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Journal of Health Management
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Articles

Managing NGOs for Better Outcomes and Sustainability

The Nepalese Experience

D.R. Khanal

D.R. Khanal is Chairman, Institute of Policy Research and Development, Nepal.

Apparently, there are some worrying phenomena picking up momentum in the NGOs movement in Nepal. With the increased organisational networking of NGOs, the expectations of people have risen immensely without commensurate benefits, leading to widening contradictions in the society rather than facilitating the mainstreaming of the underprivileged. The establishment or encouragement to NGOs on caste or ethnicity lines has led to induce such a tendency to a greater extent. It is interesting to note that violent conflict began and intensified in those areas where the networking of NGOs has been very strong. Similarly, the excessive dependency on donors, apart from discouraging self-help practices at the community level, has made sustainability of such organisations a major problem. This has also led to the imposition of terms and conditions by donors, thus directly or indirectly serving the donor's interest rather than facilitating a process of empowering the poor. Such a problem has compounded because of an absence of transparency in NGO programmes. There is no strong mechanism in the government to monitor the inflow of funds and channels through which money is spent. Many NGOs simply are stationed in the capital or in other accessible areas with the aim of somehow absorbing the funds available from INGOs or other donors. All these have increasingly created credibility problems. These are directly or indirectly associated with the problems of management. Therefore, the management of the NGOs for enhancing their credibility is a major challenge at the moment in Nepal, needing thorough analysis and investigation. The proposed article intends to fulfil that objective.

Journal of Health Management, Vol. 8, No. 2, 251-260 (2006)
DOI: 10.1177/097206340600800206


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