Research & Capacity Building Project

Organisational Capacity

GTN works for evidence-based practices and research in coordination with academic consultants.  We have collaborated with several working partners at national and international organisations.  GTN’s experiences are shared at the national and international fora including publication.  This has enabled us as one of the best research organizations.

 

GTN has qualified, experienced and devoted human resources in central as well as in the district and community level. We are also receiving frequent technical supports from the Liverpool John Moores University, UK and Bournemouth Univeristy, UK.

 

GTN’s capacity to collaborate and coordinate with the district stakeholders is another strength. It has maintainedits name and fame as one of the best working NGOs. The close, supportive coordination and relation with higher and district level governmental stakeholders has given us another strength to take over the responsibilities related health projects.

 

Organisational detail:

Name of the organization Green Tara Nepal
Address of organization Kathmandu Metropolis-4, Lamtangin Marg- 4, Baluwatar, Kathmandu
Post Box GPO 8974, CPC 158, Kathmandu
Phone 977-1-4432698
E-mail info@greentara.org.np
Registration detail District Administrative Office (DAO) Kathmandu: 632/064/65

District Development Committee (DDC), Kathmandu: 700/064/65

PermanentAccountNumber.   302880810

Tax free organization certificate:        3913/ 2065-3-29

SWC Affiliation No.                          24077/ 2064-9-9

Head of organization Ram Chandra Silwal

Country Director

Tel: 9841-415889, 98510-16882

e-mail: rsilwal@greentara.org.np, ramsilwal99@gmail.com

 

Organisational strengths and key strategies

Green Tara Nepal (GTN) has multiple strengths in managing project and programmes in Nepal. It has a progressive track record of handling several projects across multi-cultural, diversified population of Nepal.   GTN’s strengths in project management have kept it in good stead of professional career.

  • Working from the grassroots to national level: It has experience of working at the grassroots level to the national (policy level). At the grassroots level, it has been working with local health facilities in strengthening the services at local health facility, training of health workers, expanding outreach clinics and interactions and awareness. At the district level, it works with the District Development Committee, District Health Office, District Education Office, Women Development Office and other stakeholders to bring synergy in work. At the national/policy level, GTN with the government stakeholders and through advocacy meetings, sharing of dissemination and integration into health promotion approach.
  • Expertise in implementing FP/MNCH: Over the past decade, GTN has been working for increasing access and demands of MNCH/FP services. Since its establishment, maternal, neonatal health and child health and family planning were focused across any programmes or projects. We target the women of reproductive age, recently delivered women, mother-in-laws and key decision makers at the family.
  • Right-based approach: Health is a fundamental human right in Nepal.GTN regularly advocates for improving women’s health. The project focuses on gender equality and the rights of vulnerable groups.  It has been working with social change and women empowerment through a health promotion approach over the past decade.
  • Funding and partnership: It has a diversified partnership and funding inside the country and abroad. The intervention started with a community-based needs assessment, social mapping and consultation with local policy makers and participatory activity.
  • Promote evidence-based intervention:Appropriate interventions are trailed and evaluated within rural communities to help create an evidence-base in Nepal. GTN’s activities are embedded with research and evidence-based activities. It shares results and encourage others replicate the results within their own work even outside of Nepal
  • Strengthening existing system and sustainability: GTN’s immediate aim is to improve the lives of people within the current global structure; however, dream to sustain the activities through local people’s engagement and resource mobilization. GTN incorporates the diversified/changing needs of the local communities and made best use of the existing resources whether these were delivered by the government or by NGOs.
  • Promoting a cost-effective approach: Helping to improve the local maternity service provision and advocate its uptake makes it much more likely that the intervention becomes sustainable compared to the introduction of an expensive external intervention which is new to the community.
  • Human resource management capacity:GTN has a strong human resource management capacity both in terms of the staff members and board. At present, GTN has been working in eight districts with 39 full-time and 51 part-time staff members. The staff members are highly experienced and well-known about the public and private health service delivery system of Nepal. The Board of GTN includes nursing and public health professionals, majority of them are female. It is the efforts of Nepalse professional committed for changing the society. It has a team of expert with specified portfolio of work. Organisational and staffing chart are summarized below.

 

Figure 1: Structural Organogram of GTN Figure 2: Staffing pattern of current projects

 

·         Financial management capacity:

Green Tara Nepal has a well track record of progressive financial income and system since its establishment.  It conducts annual financial assessment from an independent authorised auditor, nominated by the Board. Internal auditing is managed bi-annually.  Financial and programmatic progress is updated in the board meeting. It conducts annual financial assessment from an independent auditor, authorised by the Board.

Treasurer is the Manager of Finance supported by Senior Finance Officer.  Task segregated for financial works. We have maintained a separate bank account for different funders (with different bank accounts).  Finance policy guides the staff to ensure staff’s accountability and guiding the activities.  Chart of Accounts is managed by Finance Officer and Treasurer. General Assembly approves an annual plan of action including finance.  All financial transactions are approved by the Country Director.

Partnership

Green Tara Nepal has been parterning with organisations both at the national and international level.  Currently, our projects are programmes are implementing in partnership with Karuna Trust, Karuna Germany, Green Tara Trust, Global Giving, Bournemouth University, Liverpool John Moores University, The University of Tokyo, University of Sheffield, Tribhuvan University, Nepal, Population Service International, The Health Education Trust, the Government of Nepal and several small donors. Major projects of GTN and partners are summarized below.

Current Projects/Programmes of Green Tara Nepal

SN Title of the Project/Programme Project duration and sites Funding Agency Remarks
1 Safe Delivery Project (2014-2018) Nawalparas Karuna Germany, BMZ and GTT
2 Increasing women’s access to safe delivery through health service quality improvement and health promotion (2016-2018) Nawalparasi,

 

AmplifyChange
3 Post-disaster health promotion project (2016-2018) Dhading KT/KT/Global giving- GBP 72,931, GTT/LMJU- GBP 61,013
4 Women’s Health Programme (2016-2018)

 

Kathmandu, Lalitpur, Bhaktapur, Kavre, Chitwan, Makawanpur Population Service International
5 Mental health training to maternity care providers (2016-2017). Funded by DfID and managed by Tropical Health & Education Trust (THET) Nawalparasi Tribhuvan University, Nepal and Bournemouth University, UK. GTN is involved in logistic support and training
6 Research:

·         Student Field work at Nepal (2017)

·         Systematic review of Nepal related published literature (2017)

·         Impacts of female migration: developing a national database in Nepal (2017-2018)

·

National level University of Sheffield, Bournemouth University and Liverpool John Moores University Migration research in Partnership with Paurakhi
7 Strengthening disaster preparedness at schools and communities including research (2015-2018) Dhading/national level The University of Tokyo Conducting a formative research

Research capacity:

GTNadvocates evidence-based health promotion approach for preventing and promoting health of Nepalese people by scaling up solutions learned from grassroots to a national level

  • Conduct a systematic needs assessment process to find out community people’s needs to bring public health action for changing behaviours
  • use community-based participatory research to support cross-cultural partnerships in which partners share resources and decision-making power. Adopt a compassionate approach for needy people and deprived of care and support based on the evidence
  • Present solid evidencethrough formative research, and other scientific research methods
  • Establish information dissemination systems at all level including the clients
  • Dissemination and advocacy for scaling-up the evidence based successful practices for enabling policies at the local, state, and federal level
  • Advocacy and lobbying with key stakeholders for creating an enabling environment in all aspects of barriers such as policy, social factors, individual’s behaviours, and other determinants
  • Raise awareness and knowledge of the benefits of health promotion practices to improve reproductive health among government and I/NGO sector through sponsoring national health promotion conferences and working groups
  • Promote use of health promotion to support improved reproductive health outcomes in Nepal through dissemination of lessons learned from the field in international and national health journals and through media updates.

Key achievements

  • Evidence based approach for comprehensive health promotion (A successful modelin Dakshinkali as evidenced by the comparison of results between the 2007baseline and 2012 final evaluation).
  • Strong partnership with academic institutions: GTN with their partners havepublished over 100 research papers and 10 books on reproductive/sexual healthand research methodologies, and network effectively with local, national andinternational partners.
  • Evidence based-based monitoring and evaluation system- supported by baselineevaluation prior to project implementation and endline evaluation after completion.
  • GTN organized First National Health Promotion Conference in Kathmandu, Nepalwith the theme “Strategies for Changing Behaviours in 21st Century” betweenMarch 31- April 1, 2013.
  • One of the leading NGO in Nepal with core competency in health promotion relatedto maternal and child health, sexual and reproductive health with community-based evidences.
  • Strategic partnership with Green Tara Trust, Karuna Trust, Karuna Germany, Population Service International, and universities.
  • National level expertise in curriculum review, and evaluation of health promotion interventions.
  • National level expertise in health promotion.
  • Working with private service networks in strengthening FP and safe abortion services.

Publications from Green Tara work

The followings are the example of publications based on the research by Green Tara Nepal and team but not limited.

  1. Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens J, Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20
  2. Mahato PK, van Teijlingen E, Simkhada P, SheppardZA, Silwal RC. Factors related to choice of place of birth in a district in Nepal. Sexual & Reproductive Healthcare 2017;13: 91–96
  3. van Teijlingen E, Simkhada P, Devkota B, Fanning P, Ireland J, Simkhada B, Sherchan L, Silwal CR, Pradhan S, Maharjan KS, Maharjan KS. Mental health issues in pregnant women in Nepal. Nepal J Epidemiol. 2015;5(3); 499-501.
  4. Simkhada P, Shyangdan van Teijlingen E., Stephens J, Kadel S and Gurung T (2012). Women’s attitude towards disability in Nepal; Disability and Rehabilitation (Jul 23- Epub ahead of print- http://www.ncbi.nlm.nih.gov/pubmed/22823929]
  5. Dhakal, S., van Teijlingen, E., Raja, A.E., Dhakal, K.B. (2011) Skilled care at birth among rural women in Nepal: practice and challenges Journal of Health, Population &Nutrition29 (4): 371-378.
  6. van Teijlingen E., Simkhada, B., Porter, M., Simkhada, P., Pitchforth, E., and Bhatta, P. (2011). An overview of qualitative research methods and its place in health research in Nepal, Kathmandu University Medical 36 (4): 301-5.
  7. Dhakal, S., van Teijlingen, E., Stephens, J., Dhakal, K., Simkhada, P., Raja, A. E. and Chapman, G. N., (2011). Antenatal Care among Women in Rural Nepal: A Community-based Study.Online Journal of Rural Nursing and Health Care, 11 (2): 76-87.
  8. Simkhada, B., Porter, M., van Teijlingen, E. (2010) The role of mothers-in-law in antenatal care decision-making in Nepal: A qualitative study.BMC Pregnancy & Childbirth 10(34)
  9. Teijlingen van, E., Simkhada, P., Ireland, J.C.M. (2010) Lessons learnt from undertaking maternity-care research in developing countries. Evidenced-based Midwifery 8(1): 12-16. [Article has been reproduced as: Teijlingen van, E., Simkhada, P., Ireland, J. (2010) Lessons learnt from undertaking maternity care research in developing countries, MIDIRS, 20(2): 254-258].
  10. Pathak R, Regmi P, Pant P, Simkhada P, Douglas F, Stephens J (2010) Gender Identity: Challenges to Accessing Social and Health Care Services for Lesbians in Nepal; Global Journal of Health Science; 2 (2), pp. 207-214
  11. Kirkpatrick, P., van Teijlingen E. (2009) Lost in Translation: Reflecting on a Model to Reduce Translation and Interpretation Bias, The Open Nursing Journal, 3(8): 25-32
  12. Simkhada, P., van Teijlingen, E., Kadel, S., Stephens, J., Sharma, S. and Sharma, M., (2009). Reliability of National Data Sets: Evidence from a detailed Small Area Study in Rural Kathmandu Valley, Nepal.Asian Journal of Epidemiology, 2 (2): 44-48.
  13. Dhakal S, Chapman G, Simkhada P and van Teijlingen E and Stephens J (2007). Utilisation of postnatal care among rural women in Nepal; BMC Pregnancy and Childbirth. 7(19).
  14. Simkhada B, van Teijlingen ER, Porter M and Simkhada P (2006). Major problems and key issues in Maternal Health in Nepal; Kathmandu University Medical Journal. 4(2), Issue 14:261-266.
  15. van Teijlingen, E., Simkhada, P., Stephen, J., Simkhada, B., Woodes Rogers, S., Sharma, S. Making the best use of all resources: developing a health promotion intervention in rural Nepal Health Renaissance.