The outlook is not good. But the report does have some bright points. Specifically, the report notes that strong civic society organizations and free media are important players in the anti-corruption battles.
Non-state institutions, especially media and civil society, are key anti-corruption actors because for corrupt interest groups it is much harder to influence and control them than state institutions.
As noted before in this site, countries without free and independent media are often right at the top of the list of most corrupt.