MAPPING OF AIN MEMBERS’ CONTRIBUTION TO THE HEALTH SECTOR DEVELOPMENT IN NEPAL 2016 – 2018 Association of International NGOs in Nepal, AIN 2019 Published by Association of International NGOs in Nepal (AIN) Airport Gate, Shambhu Marga Kathmandu, Nepal Tel: +977-1- 4468128 Email: [email protected] Website: www.ain.org.np © Copyright Association of International NGOs in Nepal (AIN) Layout & Printed by Repro Vision Press Pvt. Ltd New Baneshwor Email: [email protected] ii 12 June 2019 FOREWORD I would like to congratulate the Health Working Group (HWG) of the Association of International Non- Governmental Organisations in Nepal (AIN), for publishing the mapping of contributions of its member INGOs in the health sector. The role of the highlighted INGOs in translating the priorities of the Government of Nepal (GoN) to implementation is commendable. When a system is driven by multiple forces— the Nepali health system—it can lead to confusion and discrepancies, due to lack of systemic information. Embarking upon the importance of strengthening the information system, this initiative taken by AIN is essential, as it captures the cumulative impact of its member INGOs and presents a collective vision of health equity in Nepal. The wealth of information presented in this report including the updated status of program areas, major priorities, geographical distribution and financial contribution of INGOs in the health sector for the years 2017 and 2018, is quite resourceful. The document will be crucial in effective planning and execution for all stakeholders, including Ministry of Health and Population, other relevant ministries, provincial and municipal government bodies, and development partners. It will also serve to avoid programmatic and geographical duplication, further aiding in proper utilization and channeling of available resources across the country. This document has come at a time, when the health system is being transformed to a decentralized federated structure. I am hopeful this document will be supportive in mitigating challenges at central as well as at local levels for health policy and governance. I appreciate the efforts of AIN Health Working Group for compiling, publishing and making this report publicly available, which I am confident, will be very resourceful for a range of audience at national and global levels. Best Compliments, MadhendraMahendra Prasad Prasad Shrestha Shrestha Chief, Health Coordination Division Ministry of Health and Population iii iv Acknowledgements On behalf of AIN, it gives us immense pleasure to present the “AIN Members’ Contribution toward Health Sector Development in Nepal 2016-2018”. This is the continued effort of AIN Health Working Group (HWG) to showcase and document technical and financial contributions made by the AIN members in the health sector. The Government of Nepal has well appreciated the role of INGOs and civil society organizations in accomplishing the results and outputs set by the Nepal Health Sector Strategy (NHSS, 2015-2020). The AIN HWG has been supporting the Government of Nepal and working in collaboration with them to achieve the targets set by the NHSS and the SDGs. However, in the absence of proper documentation, it has been challenging to realize the exact contribution made by AIN member INGOs in the health sector. In this regard, the mapping of the AIN members’ contribution in Nepal’s health sector, initiated by the HWG a few years ago, has been vital. Today, we are challenged by the ever-evolving health care landscape that requires time, vigilance, dedication, and constant flow of new ideas to shape the pathway towards attaining audacious goals, as detailed in the SDGs, as well as in the NHSP III. The extensive information presented in this report will be particularly important for the government at all levels and other stakeholders to constructively leverage learning experiences, strengthen the collaboration continuum, and plan for future activities, ultimately devising a strategic plan for efficient health management. Further, we are also convinced that this initiative of the HWG will help bring visibility, transparency, and promote collaboration among various stakeholders as needed. We, therefore, would like to extend our sincere gratitude to all the members of the AIN HWG for their active support in providing the requested information for this report, along with their valuable suggestions in bringing this report out. We would also like to take this opportunity to thank the Ministry of Health and Population, and other government entities at all levels for their continued support toward our common goals. We are equally grateful towards the donor community for providing development grants to INGOs working in Nepal. We would also like to express our heartfelt appreciation to Nirmala Sharma, Country Director, Fairmed and Reshma Shrestha, Program Coordinator, AIN Secretariat, for their invaluable support in bringing this document in shape. Lastly, we would also like to express gratitude to Pratik Chhetri, the consultant who helped compile this report in its current form. The level of meticulous details he put into the report, the amount of perseverance he showed in coordinating with 41 different member INGOs and making sure the information in the report are presented in a way that is locally as well as globally relevant and understandable, is very commendable. Dr Shibesh C Regmi Dip Narayan Sapkota Chairperson, AIN Coordinator, AIN Health Working Group v vi Table of Contents Acronyms and Abbreviations .............................................................................................................. ix I. Introduction ....................................................................................................................................... 1 Association of International NGOs (AIN) ..................................................................................... 1 The Health Working Group ............................................................................................................ 1 Health under SDGs and NHSS ........................................................................................................ 1 Nepal's Socio-Political Context & Health ......................................................................................3 Health Priorities in Nepal ...............................................................................................................4 II. Health Mapping of AIN Members....................................................................................................6 Financial Contribution of AIN Member Organizations .................................................................8 Current Realities and Opportunities Ahead ..................................................................................9 III. Presence of Organizations by Districts ......................................................................................... 11 IV. Profiles of Organizations .............................................................................................................. 23 Action Against Hunger | Action Contre La Faim (ACF) ............................................................... 23 Adara Development ..................................................................................................................... 25 Adventist Development and Relief Agency (ADRA) Nepal ........................................................ 27 AIDS Healthcare Foundation (AHF) Nepal ..................................................................................29 AMDA Nepal ..................................................................................................................................31 Americares Foundation Inc ..........................................................................................................33 BRAC .............................................................................................................................................35 Community Action Nepal UK .......................................................................................................37 CARE Nepal ...................................................................................................................................38 CBM International ........................................................................................................................ 41 Child Protection Centers and Services International (CPCS) ......................................................43 Damien Foundation Belgium .......................................................................................................45 FAIRMED Foundation Nepal ........................................................................................................48 The Fred Hollows Foundation (FHF).............................................................................................51 FHI 360 Nepal ...............................................................................................................................53 German Nepalese Help Association ............................................................................................56 Good Neighbors International (GNI) ...........................................................................................58 Humanity & Inclusion ...................................................................................................................60 Helen Keller International ............................................................................................................62