The document outlines the role and functions of various international agencies operating in Nepal, distinguishing between bilateral and multilateral organizations. It details specific agencies like USAID, DFID, WHO, and the World Bank, highlighting their areas of focus such as health, education, humanitarian assistance, and development finance. The summary illustrates the agencies' contributions to strategic objectives in health and development and lists their primary programs and initiatives within Nepal.

1. INTERNATIONAL AGENCIES IN
NEPAL
Prabesh Ghimire
Health Management

2. International Agencies
Organization constituted by a government or
formally recognized by governments.
May be bilateral or multilateral
Compiled by: Prabesh Ghimire 2

3. Bilateral agencies
Government agencies
Operates directly between two countries
Receive funding from government in home countries
Use funding to aid specific developing countries
Fund flows from official sources directly to official sources
in the recipient country.
Compiled by: Prabesh Ghimire 3

4. Multilateral agencies
Organizations formed between three or more nations
Pools funds from multiple governments and parties
Many countries are involved in deciding the priorities and
activities of multilateral agencies
Provide technical and commodity assistance
• Cash grants
• Commodity transfers
• Technical assistance
• Loans
Compiled by: Prabesh Ghimire 4

5. Purpose of international Agencies
Strategic roles
Provide relief and development aid to developing
countries
• To government/INGOs
Policy dialogue, advocacy about structural and policy
change
Technical assistance
Humanitarian assistance
Compiled by: Prabesh Ghimire 5

6. Purpose international agencies
Two broad purposes
Development finance
• Performed by development banks
Technical cooperation
• Undertaken by UN funds and programs
Compiled by: Prabesh Ghimire 6

7. Bilateral Agencies in Nepal
US Agency for International Development (USAID)
Department for International Development (DFID)
Deutsche Gesellschaft für Internationale Zusammenarbeit
(GIZ) GmbH
JICA (Japanese International Cooperation Agency)
Korean International Cooperation Agency (KOICA)
Australian Aid
Swiss International Development Agency (SIDA)
Danish International Development Agency (DANIDA)
Compiled by: Prabesh Ghimire 7

8. Multilateral Agencies in Nepal
World Health Organization (WHO)
United Nations Children’s Fund (UNICEF)
United Nations Population Fund (UNFPA)
The World Bank
Global Alliance for Vaccine and Immunization
(GAVI)
Compiled by: Prabesh Ghimire 8

9. Multilateral Agencies in Nepal
Global Fund to Fight against AIDS, Tuberculosis
and Malaria (GFATM)
UNAIDS
United Nations Office on Drugs and Crime
(UNODC)
Food and Agriculture Organization (FAO)
United Nations Development Program (UNDP)
Compiled by: Prabesh Ghimire 9

10. Roles and Activities
of
Bilateral Agencies in Nepal
Compiled by: Prabesh Ghimire 10

11. USAID
US government agency
Largest bilateral agency involved in global health efforts
Works in over 100 countries
Leads international development and humanitarian
assistance efforts
• Promote global health
• Support global stability
• Provide humanitarian assistance
• Catalyze innovation and partnership
• Empower women and girls
Supporting Nepal since 1951
Compiled by: Prabesh Ghimire 11

12. USAID- Areas of Focus
Health
Agriculture Food Security
• Feed the Future Seed and Fertilizer Project
• KISAN 2
Education
• Early Grade Reading Program in Nepal
• Emergency Education Response
• GBV free schools in Nepal
Compiled by: Prabesh Ghimire 12

13. USAID- Areas of Focus
Democracy, Human Rights and Governance
• Hamro Samman- against human trafficking
• Stop Girl Trafficking Project
• Sajhedari Bikas- Partnership for Local development
Environment and global climate change
• Hariyo Ban Program
• Digo Jal Bikas
Earthquake reconstruction and Disaster
Resilience
Compiled by: Prabesh Ghimire 13

14. USAID: Areas of Support in Health
Maternal Newborn and Child Health and Nutrition
• SUAAHARA-II, SSBH, SABAL
Family Planning & Reproductive Health
• SIFPO2, FP-FACT, HC3, FSSP, Redbook
HIV/AIDS and STI
Water Sanitation and Hygiene Program
• SUAAHARA II, Safe WASH II, WASH Recovery Activity
Research
• Demographic and Health Survey
• Nepal Health Facility Survey
Compiled by: Prabesh Ghimire 14

15. GIZ
German government agency
Working in Nepal since 1975
Areas of Focus
• Sustainable infrastructure
• Security, reconstruction and peace
• Social development- Health
• Governance and democracy
• Environment and climate change
• Economic development and employment
Compiled by: Prabesh Ghimire 15

16. GIZ: Areas of support in Health
Social health insurance including hospital management
• Support Health Insurance Board in nationwide roll out of Social
Health Insurance
Human resources for health
• Mentoring and coaching on EmONC and facility management
• Midwifery education program
Strengthening governance in health with focus on
federalism and urban health
Health information systems
• HMIS for e-reporting from health facilities
Adolescent health and development
Compiled by: Prabesh Ghimire 16

17. Department for International Development
(DFID)
UK government’s aid program
36 active projects in Nepal on different sectors
Budget for 2018/19: 82 million pound
Compiled by: Prabesh Ghimire 17

18. DFID: Program Areas
Nepal Health Sector Program III (84 million pound)
Family Planning Project (15 million pound)
Nepal Local Governance Support Program
Post-Earthquake Reconstruction in Nepal- Building Back
Better (63 million pound)
Strengthening disaster resilience in Nepal
Building Resilience and Adaptation to Climate Extremes
and Disasters
Rural Water Sanitation Program Phase V
Compiled by: Prabesh Ghimire 18

19. World Health Organization (WHO)
Specialized agency of United Nations
Concerned with international public health
Provides expert guidance and technical
assistance on health related issues
Supports the implementation of health sector
strategy in Nepal
Compiled by: Prabesh Ghimire 19

20. WHO’s work in Nepal
Control of Communicable Diseases
• Tuberculosis, HIV, Malaria, Lymphatic Filariasis,
Leprosy, Trachoma, Kala-azar
 Non-communicable disease control
• Introduction of PEN package
• Health system strengthening, surveillance, risk
reduction…..
Strengthening health systems and health policies
Compiled by: Prabesh Ghimire 20

21. WHO’s work in Nepal
Maternal Adolescent and Child Health
• Technical support to FHD for implementing MPDSR
program
• Network on National Neonatal Database on birth defects
• CB-IMNCI assessment, development of FBIMNCI training
curriculum
• Guideline and manuals on postpartum family planning
Immunization
• National Immunization program
• Full immunization program
• Surveillance: Measles-Rubella, AFP
Compiled by: Prabesh Ghimire 21

22. WHO’s work in Nepal
Post-earthquake health service support
Environment and climate change
• Water quality, health care waste management, climate change, air
quality and chemical safety
Compiled by: Prabesh Ghimire 22

23. World Bank Group
Leading institution for health and development
Provides loan to low resource countries to implement
various development projects in different areas including
health.
189 member countries
Offices in over 130 locations
First economic mission in Nepal-1963
Mission
• End extreme poverty- 3% by 2030
• Promote shared prosperity: increasing incomes of the poorest 40
percent of people
Compiled by: Prabesh Ghimire 23

24. World Bank Group (WBG) in Nepal
Total assistance till date $4.75 billion
 $ 3.48 billion in credits
 $ 1.27 billion in grants
Long term support- Country Partnership Strategy (2014-
2018)
Areas of focus
 Hydropower generation
 Enhancing transport connectivity
 Institutional governance
 Agriculture
 Equalizing access to health care
 Skills development
 Child Protection
Compiled by: Prabesh Ghimire 24

25. WBG- Activities
Nepal Health Sector Management Reform Program (US$
150 million)
Rural water supply and sanitation improvement project
(US$ 72 million)
Nepal Agriculture and food security project (46.5 million)
Community Action for Nutrition Project (Sunaula Hazar
Din) (US$ 40 million)
Zoonoses Control Project (US$ 10 million)
Second Health Nutrition and Population (HNP) and
HIV.AIDS Project
Compiled by: Prabesh Ghimire 25

26. United Nations Population Fund (UNFPA)
 Specialized UN agency
Presence in over 150 countries
Guided by
• ICPD- Program of Action
• Sustainable Development Goals (SDGs)
 Supporting Nepal since 1971
Compiled by: Prabesh Ghimire 26

27. UNFPA- Priority areas
Sexual and Reproductive Health
• Family planning
• Adolescent SRH services
• Reproductive morbidities including obstetric fistula, pelvic organ
prolapse and cervical cancer prevention
• Integration of SRH services and health response to GBV, including
in humanitarian contexts
Adolescent and Youth
• Comprehensive, gender responsive sexuality education
• Capacity building of teachers
• Information corners,, community learning centers, life skills
Compiled by: Prabesh Ghimire 27

28. UNFPA- Priority Areas
Gender equality and women’s empowerment
• Integration of GBV within health response
• Technical assistance for provision of multi-sectoral
services to survivors
• Life skills education to adolescent girls in and out of
school
• Prevention of harmful practices such as child marriage
and gender biased sex selection
Compiled by: Prabesh Ghimire 28

29. Food and Agriculture Organization (FAO)
Specialized UN agency that leads international efforts to
defeat hunger.
Goal: achieve food security
194 member states, works in more than 194 countries
Supporting Nepal since 1951
Compiled by: Prabesh Ghimire 29

30. FAO Areas of Focus
Food and nutrition security and safety
• Increasing productivity
• Access improvement
• Disaster risk management
Institutional and policy support
• National Food and Nutrition Security Plan
• Long-Term Agriculture Development Strategy
• Strengthening government capacity for research on
agricultural production and trade
Compiled by: Prabesh Ghimire 30

31. FAO Areas of Focus
Natural resource conservation and utilization
• Land management
• Forestry and watershed management
• Adaptation to climate change in agriculture
Compiled by: Prabesh Ghimire 31

32. Reading list
Annual Report; Department of Health Services FY
2073/74
Official website of respective agencies
Compiled by: Prabesh Ghimire 32