Limits...
Where are the NGOs and why? The distribution of health and development NGOs in Bolivia.

Galway LP, Corbett KK, Zeng L - Global Health (2012)

Bottom Line: The uneven distribution of NGO activity may suggest a lack of co-ordination among NGOs working in Bolivia as well as a lack of co-ordination among NGO funders.Our findings also indicate that neither general nor health specific NGO activity is related to population need, when defined as population health status or education level or poverty levels.Considering these results we discuss broader implications for global health and development and make several recommendations relevant for development and health practice and research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Health Sciences, Simon Fraser University, Blusson Hall 8888 University Drive, Burnaby, BC V5A 1S6, Canada. lpg@sfu.ca

ABSTRACT

Background: The presence and influence of nongovernmental organizations (NGOs) in the landscape of global health and development have dramatically increased over the past several decades. The distribution of NGO activity and the ways in which contextual factors influence the distribution of NGO activity across geographies merit study. This paper explores the distribution of NGO activity, using Bolivia as a case study, and identifies local factors that are related to the distribution of NGO activity across municipalities in Bolivia.

Methods: The research question is addressed using a geographic information system (GIS) and multiple regression analyses of count data. We used count data of the total number of NGO projects across Bolivian municipalities to measure NGO activity both in general and in the health sector specifically and national census data for explanatory variables of interest.

Results: This study provides one of the first empirical analyses exploring factors related to the distribution of NGO activity at the national scale. Our analyses show that NGO activity in Bolivia, both in general and health-sector specific, is distributed unevenly across the country. Results indicate that NGO activity is related to population size, extent of urbanization, size of the indigenous population, and health system coverage. Results for NGO activity in general and health-sector specific NGO activity were similar.

Conclusions: The uneven distribution of NGO activity may suggest a lack of co-ordination among NGOs working in Bolivia as well as a lack of co-ordination among NGO funders. Co-ordination of NGO activity is most needed in regions characterized by high NGO activity in order to avoid duplication of services and programmes and inefficient use of limited resources. Our findings also indicate that neither general nor health specific NGO activity is related to population need, when defined as population health status or education level or poverty levels. Considering these results we discuss broader implications for global health and development and make several recommendations relevant for development and health practice and research.

Show MeSH

Related in: MedlinePlus

NGO projects by sector in Bolivia: 2005.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3539961&req=5

Figure 2: NGO projects by sector in Bolivia: 2005.

Mentions: In 2005, the 667 NGOs working in Bolivia were conducting a total of 4,482 projects. Figure2 shows the proportion of NGO projects working in each of the eleven NGO sectors (sectors classified by the Bolivian NGO Directory). The greatest proportion of NGO projects were classified in the health and agriculture sectors; each comprising twenty-four per cent of the total NGO projects and together accounting for nearly half of all NGO projects. Microcredit, legal assistance, advocacy and communication, and housing projects together account for less than eight per cent of all NGO projects.


Where are the NGOs and why? The distribution of health and development NGOs in Bolivia.

Galway LP, Corbett KK, Zeng L - Global Health (2012)

NGO projects by sector in Bolivia: 2005.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3539961&req=5

Figure 2: NGO projects by sector in Bolivia: 2005.
Mentions: In 2005, the 667 NGOs working in Bolivia were conducting a total of 4,482 projects. Figure2 shows the proportion of NGO projects working in each of the eleven NGO sectors (sectors classified by the Bolivian NGO Directory). The greatest proportion of NGO projects were classified in the health and agriculture sectors; each comprising twenty-four per cent of the total NGO projects and together accounting for nearly half of all NGO projects. Microcredit, legal assistance, advocacy and communication, and housing projects together account for less than eight per cent of all NGO projects.

Bottom Line: The uneven distribution of NGO activity may suggest a lack of co-ordination among NGOs working in Bolivia as well as a lack of co-ordination among NGO funders.Our findings also indicate that neither general nor health specific NGO activity is related to population need, when defined as population health status or education level or poverty levels.Considering these results we discuss broader implications for global health and development and make several recommendations relevant for development and health practice and research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Health Sciences, Simon Fraser University, Blusson Hall 8888 University Drive, Burnaby, BC V5A 1S6, Canada. lpg@sfu.ca

ABSTRACT

Background: The presence and influence of nongovernmental organizations (NGOs) in the landscape of global health and development have dramatically increased over the past several decades. The distribution of NGO activity and the ways in which contextual factors influence the distribution of NGO activity across geographies merit study. This paper explores the distribution of NGO activity, using Bolivia as a case study, and identifies local factors that are related to the distribution of NGO activity across municipalities in Bolivia.

Methods: The research question is addressed using a geographic information system (GIS) and multiple regression analyses of count data. We used count data of the total number of NGO projects across Bolivian municipalities to measure NGO activity both in general and in the health sector specifically and national census data for explanatory variables of interest.

Results: This study provides one of the first empirical analyses exploring factors related to the distribution of NGO activity at the national scale. Our analyses show that NGO activity in Bolivia, both in general and health-sector specific, is distributed unevenly across the country. Results indicate that NGO activity is related to population size, extent of urbanization, size of the indigenous population, and health system coverage. Results for NGO activity in general and health-sector specific NGO activity were similar.

Conclusions: The uneven distribution of NGO activity may suggest a lack of co-ordination among NGOs working in Bolivia as well as a lack of co-ordination among NGO funders. Co-ordination of NGO activity is most needed in regions characterized by high NGO activity in order to avoid duplication of services and programmes and inefficient use of limited resources. Our findings also indicate that neither general nor health specific NGO activity is related to population need, when defined as population health status or education level or poverty levels. Considering these results we discuss broader implications for global health and development and make several recommendations relevant for development and health practice and research.

Show MeSH
Related in: MedlinePlus