1. Prabesh Ghimire
MPH 341
Role of Multilateral, Bilateral
Organizations and I/NGOs in Health
Promotion and Education in Nepal
A Presentation on:
Paper V: Health Promotion and Education
2. This presentation will cover
Introduction to Multilateral, Bilateral Organizations
and I/NGOs
Roles in Health Promotion and Education
Multilateral/ Bilateral Organizations
I/NGOs/ NGOs
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3. Introduction
Multilateral Organizations:
receive funding from multiple governments and parties
spend on projects in various countries.
E.g WHO, UNICEF, World Bank
Bilateral Organizations:
receive funding from the government in home countries
use the funding to aid specific developing countries.
flows from official (government) sources directly to official
sources in the recipient country.
E.g. USAID, DFID, AUSAID, GIZ, JICA, etc.
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4. Introduction
INGOs
Autonomous organization with independent governance
structure
Global operations and programmatic reach
Multiple autonomous national offices
Member of global consortium
E.g Save the Children, Care Nepal, JSI, HKI, NSI, PSI, RTI,
etc.
NGOs
Registered under national laws
Operating in a single country or parts of a country
Focused with direct management or operations of programmes
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5. 5
So, what are the roles of
Multilateral, Bilateral
Organizations and I/NGOs in
Health Promotion and
Education?
7. Roles of Multilateral/Bilateral Organizations
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Predominant strategic roles
Coordination with ministries and departments
Funding to government/ INGOs
Advocacy
Support policy and strategy formulation and
necessitate necessary changes
National Health Communication Policy, 2012
National Communication Strategy on MNCH, 2012-16
Supported by WHO, UNFPA, UNICEF, DFID, USAID, GIZ
ASRH National Communication Strategy
8. Roles of Multilateral/Bilateral Organizations
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Technical assistance in designing nationwide health
education interventions for specific programs
E.g. BCC for Navi-care program (USAID)
E.g. BCC for HIV prevention and control (GFATM)
Financial Aid and assistance
Aid and assistance to government for production of IEC
materials (e.g Booklets for AFS, Immunization schedules,
Danger Signs of pregnancy, food pyramid, etc)
10. Roles of I/NGOs
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Predominant operational roles
I/NGOs fund health promotion and other health
projects to NGOs
Design and implement project specific BCC
interventions
Social Behaviour Change Communication (SBCC)
FP demand generation through interpersonal
communication (IPC) e.g. SBCC campaigns by MSI/SPN,
HC3, PSI
SBCC for malaria prevention and LLIN promotion (NRCS)
Promotion of homestead food production
Provider Behaviour Change Communication (PBCC)
11. Roles of I/NGOs…….contd.
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Counseling services (by NGOs)
Promoting informed choice of contraceptives through
counseling services. (eg. By MSI, FPAN)
HTC
Psychosocial counseling – TPO Nepal
Media Campaigns
Use of radio, television, print & social media and billboards
Smart Dampati FB contest- HC3
OK media campaign – PSI
Bhanchhin aama radio series – Save the Children
Jingles, radio spots and TVCs (e.g. chlorhexidine navi care) –
Jsi Research & Training Institute
Baby zinc
12. Roles of I/NGOs…….contd.
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Development, Production & Distribution of IEC
materials
Coordinate with NHEICC
IEC production for Government health programs
Non-government health projects (e.g. LLIN promotion by
Save the Children)
Social Marketing
Condom, pills and sangini (depo) by Nepal CRS
company)
Social Marketing of Iodized Salt
IUCD – PSI
Piyush – ENPHO
13. Roles of I/NGOs…….contd.
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Training and development
E.g. Life skills
Target group’s awareness and health promotion
Pregnant women’s group (Plan Nepal)
Golden 1000 days “Sunaulo Hazar Din” (Local NGOs)
Community Based Mid-Media Activities
Art and Folk Media such as street-plays, songs
Information stalls
14. Roles of I/NGOs…….contd.
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Logistics support for creating supportive environment
WASH logistics support (basin, water tank, sanitary pipes, etc.):
By ACF International
mHealth
Hello health: 1115- PSI and GON
Meri Saathi Free Helpline:- MSI
Mobile for Adolescent Sexual and Reproductive Health
(m4ASRH): 5577
On-Demand Information (Encyclopedia)
Role Model Stories
Quizzes
Hotline
Health Insurance
KOICA
16. Current Gaps
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Result based BCC
May not reflect community needs
Program Duplication
Fragmented health education interventions for
related components
18. References
1. Morton B, An Overview of International NGOs in Development Cooperation.
2. Unite for Sight. Multilateral and Bilateral Organizations, [cited 2016 Nov 12], Available
from http://www.uniteforsight.org/global-health-careers/module5.
3. Official websites of respective organizations
4. Annual Report DOHS 2071-72
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