• Saskia Mostert, Festus Njuguna, Gilbert Olbara, Solomon Sindano, Mei Neni Sitaresmi, Eddy Supriyadi, and Gertjan Kaspers.
• Department of Pediatric Oncology-Hematology, VU University Medical Center, Amsterdam, Netherlands. Electronic address: s.mostert@vumc.nl.
• Lancet Oncol. 2015 Aug 1;16(8):e394-404.

AbstractAt the government, hospital, and health-care provider level, corruption plays a major role in health-care systems in Africa. The returns on health investments of international financial institutions, health organisations, and donors might be very low when mismanagement and dysfunctional structures of health-care systems are not addressed. More funding might even aggravate corruption. We discuss corruption and its effects on cancer care within the African health-care system in a sociocultural context. The contribution of high-income countries in stimulating corruption is also described. Corrupt African governments cannot be expected to take the initiative to eradicate corruption. Therefore, international financial institutions, health organisations, and financial donors should use their power to demand policy reforms of health-care systems in Africa troubled by the issue of corruption. These modifications will ameliorate the access and quality of cancer care for patients across the continent, and ultimately improve the outcome of health care to all patients.Copyright © 2015 Elsevier Ltd. All rights reserved.

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