perceptions of government knowledge and control over contributions of aid organizations and ingos to health in nepal a qualitative study对政府的贡献知识和控制援助组织,国际非政府组织健康在尼泊尔定性研究.pdf

Giri et al. Globalization and Health 2013, 9:1 /content/9/1/1 RESEARCH Open Access Perceptions of government knowledge and control over contributions of aid organizations and INGOs to health in Nepal: a qualitative study * Aditi Giri , Prashant Khatiwada, Bikram Shrestha and Radheshyam Khatri Chettri Abstract Background: Almost 50% of the Nepali health budget is made up of international aid. International Non-Governmental Organizations working in the field of health are able to channel their funds directly to grass root level. During a 2010 conference, the Secretary of Population stated that the government has full knowledge and control over all funds and projects coming to Nepal. However, there are no documents to support this. The study aims to assess government and partner perceptions on whether Government of Nepal currently has full knowledge of contributions of international aid organizations and International Non-Governmental Organizations to health in Nepal and to assess if the government is able to control all foreign contributions to fit the objectives of Second Long Term Health Plan (1997–2017). Methods: A qualitative study was performed along with available literature review. Judgmental and snowball sampling led to 26 in depth interviews with key informants from the government, External Development Partners and International Non-Governmental Organizations. Results were triangulated based on source of data. Representatives of the Department of Health Services declined to be interviewed. Data collection was done until researchers felt data saturation had been reached with each group of key informants. Results: While Ministry of Health and Population leads the sector wide approach that aims to integrate all donor and International Non-Governmental Organization contributions to health