A new poll of Africans in 34 countries across the continent finds that nearly one-third of people have been forced to pay bribes including for medical treatment, according to a report released today.
The Afrobarometer survey also found it was often the poorest citizens in each country who bore the brunt of efforts to shake down people for money at health clinics and hospitals.
The West African nation of Sierra Leone fared the worst overall when it came to bribes, with 63 per cent of respondents saying they'd paid up at least once in the previous year. Morocco and Guinea came next, each with 57 per cent.
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The problem of medical bribes was the worst in Uganda at 46 percent, Swaziland at 41 percent and Niger with 40 per cent.
"Among the poorest those who went without food at least once in the past year 18 per cent had to pay a bribe at least once in the previous year to receive treatment, compared to a substantially lower 12 per cent among those who were better off," the report found.
The survey also found that more than half of the people polled were dissatisfied with their governments' efforts to battle corruption.
Nigerians gave the worst ratings to their government on its efforts to battle graft. Some 82 per cent there said the government was doing fairly or very badly. Other dissatisfied citizens were in Egypt, Zimbabwe and Uganda.
Pollsters with the Afrobarometer project conducted 51,000 face-to-face interviews across Africa between October 2011 and June 2013. The country selected 34 countries to survey but did not include many in Central Africa, leaving out Congo, Chad, Central African Republic and Gabon.