NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues

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Capella university

NURS FPX 8014 Global Population Health

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Date

Nongovernmental Agencies Involved in Global Issues

Human Immunodeficiency Virus (HIV) is a worldwide health concern, affecting 42.3 million people. Acquired Immunodeficiency Syndrome (AIDS) is a severe form of infection. Nongovernmental organizations (NGOs) and Government groups have played critical roles in addressing this disease, applying strategies to limit its spread (WHO, 2024). The paper will examine the differences between government and NGO-based efforts. Many organizations have made attempts to address HIV/AIDS, like Frontline AIDS.

Differences between NGOs and Government-Sponsored Programs

NGOs and governmental health organizations are vital in dealing with worldwide health challenges, but their operation structures, financing, and strategies differ. NGOs are independent, non-profit organizations that operate beyond direct government authority. They are funded through several resources, such as grants, donations, and private-sector funding. NGOs frequently concentrate on particular health concerns and operate at a local level to deliver programs and solutions (Sanadgolet al., 2022). Due to a lack of administrative oversight, NGOs are able to operate with greater agility than official authorities. NGOs can assist directly by screening for health issues, spreading awareness, and improving medical care (Sanadgolet al., 2022). #

In contrast, governmental health organizations are funded by the state that oversee programs and policies pertaining to public health on a national or international scale. Taxpayers finance them and are susceptible to political impact. Government organizations possess requirements such as regulatory duties, research, and large-scale health campaigns (Zhang et al., 2023). They evaluate broadly health conditions and address community medical problems. 

NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues

The Frontline AIDs is an NGO founded in 1993 with the goal of eradicating HIV and AIDS. It operates in several countries including Asia, Africa and European countries. It promotes community-led HIV/AIDS remedies and advocates for an efficient global response to the disease. Frontline AIDs has raised approximately SEK 90 million from Swedish aid in 2020-2022 to perform the Global Plan of Action 2020-2025 for an AIDS-free society for everyone. 9.62 million dollars (96.72%) have been spent on population policies and reproductive health (Openaid, 2020).

The Frontline AIDS collaborates with 60 partners, including Global Funds, who have raised around $5 billion to combat HIV (Frontline AIDs, 2024, c). The organizations’ stakeholders encompass donor legislatures, private sectors, civil society groups, and volunteers. The NGO’s advantages include flexibility, focused actions, and the capacity to mobilize resources to mitigate HIV/AIDS quickly. To ensure successful program execution, Frontline AIDS works with local groups.

The World Health Organization (WHO) is an agency of governments that was created in 1948 and is a United Nations body in charge of worldwide public health. The WHO’s biannual budget for 2022-2023 was roughly $5.84 billion, which was financed through estimated funds from member nations and voluntary donations. According to recent data, WHO’s Global HIV Program monitors the execution of the global health sector plan for the elimination of HIV, which is in line with the target to end the HIV epidemic by 2030 (WHO, 2024). WHO has six regional centers and 194 member nations. Partners entail member nations and global health organizations. Members include countries that are members of the United Nations, which shape policies and allocate resources. The benefit is that it has a broad spectrum, a leading position in global health, and the capacity to organize worldwide health operations and establish worldwide medical standards (WHO, 2022a).

Public Health NGOs and Governmental Public Health Organizations

There are various advantages to NGOs, such as Frontline AIDS, versus government-funded initiatives. Initially, NGOs, such as Frontline AIDS, are more flexible and adaptable than government-sponsored groups (Rajabi et al., 2023). For example, Frontline AIDS has been capable of providing reproductive and sexual health services and intervention to almost 7.8 million people in an effort to eradicate HIV/AIDS. Government agencies, like WHO, frequently delay decision-making and the execution of critical health programs. Another advantage of NGOs is targeted actions for specific communities.

NGOs concentrate on particular diseases (HIV) and regions, allowing them to personalize their initiatives, whereas government agencies have wider mandates, diluting their efforts by location (Sanadgolet al., 2022). For example, Frontline AIDS HIV/AIDS preventive initiatives are tailored to local epidemiology and healthcare infrastructure, but WHO establishes global norms and regulations that do not prioritize community-level interventions.

NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues

NGOs have the advantage of working closely with the local population, establishing trust, and encouraging community participation. NGOs receive donations from a variety of sources, such as charitable organizations and private donors, offering more reliability and versatility in prevention and care initiatives. To get funds, they frequently hold fundraising campaigns, apply for grants, and collaborate with private organizations (Frontline AIDS, 2024, a). WHO is funded by member state investments and provides a solid economic base but has a chance for political interference. The Frontline AIDS NGO works with local collaborators to ensure that prevention and therapy for HIV/AIDS are community-based. 

The WHO’s leadership style is not always as effective with local populations. Frontline AIDS modifies strategies in response to community demands for HIV/AIDS prevention, and funding is given to improve program efficacy. WHO can implement broad policy changes and coordinate substantial health programs, which include distributing funds and services for HIV/AIV prevention through established mechanisms and allocating them based on worldwide health targets and needs evaluations (Teijema et al., 2021). Frontline AIDS accepts applications that are evaluated using criteria like effect, potential, and sustainability. It guarantees that services and resources are delivered to the most vulnerable communities.

Challenges of Public Health NGOs and Government-Sponsored Programs

Government entities and NGOs have challenges in terms of financing viability, accessibility and adaptability, legislative difficulties, and cooperation. NGOs like Frontline AIDS have fluctuating financing, affecting the scalability and viability of NGO initiatives like HIV/AIDS prevention. Varying donations can result in unreliable service delivery, leading to discontinuation (Chiliza et al., 2021). Government bodies, such as WHO, receive stable financial support from member states and taxpayers. Government-based initiatives have long-term goals and are embedded in national and global medical systems, ensuring better sustainability and ongoing assistance. NGOs like Frontline AIDS possess a restricted geographical reach and ability, focused on particular health challenges and geographies. While the WHO has a vast reach for wider systemic concerns, they provide long-term robust services. 

In the fight against HIV/AIDS, Frontline AIDS can provide crucial resources for interventions that are usually built and maintained by government bodies like WHO (Frontline Aids, 2024, b). NGOs such as Frontline AIDS demand more ability to uphold health legislation and guidelines instead of depending on campaigning and cooperation to drive change. Governmental agencies, including WHO, possess the authority to regulate and govern health legislation, assuring conformity and progressive change (Zhang et al., 2023). NGOs can necessitate assistance in interacting with other entities and government groups, creating a solution delivery gap (Rajabi et al., 2021). Governmental bodies have a stronger opportunity to coordinate substantial public activities, enabling extensive approaches over diverse geographies (Abbas et al., 2022). 

Criteria for Public Health NGOs to Get Involved in a Health Issue

The metrics for participation are data-driven based on the incidence and extent of the health condition, its impact, the accessibility and efficacy of existing measures, and the NGO’s potential for making a significant impact. Criteria are developed using an extensive requirements analysis based on questionnaires, stakeholder meetings, and community input. Engagement with local health groups allows NGOs to adjust their criteria to reflect ground reality. Initially, NGOs such as Frontline AIDS rely on statistics from sources like the WHO and state medical authorities to determine the incidence and pattern of diseases such as HIV/AIDS. Intervention planning requires knowledge of regional healthcare structures, medical supplies, and medical staff’s abilities (Fattahi et al., 2023). Data on the efficacy of prior efforts and medical results are utilized to inform NGOs’ decisions. 

Frontline AIDS assesses the severity of the health situation using death and morbidity rates. HIV/AIDS has an elevated incidence and death rate in regions like Africa (65%), prompting NGO involvement. It also investigates the extent to which the disease impacts various geographic regions, allowing NGOs to identify areas in most need. Frontline AIDS examines the vulnerability of afflicted communities, considering aspects such as social and cultural characteristics, racism, access to health care, and marginalized groups.

Recognizing gaps in medical care allows NGOs to implement tailored actions. To approach Frontline AIDS (NGO), I need to submit a complete proposal that includes robust statistics on the extent and scope of HIV/AIDS in the chosen location. The medical gap and the community’s special requirements should be highlighted (Fattahi et al., 2023). When asking an NGO for assistance, a proficient proposal that highlights the problem, need effect, and long-term viability, supported by rigorous evidence, is crucial.

Practicum Research and Interviewing Experience

As a caregiver, the practicum research, coupled with my interview session, has given me valuable knowledge. It questioned some of my assumptions while satisfying others. For example, I assumed that initiatives funded by the government were excessively complex and delayed. However, interviewees asserted that, while administrative complexity exists, these programs benefit from vast infrastructure and integrated efforts that can support viable health promotion initiatives. I also feel that NGOs are entirely adaptable. It was shown that NGOs have to cope with limits like donor demands and budget limitations, impacting their activities.  The aspects that met my expectations were community involvement and the broad scope of government initiatives. 

For example, NGOs thrive at community participation, tailoring responses, and establishing trust. Government programs possess a vast reach and the potential to enact extensive health policies that meet my expectations. It was surprising that there was a level of cooperation between NGOs and governmental initiatives. Efficient public health services require integrated efforts to exploit the strengths of these groups (Rajabi et al., 2021). Frontline AIDS’ efficacy and strategic utilization of resources and services exceeded expectations. It will undoubtedly impact my future career practices. Understanding the benefits and drawbacks of NGOs and government bodies will help me advocate for holistic strategies that combine NGOs’ adaptability with the viability of government programs. To increase the impact of initiatives, I would prioritize developing partnerships and encouraging collaboration among various health bodies. My professional approach will place a strong emphasis on community engagement inspired by NGO activities. 

Conclusion

Resolving worldwide health concerns like HIV/AIDS necessitates collaboration between NGOs and government-based initiatives. NGOs like Frontline AIDS provide flexibility and community participation, and government bodies like WHO give stability and broad reach. A complementary approach harnessing the assets of both groups can improve the efficacy of public healthcare interventions, ensuring viable health solutions.

References

Abbas, S. S., Shorten, T., & Rushton, J. (2022). Meanings and mechanisms of One Health partnerships: Insights from a critical review of literature on cross-government collaborations. Health Policy and Planning, 37(3), 385-399. https://doi.org/10.1093/heapol/czab134

Besançon, S., Sidibé, A., Sow, D. S., Sy, O., Ambard, J., Yudkin, J. S., & Beran, D. (2022). The role of non-governmental organizations in strengthening healthcare systems in low- and middle-income countries: Lessons from Santé Diabète in Mali. Global Health Action, 15(1). https://doi.org/10.1080/16549716.2022.2061239

Chiliza, J., Laing, R., Feeley III, F. G., & Borba, C. P. (2021). Program sustainability post PEPFAR direct service support in the Western Cape, South Africa. Public Library of Science One, 16(5), e0251230. https://doi.org/10.1371%2Fjournal.pone.0251230

Fattahi, M., Keyvanshokooh, E., Kannan, D., & Govindan, K. (2023). Resource planning strategies for healthcare systems during a pandemic. European Journal of Operational Research, 304(1), 192–206. https://doi.org/10.1016/j.ejor.2022.01.023

NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues

Frontline AIDS. (2024, a). Fund us. frontlineaids.org. https://frontlineaids.org/fund-us/ 

Frontline AIDS. (2024, b). Our impact. Frontlineaids.org.
https://frontlineaids.org/our-impact/

Frontline AIDS. (2024, c). Our partnership. frontlineaids. org.
https://frontlineaids.org/our-partnership/

Openaid. (2020). Frontline AIDS 2020-2022. Openaid.se. https://www.openaid.se/en/contributions/SE-0-SE-6-13807

Rajabi, M., Ebrahimi, P., & Aryankhesal, A. (2021). Collaboration between the government and nongovernmental organizations in providing health-care services: A systematic review of challenges. Journal of Education and Health Promotion, 10(1), 242. https://doi.org/10.4103/jehp.jehp_1312_20

NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues

Sanadgol, A., Doshmangir, L., Zarnaq, R. K., & Gordeev, V. S. (2022). Role of non-governmental organizations in moving toward universal health coverage: A case study in Iran. Frontiers in Public Health, 10, 985079. https://doi.org/10.3389/fpubh.2022.985079

Teijema, M. T., Kok, M. O., van Elsland, S. L., Smeets, H., Barstow, D., Rooyen, V. L., & Furth, A. M. (2021). Setting the global research agenda for community-based HIV service delivery through the faith sector. Health Research Policy and Systems, 19(1), 81. https://doi.org/10.1186/s12961-021-00718-w

WHO. (2022). Developing global health sector strategies on HIV, viral hepatitis and STIs 2022-2030. Who.int.
https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/strategies/global-health-sector-strategies/developing-ghss-2022-2030

WHO. (2022a). How WHO is funded. Www.who.int. https://www.who.int/about/funding

WHO. (2024). Global HIV Programme. who.int.
https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hiv/overview

WHO. (2024). HIV and AIDS. who.int.
https://www.who.int/news-room/fact-sheets/detail/hiv-aids#:~:text=Key%20facts,in%20the%20WHO%20African%20Region.

NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues

Zhang, Y., McDarby, G., Seifeldin, R., Mustafa, S., Dalil, S., Schmets, G., Muscat, A. N., Fitzgerald, J., Mataria, A., Bascolo, E., & Saikat, S. (2023). Towards applying the essential public health functions for building health systems resilience: A renewed list and key enablers for operationalization. Frontiers in Public Health, 10, 1107192. https://doi.org/10.3389/fpubh.2022.1107192

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