An analysis of the sustainability of the United States Government (USG) aid-funded non-governmental organisations (NGOS) in the Namibian health sector
Thesis (M.Phil)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: This study researched the sustainability of USG aid-funded local NGOs in the Namibian health sector. The first objective of the study was to analyse the continuity of NGO operations and the likely consequences of reduced PEPFAR funding on the key programmatic areas of NGOs such as the HIV/AIDS prevention, care and support services. The second objective was to investigate the other sources of funding that may be available to ensure sustainability of the NGOs. The study largely employed a qualitative approach and a descriptive analysis technique was used. A comparative case study assessment of seven NGOs that had received USAID/PEPFAR funding at any point during the period 2007-2013 was provided. The NGOs included Catholic AIDS Action, Church Alliance for Orphans, Katutura Youth Enterprise Centre, Nawa Life Trust, Project HOPE, Society for Family Health and Lilfe/Line Child/Line. The research findings were analysed and used to develop a set of conclusions and recommendations that could help to improve funding, ensure continuity of NGOs and sustain the health gains achieved over the years. The study found that on average PEPFAR constituted 80 per cent of the NGOs’ revenue and that due to the reduction in funding as well as the shift in PEPFAR’s focus to HIV treatment as prevention, the health gains achieved over the years could potentially be reversed if this behaviour did not change. The research suggested, amongst others, that the long-term sustainability of the programmes and the continuity of NGOs is dependent upon support from local governments. Literature has shown that local governments elsewhere have acknowledged the role that NGOs play and, therefore, created systems to allocate funding to NGOs, which practices can be extended to the Namibian situation. The recommendations further encouraged NGOs to embark on self-financing strategies by appointing dedicated personnel with the capacity to focus on fundraising activities with a target of achieving 50 per cent of income self-generated.
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