International non-governmental organizations (INGOs) are autonomous, internationally operating organizations that provide health and development aid to developing countries. They work in areas like relief, development projects, advocacy, research, and addressing global issues. Some major INGOs operating in Nepal include Save the Children, CARE Nepal, BNMT, Plan International Nepal, and FHI 360. These organizations focus on areas such as maternal and child health, nutrition, water and sanitation, tuberculosis, and HIV/AIDS. They implement national and local programs and support health system strengthening through activities like building health infrastructure, training health workers, and promoting health behaviors.

1. INTERNATIONAL NON-
GOVERNMENT ORGANIZATIONS
(INGO)
Prabesh Ghimire
Health Management

2. Concept of INGOs
Autonomous organization with independent
governance structure
International in scope
• Global operations and programmatic reach
Both strategic and operational roles
INGOs funds health/development projects to
NGOs
247 INGOs registered to SWC
Compiled by: Prabesh Ghimire 2

3. Nature of INGOs
Member of global consortia
• Have global operations
• Have multiple autonomous national offices
• Also operate together as member of global consortia
• Care Nepal is a member of Care International, a
confederation of 14 national member
Global reach
• Global programmatic outreach
• Save the Children works in 120 countries
• World Vision in 9 countries, Oxfam in more than 90
countries
Compiled by: Prabesh Ghimire 3

4. Nature of INGOs
Size and scope
• Larger than national organizations
 Budget
Ipas- more than US $1.8 million in 2016/17
BNMT- more than US $1.5 million
 Number of staff
 Scope of operations
 Resources and capacity
Range of partnership
• Broad range of partnership
• Typically works with developing country NGOs/CBOs
Compiled by: Prabesh Ghimire 4

5. Purpose of INGOs
 Provide relief and development aid to developing
countries
Provide services that the state is unable or unwilling to
provide for their people.
Policy dialogue, advocacy, lobbying and campaigning to
bring about structural and policy change
Research: Establish stronger evidence base for both
programming and policy influence
Changing roles for changing world: address
transnational problems such as climate change, global
poverty, urbanization, humanitarian crisis and security
threats
Compiled by: Prabesh Ghimire 5

6. INGOs Operating in Nepal
ADRA Nepal
IPAS
Birat Nepal Medical Trust (BNMT)
 CARE Nepal
FHI 360
Hellen Keller International (HKI)
Save the Children
World Vision International Nepal (WVIN)
Compiled by: Prabesh Ghimire 6

7. INGOs Operating in Nepal
The Leprosy Mission (TLM) Nepal
United Mission to Nepal (UMN)
JSI Research & Training Institute, Inc.
One Heart World-Wide
Plan International
Population Services International/ Nepal
Water Aid Nepal
Compiled by: Prabesh Ghimire 7

8. INGOs Operating in Nepal
JHPIEGO
John Hopkins University Center of
Communication Programs (JHU-CCP)
RTI International
Fairmed Foundation Nepal
ACF International
AIDS Health Care Foundation
Caritas
Compiled by: Prabesh Ghimire 8

9. Roles and Activities
of
INGOs in Nepal
Compiled by: Prabesh Ghimire 9

10. Roles of INGOs/ Areas of focus (Health)
Family planning and safe abortion
• PSI Nepal
• Marie Stopes International
• Ipas Nepal
• Save the Children
Maternal, child and newborn health
• Save the Children
• Care Nepal
• Jhpiego
• JHU-CCP
Compiled by: Prabesh Ghimire 10

11. Roles of INGOs/ Areas of focus (Health)
Mental health
• United Mission to Nepal (UMN)
• BNMT
Nutrition
• ACF International
• HKI
• Save the Children
Human resource development/ training
• Care Nepal
• PSI/ Ipas: FP and safe abortion training
Compiled by: Prabesh Ghimire 11

12. Roles of INGOs/ Areas of focus (Health)
Health promotion and behaviour change communication
• PSI Nepal
• MSI
• BNMT
• JHU-CCP..
Infrastructure development
• BNMT
• Care Nepal
• World Vision International
Logistics support/ management
• GAVI
• BNMT, CARE Nepal: Equipment support
Compiled by: Prabesh Ghimire 12

13. Roles of INGOs/ Areas of focus (Health)
Health system strengthening
• Save the children
• RTI International
• Abt Associates
WASH
• ACF International
• Water Aid Nepal
• CARE Nepal
Compiled by: Prabesh Ghimire 13

14. Save the Children
 Operating in Nepal since 1976
 Child-focused organization
 Works with over 100 partners including Government of
Nepal
 Programmatic coverage: 63 districts
 Areas of work
 Child Rights Governance
 Child Protection
 Education
 Health and Nutrition including HIV & AIDS
 Livelihood
 Humanitarian Response
Compiled by: Prabesh Ghimire 14

15. Save the Children- health activities
 Maternal, newborn, child health and family planning
(national plus 13 districts)
 Integrated health, nutrition, education and livelihood (11
districts)
 Humanitarian health, nutrition, water supply and
sanitation support (5 districts)
 HIV AIDS, Tuberculosis and Malaria through GFATM (75
districts)
 Strengthening systems for better health
Compiled by: Prabesh Ghimire 15

16. CARE Nepal
Working in Nepal since 1978
Areas of focus/ thematic areas
• LEAD: Women’s and Girl’s empowerment
• MIGRATE: Safer, informed migration
• NURTURE: Sexual Reproductive and Maternal Health
• PREVENT: Gender based violence and Violence
against women and girls
• RESPOND: Humanitarian response, preparedness and
disaster risk reduction
• SUSTAIN: Food and nutrition security, livelihoods,
natural resources and climate change
Compiled by: Prabesh Ghimire 16

17. CARE Nepal- health activities
 Capacity building of health workers
• Competency based trainings on CB-IMNICI, FP, SBA,
Nutrition, Infection prevention, etc.
 Social accountability on health service delivery
• Community Health Score Board
• HFOMC Strengthening activities
• Community mobilization
• Strengthening mother’s group
Compiled by: Prabesh Ghimire 17

18. CARE Nepal- health activities
Promotion of health seeking behaviour among
women and their families and involvement of
decision makers
Constructions with equipped furniture and
equipment
• Prefabricated health post buildings
• Earthquake resilient PHC-ORC buildings
Programmatic coverage: 43 districts
Compiled by: Prabesh Ghimire 18

19. Plan International Nepal
 Working in Nepal since 1978
 Helps poor children to access their rights to
health, education, economic security and
protection.
 Areas of focus
• Education
• Earthquake response
• Health
Compiled by: Prabesh Ghimire 19

20. Plan International Nepal- health activities
 Safe motherhood program
• Construction/renovation of birthing centers
• Equipment & furniture support
• SBA training
• Awareness through pregnant women group (PWG)
 Child health program
•Community based integrated management of newborn
and childhood illness
•Childhood disability services
Compiled by: Prabesh Ghimire 20

21. BNMT
Working since 1967
Areas of focus
• TB Control
• Enhancing Community Health
• Psychosocial support
• WASH
• HF reconstruction
Compiled by: Prabesh Ghimire 21

22. BNMT- health activities
Tuberculosis (TB Reach and Impact TB)
• Active case finding of TB cases
• Comprehensive TB detection and treatment engaging
FCHVs
• Gene expert- detection of TB
Health facilities reconstruction & service
strengthening
• Prefabricated health posts in Makawanpur- 7 HPs
• Support of essential medical equipment and necessary
furniture
Compiled by: Prabesh Ghimire 22

23. BNMT- health activities
Mental Health and Psychosocial Support
Services (MHPSS)
Water Sanitation and Hygiene (WASH) including
• Menstrual Hygiene Management (MHM)
• Construction of Gender Friendly Toilets
Compiled by: Prabesh Ghimire 23

24. FHI 360
Working in Nepal since 1993
Supports health programs, capacity building, civil society,
media strengthening and governance
Programmatic coverage: 16 districts
Areas of work
Compiled by: Prabesh Ghimire 24
• Communication and
social marketing
• Economic development
• Education
• Environment
• Gender
• Health
• Crisis response: conflict
and displacement
• Nutrition
• Research

25. FHI 360- health activities
HIV and STI prevention, education, referral and
follow-up, and condom promotion and distribution
HIV testing and counseling services
STI examination and treatment services
Referral and linkages with anti-retroviral therapy
(ART) services
Compiled by: Prabesh Ghimire 25

26. FHI 360- health activities
Care, support and counseling for adherence and
retention
Stigma and discrimination reduction
Technical support to NCASC
Compiled by: Prabesh Ghimire 26

27. Reading list
Annual Report; Department of Health Services FY
INGOs in Nepal. Available from:
http://www.sasecrtn.edu.np/index.php/en/resources/useful
info/social-sites/ingos-in-nepal.
Bill Morton. An overview of international NGOs in
development cooperation.
Official website of respective INGO
Compiled by: Prabesh Ghimire 27