(FM)" Most CCWs are trained according to the mandates of their employing NGO, and for narrowly defined specific tasks.
Other HWs were employed by NGOs or held dual positions with NGOs and the MoHS [ 30].
Other countries that have recently placed curbs on NGO activities include India, which revoked the licence of 13,000 NGOs last year, and South Sudan, where MPs have passed a bill limiting the number of foreigners employed by NGOs to 20% — a move that could severely hamper humanitarian efforts.
Households were visited by community health workers employed by NGOs in the region.
Also noteworthy was the finding that none of the twenty individuals employed by NGOs reported any exposure to CEA.
On the other hand where RNs were employed by NGOs, they performed all roles except diagnosing and prescribing for which there were on-call physicians.
Of 62 stakeholders interviewed, 44% held leadership positions in the Ministry of Health, 44% were clinicians providing HIV care, and 13% were donors or employed by NGOs; 89% held a medical degree.
General counseling services are being provided by trained para-professional counselors employed by NGOs; however, such services tend to be limited to specific population groups such as; people affected by conflict, survivors of human trafficking, victims of domestic and gender based violence, and refugees.
This includes uncertainty regarding whether LHWs should be regarded as volunteers or full members of the health system and questions around whom LHWs are answerable to, given that they are funded by the state but employed by NGOs [ 13, 14, 23].
Of the 62 interviewees, 44% held leadership positions within the MoH (including national directors and deputy directors, programme managers, provincial directors, and provincial chief medical officers), 44% were working as clinicians providing HIV care at tertiary or quaternary public hospitals, and 13% were multilateral or bilateral donors or employed by NGOs (Table 2).
