NGOs recognize the burden on governments that have insufficient resources to organize their own country’s affairs, while having to juggle the management burden of multiple and sometimes-competing aid organizations from a variety of other countries.

  1. In recognition of donor commitments at the 2005 Paris High-Level Forum on Aid Effectiveness and sector-wide approaches to planning, evaluation and coordination, NGOs commit to meaningful joint planning within the ministries’ own planning cycles.
  2. NGOs pledge to respect government and health ministry priorities, as well as labor and personnel policies. These policies include those relating to programmatic and geographic deployment of health resources, especially those that foster wider distribution of health workers and promote access to services.
  3. NGOs recognize that management capacity in Ministries of Health is often limited. Rather than building parallel or circuitous structures around inadequate capacity, NGOs commit to strengthening governments’ ability to operate effectively and efficiently. This practice may lead to NGOs seconding personnel to direct government service.


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