Uninstalling Corruption: An Anti-Corruption Field Intervention in Lithuanian Healthcare through the Lens of Installation Theory

Abstract

This paper analyzes an anti-corruption field intervention in the Lazdynai outpatient clinic in Vilnius, Lithuania, through the lens of the Installation Theory. Implemented on the premises of the clinic for a period of two months, the intervention presents an approach to tackling bribery on an institutional level. It offers mixed results. In comparison to the baseline assessment, the patients who were exposed to the intervention believed bribes were less needed to receive proper medical treatment in the clinic and reported giving fewer in-kind bribes to the medical personnel. Such patients also rated the transparency of medical services higher and evaluated the clinic's services better than the respondents of the baseline survey. However, there was no significant change in terms of patients' readiness to bribe and the practice of offering cash bribes. Building on the framework developed by Yamin et al. (2023), this paper forensically assesses the domains and layers of the determinants of the intervention. By doing so, it seeks to better understand the reasons for the intervention's results and draw lessons for future behavioral interventions by academics and practitioners alike.