Project Objective is to promote transparency and accountability of public spending in the healthcare sector, through research and analysis of the increase in the value of public procurement contracts in the health sector in the last decade and the potential corruption impacts. The project envisages the development of specific recommendations for improving transparency and reducing corruption, their presentation to relevant institutions and a broad public awareness campaign. The project is funded by National Endowment for Democracy.

Проектот има за цел да ги унапреди транспарентноста, отчетноста и ефикасноста во трошењето на јавните пари преку поттикнување и промовирање на користењето на информациите за вистинските сопственици во борбата против корупцијата. Се очекува проектот да придонесе кон фактичко користење на податоците од Регистарот на вистински сопственици како инструмент во борбата против корупцијата.

Citizens Against Corruption is USAID project implemented by Macedonian Center for International Cooperation (MCIC) in partnership with Center for Civil Communications (CCC), Institute for Democracy Societas Civilis, Skopje (IDSCS), Economic Chamber of North Macedonia (ECNM), 360 Degrees, Investigative Reporting Lab, Macedonia (IRL), and Balkan Investigative Reporting Network, Macedonia (BIRN).

The project analyses the spending of public money in Macedonia in terms of transparency, competition and equal treatment of companies, non-discrimination, economic, efficient, effective and rational use of public funds, the endeavor to get the best offer under the most favorable conditions as well as accountability for public spending. The project includes two components:

- Monitoring the implementation of the public procurement by the institutions on national and local level, by monitoring of 120 randomly selected public procurement procedures annually at the central level and 80 at the local level through direct presence at the opening of tenders, in-depth interviews with suppliers, analysis of data published on the electronic procurement system, requests for public information, etc. The monitoring results include major findings, as well as specific recommendations for measures to be taken (legally and in practice) for improving the overall public procurement system in the country.

- Index of rationality as a newly introduced instrument for the direct measurement of rationality in spending of public money. The index compares the prices at which different institutions buy exactly the same products, services or works, ranging according to deviations in terms of average price. The index serves as an indicator of the state institutions against which they will improve rationality in spending of public money. Each index includes a comparison of prices for at least five products, services and works, as well as the involvement of five to ten institutions for each of the analyzed procurement.