Navigating Public Health Services: Personal Connections vs. Bribes in the Northern Part of Cyprus

Abstract

This study examines the prevalence and dynamics of bribery versus the utilization of personal connections in accessing public health services by conducting a statistical analysis based on survey data from the northern part of Cyprus. The findings reveal that personal connections are more commonly used than bribery, with 74% of respondents using connections compared to 17% paying bribes. The study uncovers a complementary relationship between these practices, indicating that they often coexist rather than substitute for each other. Regression analysis highlights significant demographic factors influencing engagement in these practices, such as gender, socioeconomic status, and migration status. Vulnerable groups, including females, the poor, and immigrants, are disproportionately involved in bribery. Education emerges as a significant factor positively impacting both bribery and personal connections, while age shows differential effects on these practices. This study improves the understanding of the intricate dynamics of informal channels in accessing public health services and emphasizes the need for targeted policy interventions to address these complexities and ensure equitable access for all segments of society.