Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Glob Health Action. 2011;4:8973. doi: 10.3402/gha.v4i0.8973. Epub 2011 Nov 17.
Aid agencies (AAs) provide a range of humanitarian and health related assistance globally. However, the trust placed on them is eroding. Evidence for this includes accusations of a decline in their humanitarianism, and the increasing number of conflicts with host states. An analysis of the concerns expressed yields two possible reasons: a relative lack of transparency of their work and weak accountability mechanisms. This is further supported by the existing milieu: an absence of internationally accepted instrument or mechanism to check the credentials of INGOs and an opaque system of close links between some of the INGOs and their donors. The article suggests two global strategies to tackle these issues: (a) Increase transparency by establishing a global register of aid agencies. This should have basic information: their main goals and activities, countries they are active in, number of employees, annual turnover of funds (updated regularly), principal financing sources and nature of links with donors. This could also be available as printed manual that should be freely available to client countries. (b) Ensure accountability by developing templates of fair legal instruments (to facilitate and regulate work), and a set of generic rules and procedures of engagement for the interactions between agencies and client states. These should be institutionalized within the regulatory frameworks of countries and included in the Codes of Conduct of NGOs.
援助机构(AAs)在全球范围内提供各种人道主义和健康相关援助。然而,人们对它们的信任正在逐渐削弱。这方面的证据包括对它们人道主义精神下降的指责,以及与东道国冲突数量的增加。对所表达的关切进行分析得出了两个可能的原因:它们的工作相对缺乏透明度和薄弱的问责机制。这进一步得到了现有环境的支持:缺乏国际公认的工具或机制来检查非政府组织的资质,以及一些非政府组织与其捐助者之间不透明的密切联系系统。本文提出了两种解决这些问题的全球战略:(a) 通过建立一个全球援助机构登记处来提高透明度。这应该有基本信息:它们的主要目标和活动、它们活跃的国家、员工人数、资金的年营业额(定期更新)、主要资金来源以及与捐助者的关系性质。这也可以作为印刷手册提供,应免费提供给客户国家。(b) 通过制定公平法律工具的模板(以促进和规范工作),并制定一套机构与客户国家之间互动的通用规则和程序,确保问责制。这些应在国家监管框架内制度化,并纳入非政府组织行为准则。