica". The .program was conducted by the Procuraduria General
de la Republica--and the Departamento de Prevencion de la Corrupcion.
This writing also mentions the work of economists such as Dany Kaufman
and Rafael Di Tells who are exploring the economic implications of this
model.
The model is a database designed to resister the terms and prices paid
by different agencies of the government in their procurement operations.
In the case of; the Dominican Republic, we started collecting information
an the procurement of public hospitals.
The proposed model has the following features:
-
It is not focused on individual behavior, (avoiding the conflicts
that arise from moral blaming, prosecutions and long trials).
-
It is not focused on a particular model or system of procurement.
(it doesn't take into account the formality of the procurement practice
and therefore it can be applied to different procedures).
-
Its focus is the result or outcome of the procurement process, measured
in terms of price, quantity, conditions, etc.
-
It helps comparing efficient management, without analyzing the cause
whether inefficiency, corruption or others.
-
The information provided by the database on the efficiency of the
procurement process is helpful not only for the public officials responsible,
but also for citizens at large.
-
It is based on hard data, rather than perceptions or subjective information,
Taking into account, Robert Klitgaard's well known formula for corruption
(C=M+D-T), the database helps reducing monopoly and discrecionality and
increase transparency, by openly scrutinizing the result of the agents
performance.
When the information contained in the database is made public, it becomes
an incentive for honest officials who are rewarded when their results
are compared with those who perform badly. In turn, it discourages corrupt
behavior, since it increases the chances of some sort of punishment.
The model is based on the idea that, in an environment of hyper-corruption,
publishing the result of the procurement process (that is, the price paid
for a given product) can reduce significantly the Misuse of public funds.
For example, in the case of the Health Department of the city of Buenos
Aires, we found that once the database was implemented, a significant
change took place. One of the products included in the bass was of dextrose,
a very basic product for hospitals. Once the information was collected,
the Secretary of Health showed it to Hospital Directors, sharing the information
of the price paid by other hospitals and letting. The result was that
In four moths, the average -pnce paid per hospital fell a 25%.
The database can also be used to identify the more efficient public officials
and have them train the rest of their peers on how to reach identical
results,
The model also helps avoiding the difficulties of using the formal legal
system to control corruption. The analysis of corruption simply as an
act, which violates the law, obscures the fact that in most countries,
the law is not the rule followed by the different.
Political leaders have their own rules to obtain and maintain power,
forcing them to protect the members of their group. Businessmen must maximize
profits, and if the market in which they act is used to violate the limits
of the law to obtain handsome earnings, they have a strong incentive to
do so. Therefore, the rules of membership to a given group or maximizing
earnings can contradict the law. Henceforth, the problem Is not about
an act that transgresses a system of rules, but of different systems of
rules that come into conflict.
The experience of the Dominican Republic
The Procuraduria general de Ia Republica has recently conducted the "Programa
Para el Mejoramiento de la Transparencia an la Gestion Publica",
sponsored by grant of the Interamerican Development Bank
One of the components of the this project was to create a database within
the Secretaria do Estado do Salud Publica y Asistencia Social, SESPAS
(Ministry of Health). The purpose of this database was to register basic
information regarding of public procurement. As said before, the database
is a simple and practical method to monitor the variance in prices and
conditions for a given product.
The database is designed to register the prices paid in the purchase
of products with homogeneous properties. For example, dextrose, cotton,
syringes (discardable), fluorescent tubes, writing paper, fuel and items
alike fall under this category. Furniture, clothes (unless standardized),
vehicles, computers and items alike can vary significantly. Therefore,
they are not good samples for the database.
Almost any product that is sufficiently homogeneous and standardized
can be included. This allows the database to be used for a wide range
of items. Comparisons are always established for single products. Acquisitions
of dextrose are only compared to other acquisitions of dextrose, either
by the same hospital or any other hospital, and so an with any other product
included in the database
The project to establish a database was quickly accepted by the Secretary
Of Health, who appointed the Auditing Department as the unit for operating
the database.
The Auditing Department was selected because it concentrates all the
procurement information. Every month, each hospital sands to this office
the documents of supporting their operations. This allowed an easy access
to the information to feed the database.
A special group was trained at analyzing the procurement documents, selecting
the required information and in the steps required to load the database.
The database is a standard software spreadsheet. A computer was set aside
at the Auditing Department for loading the software.
Once the software was loaded and the personnel trained, a series of definitions
have to be made regarding the different fields of the database. In our
case, the database had the following information questions:
a. Identification of the products to be registered
b. Terms for payment
c. Brands of the products to be registered.
d. Name of hospitals included in the sample.
e. Identification of the name of the principal suppliers.
i. Duration of the sample
The first stop consisted in selecting the products to include in the
database. As it has been mentioned, these products should be homogeneous
and comparable, that is to say, they should not suffer substantial variations
according to the brand, the supplier or even the packaging.
For each product the database has a field for quantity, unit of measurement
(pound, litter, dozen, ton, etc.), price per unit and total price paid.
The initial idea was to select some items that have already been registered
I . n databases for hospital procurement in countries other than the Dominican
Republic. We only found one matching element (dextrose), and it was included.
Three more products: 10cc. syringes, "00000" quality rice and
bacterodyne were included.
Regarding the conditions of payment for these operations, eight alternatives
were selected: 30, 60, 90, 120,.150, 180 and more than ISO days credit
and cash, In the chart presented, they are identified with the numbers
0 to 8)
Most of these products are produced by a limited number of manufacturers,
at least in the case of the Dominican Republic. The list of the principal
suppliers, importers and providers was also included.
The sample was limited to the fourteen largest public hospitals. in the
Dominican Republic, The Government has established a special medicine
plan named Programs do Modicamentos Esenciales (PROMESE). A special office
of the Presidency administers this program. Their job is to buy basic
medicines directly from the producers. Then they sell these medicines
directly to the people and also to hospitals. They work with a limited
list products. Their prices are published widely. Officially, they charge
a small commission, which allowed the program to be self sufficient in
a short time. We decided to included their prices for syringes, as an
additional source of information.
As far as time is concerned, the, sample included procurement operation's
performed during July and August 1997 (J and A in the chart).
The outcome of the experience
The following chart is a condensed and partial example of the database
for the 10cc. syringes.
Obs
|
Quant.
|
Unit
|
$ x un.
|
Total $
|
Terms
|
Supplier
|
hospital
|
Month
|
1
|
700-
|
Udds
|
1,43
|
1001,00
|
0
|
13
|
1
|
J
|
2
|
1000
|
Udds
|
2,58
|
2550,00
|
6
|
3
|
5
|
J
|
3
|
200
|
Udds
|
4,84
|
968,00
|
6
|
3
|
5
|
J
|
4
|
3000
|
Udds
|
2,26
|
8780,00
|
3
|
3
|
1
|
J
|
5
|
1000
|
Udds
|
2,50
|
2500,00
|
7
|
14
|
5
|
J
|
6
|
3000
|
Udds
|
1,95
|
6850,00
|
1
|
6
|
1
|
J
|
7
|
5
|
0
|
2,05
|
1025,00
|
1
|
14
|
5
|
J
|
8
|
3000
|
Udds
|
1,43
|
4290,00
|
0
|
13
|
4
|
J
|
9
|
500
|
Udds
|
2,58
|
1290,00
|
7
|
3
|
2
|
J
|
10
|
1000
|
Udds
|
2,20
|
2200,00
|
3
|
14
|
4
|
J
|
11
|
1000
|
Udds
|
1,49
|
1490,00
|
3
|
6
|
4
|
J
|
12
|
2000
|
Udds
|
1,43
|
2860,00
|
0
|
13
|
14
|
J
|
13
|
800
|
Udds
|
1,43
|
1144,00
|
0
|
13
|
8
|
A
|
14
|
1200
|
Udds
|
1,43
|
1716,00
|
0
|
13
|
8
|
A
|
15
|
300
|
0
|
1,74
|
522,00
|
8
|
14
|
8
|
A
|
16
|
300
|
0
|
1,74
|
522,00
|
8
|
14
|
8
|
J
|
17
|
3000
|
Udds
|
1,85
|
5550,00
|
7
|
3
|
6
|
J
|
18
|
4800
|
Udds
|
1,43
|
6884,00
|
0
|
8
|
3
|
J
|
19
|
500
|
Udds
|
2,00
|
1000,00
|
2
|
14
|
3
|
J
|
20
|
800
|
Udds
|
2,00
|
1600,00
|
1
|
14
|
3
|
A
|
21
|
131
|
0
|
2,45
|
320,95
|
0
|
14
|
10
|
J
|
22
|
1000
|
Udds
|
1,43
|
1430,00
|
0
|
8
|
11
|
J
|
23
|
1000
|
Udds
|
1,43
|
1430,00
|
0
|
8
|
9
|
A
|
24
|
15000
|
Udds
|
1,70
|
25250,00
|
7
|
14
|
9
|
A
|
25
|
3000
|
Udds
|
1,43
|
4290,00
|
0-
|
8
|
1
|
A
|
26
|
1800
|
Udds
|
2,20
|
3960.00
|
4
|
14
|
1
|
A
|
27
|
190
|
Udds
|
1,43
|
271,70
|
0
|
13
|
8
|
A
|
28
|
3000
|
Udds
|
1,95
|
5850,00
|
1
|
6
|
1
|
A
|
29
|
6000
|
Udds
|
1,43
|
8580,00
|
0
|
13
|
7
|
A
|
30
|
1000
|
Udds
|
2,75
|
2750,00
|
3
|
14
|
7
|
A
|
31
|
2000
|
Udds
|
2,90
|
5800,00
|
3
|
14
|
7
|
A
|
32
|
5200
|
Udds
|
2,90
|
15050,00
|
3
|
14
|
7
|
A
|
33
|
1000
|
Udds
|
2,05
|
2050.00
|
7
|
3
|
5
|
A
|
34
|
1000
|
Udds
|
2,15
|
2150.00
|
4
|
14
|
5
|
A
|
35
|
1500
|
Udds
|
2,15
|
3150,40
|
2
|
14
|
5
|
A
|
36
|
1000
|
Udds
|
2,70
|
2700,00
|
7
|
3
|
2
|
J
|
The results show a substantial variation in prices paid. Pay special
attention to the sixth column, where the conditions of payment are described,
remember that 0 stands for 30 days credit, 1 for 60 and so on. Compare
observation # 3 and # 44. In observation * 3, the hospital paid $4.84
for each syringe, payment due on 180 days. In observation # 44, another
hospital, one month later, bought a larger quantity of syringes, paying
$ 1.135, each and payment due after 160 days,
Other observations show similar variations.
The database was helpful not only for detecting this kind of problem.
It allowed the Auditing Department to identify a series of obstacles for
properly obtaining and processing procurement information. Thus, they
issued a series of recommendations for the Secretary of Halt to implement
in improving the existing procedures.
. But perhaps the most important experience was that the Secretary of
Health summoned a meeting with the directors and Administrators of all
the hospitals included in the sample. During a meeting, the information
was shared, pointing out situations that required a corrective strategy.
The use of the Information for economic analysis
Some economists have recently paid attention to this model and are trying
to reach further conclusions from the information obtained.
Economists, such as Di Tells and Kaufman, believe that the first consequence
is that this system allows for controlling corruption through increases
in product market competition. In their view, this is particularly effective
in countries where law enforcement is lax.
In Di Tella's words 'a practical way to relate incomes and expenditures
is to create competing scenario to achieve 'bureaucratic efficiency'.
In the case of public agencies, this can latter be used to re-distribute
funds according to achievement. Instruments such as the database can provide
economists with the information required to establish a more precise comparison
among different agencies.
Many developing countries suffer not only a shortage of funds, In some'
cases there is also a problem of efficiency and accountability in the
use of the existing funds (sufficient. or otherwise).
This model can help, if expanded in -different countries and agencies,
to extract more data on the results of procurement decision, Moreover.
this information can be transformed by economists In a new and, perhaps
more reliabie, guide to decide on the best option for allocating public
funds.
Sources:
"How to Reduce Rapidly Endemic Corruption in Public Procuremenr
Luis Moreno Ocampo & Roberto de Michele, Governance, EDI, The World
Bank.
Programa para el Mejoramiento de la Transparencia en la Gestion Publica
Procuraduria General do la Republica, ATN/SF-5436-DR.
Banco Interamericano do Desarrollo
"AlIgunas consideraciones economicas sobre le corrupcion y una propuesta
para. combatirla' Rafael Di Telia Fundacion Mediterranea.
|