People's Health Assembly 2012: Global Health Initiatives, Civil Society and the Evolution of Accountability, Part 3: ART and Accountability in South Africa
NGOs play an important role in helping provide antiretroviral therapy (ART) in South Africa where government services are limited. While NGOs are accountable to their donors for financial and service targets, their accountability to the communities they serve is less clear. The document examines different types of NGOs providing ART and finds gaps in how they define and engage with local constituents. It calls for NGOs to clarify who they are truly accountable to in order to better serve community needs.
Chris Andersen, School of Native Studies, University of Alberta
Mike Evans, Community, Culture, and Global Studies, UBC Okanagan
Devin Dietrich, Métis Centre, National Aboriginal Health Organization
with
Carrie Bourassa, Department of Science, First Nations University of Canada
Judy Hughes, TRAC Consulting Ltd. Training, Research, Advocacyand Communications; Métis Centre, National Aboriginal Health Organization
Tricia Logan, Kingston University
Caroline Tait, Department of Native Studies, University of Saskatchewan
Community Activities means activity in the community, undertaken by your trustees, directors, employees or volunteers. Activity of community is the Community work involved in local or neighborhood groups or associations, volunteer or unpaid worker involved in a non-profit, not-for-profit, just work for humanity. Activity of community is including the alert, response, emergency, and recovery for an individual, groups, society as well as community.
Zimbabwe Independ Professional AdvocacyGEORGE MURENA
ZIPA-PHCP Advocacy Service aims to offer Zimbabwean people the opportunity to express their own needs and wishes and have these respected. By helping people to make informed choices we enable them to maintain as much control as possible over their own lives.
Urban women face significant economic and social constraints due to their limited ability to access, own and control property, including immovable property (e.g., land, structures), movable property (e.g., business equipment, personal possessions), and financial assets (e.g., cash, financial accounts). Insecure property rights make women more vulnerable and less economically, politically and socially empowered; inhibit them from improving their families’ health and well-being; and prevent them from fully contributing to the sustainability and economic growth of their cities. With increasing numbers of women living in cities, especially vulnerable groups like migrants and the elderly, women’s insecurity of property rights in the urban context is rapidly growing in urgency.
Homelessness Policy in England: the importance of placeAdam Stephenson
Homelessness policy and practice has been transformed by new managerialism and decentralisation. Decentralisation initially reversed the centralisation of new managerilism. Decentralisation is now leading to evolution of place based approaches to homelessness. Place-based approaches have the potential to provide more person centred, systematic and outcome based approaches to reducing homelessness. Find out more about the evolution of place based approaches in London.
Chris Andersen, School of Native Studies, University of Alberta
Mike Evans, Community, Culture, and Global Studies, UBC Okanagan
Devin Dietrich, Métis Centre, National Aboriginal Health Organization
with
Carrie Bourassa, Department of Science, First Nations University of Canada
Judy Hughes, TRAC Consulting Ltd. Training, Research, Advocacyand Communications; Métis Centre, National Aboriginal Health Organization
Tricia Logan, Kingston University
Caroline Tait, Department of Native Studies, University of Saskatchewan
Community Activities means activity in the community, undertaken by your trustees, directors, employees or volunteers. Activity of community is the Community work involved in local or neighborhood groups or associations, volunteer or unpaid worker involved in a non-profit, not-for-profit, just work for humanity. Activity of community is including the alert, response, emergency, and recovery for an individual, groups, society as well as community.
Zimbabwe Independ Professional AdvocacyGEORGE MURENA
ZIPA-PHCP Advocacy Service aims to offer Zimbabwean people the opportunity to express their own needs and wishes and have these respected. By helping people to make informed choices we enable them to maintain as much control as possible over their own lives.
Urban women face significant economic and social constraints due to their limited ability to access, own and control property, including immovable property (e.g., land, structures), movable property (e.g., business equipment, personal possessions), and financial assets (e.g., cash, financial accounts). Insecure property rights make women more vulnerable and less economically, politically and socially empowered; inhibit them from improving their families’ health and well-being; and prevent them from fully contributing to the sustainability and economic growth of their cities. With increasing numbers of women living in cities, especially vulnerable groups like migrants and the elderly, women’s insecurity of property rights in the urban context is rapidly growing in urgency.
Homelessness Policy in England: the importance of placeAdam Stephenson
Homelessness policy and practice has been transformed by new managerialism and decentralisation. Decentralisation initially reversed the centralisation of new managerilism. Decentralisation is now leading to evolution of place based approaches to homelessness. Place-based approaches have the potential to provide more person centred, systematic and outcome based approaches to reducing homelessness. Find out more about the evolution of place based approaches in London.
Is the LogFrame is the right tool for managing most NGO work?rick davies
Presentation made by Rick Davies at the Debate on LogFrames organised by the BOND Quality Group, 2-5.30pm 11th June 2009, NCVO offices, N1 9RL, London. See more background on this event at http://mande.co.uk/2009/coming-events/workshops/bond-quality-group-%e2%80%93-debate-on-logframes/
Tiger Worm Toilets (Oxfam Public Health Engineering webinar) Oxfam GB
Ever scratched your head trying to find safe excreta disposal solutions for pour flush latrines in congested urban slums, remote locations, high water tables, rocky ground and no-network areas? Well, this webinar could have the answers you've been looking for.
The worm based sanitation project in Monrovia was designed by Oxfam and inspired by the Biofil (from Ghana) and Tiger Toilet systems. This novel system aims to tackle the challenges of excreta disposal where de-sludging is not possible and was designed for pour flush latrines (where waste is disposed of directly into an above ground concrete chamber). The worms live in a bedding material (coconut fibre which has been soaked for 24 hours in water) and eat the waste flushed into the chamber. Excreta are deposited on this bedding material whilst the liquid is filtered through a media of gravel, charcoal and sand. The effluent produced is collected in an external sump, which is then emptied by the householder.
After 3 years there is virtually no waste to remove from the chamber as the worms eat and excrete nominal amounts. This approach of course requires community engagement, understanding and pro-activeness before, during and after the installation of the system.
For both the presentation and the audio, visit our YouTube channel: https://youtu.be/j04tGVNP6Xg
A lecture about Technology in Physical Therapy Practice. Given at the OPTA Western District Meeting on 06/30/11 by Casey Kirkes PT, DPT and Dale Boren Jr. PT, MPT, O
The presentation contains information for all students with a special interest in diabetes and diabetes education. ADEA invite you all to join us and explore a career in diabetes education.
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Slides on background, concepts, instruments and procedures of managing the phases of the project cycle through proper identification, formulation, implementation, monitoring and evaluation.
NGOs in Pakistan: their history, law(s), activities, types, their impact on poverty, their problems and prospects.
Definition, what are their problems, what has been done by the state, international lending/donor agencies, what could be done for their improvement.
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Kingston Council's Public Health team shared how a comprehensive picture of the assessment of current and future health & social care needs of the local population can help communities in Kingston at the Kingston Data Hack day in June 2018.
This presentation will show how community mobilization works to leverage limited funds and garner broad community involvement in the implementation of effective programs. Non-traditional partners offer unique expertise and talents, and are often willing to work together, focusing on a common goal. In Houston, the local city health department, non-profit organizations, and for-profit organizations partner together allowing all each partner to reach their own goals. The presenter will describe how Houston implemented Hip Hop for HIV and other community activities to reduce HIV stigma, increase HIV testing, and garner new community partners.
Dr. Olagoke Akintola, senior lecturer at the University of KwaZuluNatal in Durban, South Africa, presented at AMREF's Coffeehouse Speaker Series on global development on the intersection of health and development with specific focus on the community level. The coffeehouse speaker series looks at international development and global health, specifically focusing on Africa.
Presenter: Lucie Stephens, Head of Co-Production, NEF
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Between May 2015 and March 2016, we are running a series of regional events to bring together commissioners, arts and cultural providers, and others interested in increasing levels of cultural commissioning.
The Cultural Commissioning Programme works to help the arts and cultural sector engage in public sector commissioning and to enable public service commissioners to increase their awareness of the potential for arts and cultural organisations to deliver their outcomes. This three year programme, funded by Arts Council England, is being delivered through a partnership between NCVO (lead partner) , NEF and NPC .
www.ncvo.org/CCProg
A NGO is an organization independent of the government whose primary mission is not commercial, but focuses on social, cultural, environmental, educational, and other types of issues.”
Role
IFRC
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This session provides an overview of a rapid scoping review on the role of public health working with shelters serving people experiencing houselessness completed in 2022 by the National Collaborating Centre for Methods and Tools (NCCMT) in collaboration with the National Collaborating Centre for Infectious Diseases (NCCID). The review identified examples of public health collaborating with shelters to deliver public health programs and services, or to support shelter staff on public health topics. NCCID used the review in an Institute that explored opportunities to improve communications and programming that work for shelter clients and shelter staff. Join us to learn more about the results of this rapid scoping review, and to discuss possibilities for increased collaboration among public health and shelters.
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www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
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Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
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As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
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People's Health Assembly 2012: Global Health Initiatives, Civil Society and the Evolution of Accountability, Part 3: ART and Accountability in South Africa
1. NGOs,
Antiretroviral therapy (ART)
and Accountability
in South Africa
EU-funded GHI INCO-DEV Project School of Public Health
Annie Neo Parsons University of the Western Cape
Dr Johann Cailhol
Dr Thuba Mathole
Prof David Sanders
2. ART in South Africa
• Government ART service delivery problems: financing, human
resources, access
• Service delivery NGOs help provide cover where government
struggles
– Service delivery role (or ‘Operational’): provides tangible and in-
tangible services
– Advocacy role: “create and maintain political spaces in democratic
discourse for often disadvantaged [communities].”
• “NGOs are formally accountable to limited constitutents”
– Who are an NGO’s constituents?
– Does an NGO have clients or constituents?
Doyle C. and Patel P. (2008) ‘Civil society organizations and global health initiatives: problems of legitimacy’ in Soc Sci Med
66:1928-1938
Evans B. and Shields J. (2006) Neoliberal restructuring and the Third Sector: Reshaping Governance, Civil Society and Local
Relations. Centre for Voluntary Sector Studies Working Paper Series: Ryerson University Faculty of Business
Kilby P. (2004) Accountability for Empowerment: Dilemmas facing non-governmental organizations. Asia Pacific School of
Economics and Government Discussion Papers: The Australian National University
3. ART funding and GHIs
GFATM Board
•Donor governments
•Developing country governments
•Civil and private sector U.S. Government
•Non-voting members
Global Fund to U.S. President’s
fight AIDS, TB Emergency Plan
and Malaria For AIDS Relief
Service
Country recipient delivery
NGOs
Community-level ART services
4. Preliminary taxonomy
• Local level findings (facility, district) and relation
to provincial/national structures
• Three basic types of NGOs providing ART services in
public health facilities
– HR-focused (trainings; clinicians, data capturers, CHWs)
• Defining issues:
– External resources (in SA, almost all PEPFAR)
– Community involvement
– Management locality
Ossewaarde R., Nijhof A., Heyse L. (2008) ‘Dynamics of NGO legitimacy: How organizing betrays core missions of INGOs’ in
Public Admin. Dev. 28:42-53
5. Large NGO working locally
• History
– Shift of services to HIV-centred work
– Directly approached facility to offer services, sometimes
after going through province/national
• Funding
– External resources (mostly PEPFAR)
• Operations
– NGO clinical staff provide ART services
– Management based at provincial not local level
6. “Large NGO acting small”
• History
– Shift of services to HIV-centred work
– Approached district, consultation with province
• Funding
– External resources (mostly PEPFAR)
• Operations
– ART services provided by NGO staff
– Management based at local level (near district offices)
Kilby P. (2004) Accountability for Empowerment: Dilemmas facing non-governmental organizations. Asia Pacific School of
Economics and Government Discussion Papers: The Australian National University
7. Local NGO
• History
– Community developed and managed
• Funding
– External resources (mostly small private funders)
• Often aware of funding implications
– In one case, refused direct PEPFAR funding
• Operations
– ART services provided by volunteer staff
– Management based at community level
8. An accountability gap
• “There’s a big difference between spending money
on a community and working with a community”
• Accountability to constituents not required of NGOs
– People cannot automatically hold an NGO to account,
especially when they have limited alternatives to the
offered service
• However, accountability to stakeholders is required
– Donor accountability usually financial/target-driven
– Impacts on ability to be accountable ‘downwards’
Lief W. (2006) ‘Accountability in International Development Aid’ Ethics and International Affairs 20:1-24
9. To Conclude
• NGOs should clarify if they work for or with
communities
• NGOs must clearly state who are their constituents
– What is “the community”? (People within a geographic
area, patients attending a facility, etc)
– Is local government a proxy for communities?
– Are Community Health Workers proxies for communities?
• Ultimately: do NGOs determine a community’s
needs, or do a community’s needs determine an
NGO’s work?
Editor's Notes
District government often sidelined in setting up of relationships