The public healthcare sector in the country is facing a continuous and growing gap between public funds spent and results delivered. In the last 10 years, healthcare costs incurred under public procurement have significantly increased; however, the scope of services, efficiency and accountability remain the same or are declining. Such discrepancy opens a series of dilemmas about the manner in which public funds in the healthcare sector are spent and controlled.
The three research analyses developed by the Center for Civil Communications in 2025 and 2026 provide detailed and comprehensive overview of these challenges and identified a series of weaknesses, corruption risks and possible abuses (Public healthcare spends more, but provides less, Key players and competition in healthcare public procurement and Corruption schemes in healthcare public procurement detected through public procurement appeals).
Based on findings presented therein, this document outlines specific and practical recommendations for measures aimed at reducing corruption risks and abuses in healthcare public procurement.
The recommendations can be downloaded in Macedonian, Albanian and English language
This recommendations is conducted as part of the project “Combating Corruption in Healthcare Public Procurement”, implemented by the Centre for Civil Communications with financial support from the National Endowment for Democracy (NED).