Balancing Priorities
Balancing Priorities
Abstract
In Nepal, Non-Governmental Organizations (NGOs) are at the centre of development. Since they
depend on international donors, a paradox arises between upward accountability towards funders
and downward accountability to communities. This literature overview critically looks at this
relationship, supporting the argument that it is a structural paradox in that the very means
through which donors seek to achieve efficiency and control, including short-term funding
cycles, thematic priorities, and strict reporting structures, end up being systematic failures in the
approach, analyzing the body of literature around the architecture of donor influence, its effects
on the design of programs, and its implications with regard to financial, institutional, and social
sustainability. The results point to the fact that the resulting donor pressure in many cases is
likely to create the so-called accountability myopia, and NGOs find themselves in the position of
subcontractors with a focus on compliance rather than mission. It also examines the NGO agency
literature, including approaches of resistance and adaptation, such as strategic compliance and
organizational hybridity. The review ends with a conclusion about the major gaps in the current
body of scholarship, especially the absence of longitudinal research studies and beneficiary
voices. It suggests that future studies incorporate long-term and participatory research measures
to learn more and inform the means to more equitable, sustainable development partnerships in
Nepal.
I. Introduction
The context in Nepal is different because it is not focused on marginal actors but places Non-
Governmental Organizations (NGOs) at the core of the national developmental plan, and thus the
government formally accepts and supports their activities in the country’s development
attainment (National Planning Commission [NPC], 2024). This is because they act as essential
intermediaries and direct global assistance to accommodate local community needs (Karkee &
Comfort, 2016; Lewis & Kanji, 2009). Yet, this ‘mediation’ role puts them in the middle of a
core dilemma: having to be responsive upwards to their international funding agencies and
responsible downwards to the people who receive their services (Ebrahim, 2005; Najam, 1996).
This literature review suggests that such tension is not a mere act of balancing, but a structural
paradox. A critical review of the literature shows that the very mechanisms through which
long-term program sustainability: i.e., local ownership, institutional autonomy, and adaptive
learning requirements (Edwards & Hulme, 1996; Ebrahim, 2005; Fowler, 1997; Cornwall, 2008).
The reigning preoccupation with achieving measurable and immediate outcomes has often meant
that long-lasting, far-reaching change becomes a second priority (Ebrahim, 2005; Edwards &
To support this argument, this review is arranged in thematic order. It initially looks at how
powerful donor interests configure priorities in Nepal programs at the expense of local demands
(Karkee & Comfort, 2016; Dhungana & Pal, 2025). The second part compares how donor
management tools, especially the logical framework (log-frame), affect the implementation
process and organizational learning (Ebrahim, 2005; Fowler, 1997). The third part is a synthesis
(Edwards & Hulme, 1996; Humphries, Gomez, & Hartwig, 2010). Lastly, the literature on NGO
agency and pathways through which it is possible to survive in such an environment is reviewed
(Lewis & Kanji, 2009; KC, 2025). This review thereby ends with the conclusion that the existing
literature has important gaps in terms of longitudinal effects and community attitudes, thus
The justification for such a literature review is that the development sector in Nepal continues to
initiatives still serve as the sore spot of international assistance activities among legislators and
but a practical need to understand donor agendas that affect program outcomes so as to improve
aid effectiveness. This review will set out to synthesize what is available in the literature to give
a clear picture of the debates regarding the subject, the findings so far that have been arrived at,
and the most likely gaps that exist that could be used in future studies.
A systematic methodological approach was taken in order to do this review in an orderly fashion.
Literature search was made based on scholarly databases such as JSTOR, Google Scholar,
Scopus, and ProQuest, as well as significant policy archives of institutions such as the World
Bank, OECD. Combination terms incorporated, among others: "Nepal NGO sustainability,"
donor influence, aid effectiveness, accountability myopia, foreign aid Nepal, and NGO
accountability.
The selection criteria for inclusion were:
● Relevance: The sources that directly answer the question of how the relationship between
along with literature referencing the Bangladeshi and Sub-Saharan African continents
also included to provide a background on the wider tendencies within the Global South.
● Type of sources: Peer-reviewed journal articles, scholarly books, and policy reports of
● Period: Emphasis more on recent works that have been published (the past 30 years) to
The thematic synthesis is the analytical framework of this review. Although an excellent practice
is to group sources by chronology or each by each, this review divides the literature into several
important thematic blocks. The approach proposed here enables a critical analysis that compares,
contrasts, and cites patterns and contradictions between various studies and puts a consistent
argument together about the entire situation in the field, as clarified in the introduction.
III. Topics
The interaction between international donors and Nepali NGOs is not a random one; it is framed
within a global aid system that is predisposed in terms of the priorities of the donors (Mawdsley,
2012; Edwards & Hulme, 1996; Banks, Hulme, & Edwards, 2015). As the literature proves, such
power disparity influences the very fabric of development mandates, including which issues are
considered worthy of intervention and how individual solutions are to be theorized well before
any project is undertaken on the ground (Mawdsley, 2012; Eyben, 2013). It is possible to explain
this dynamism by the historical movement of aid, the strong impact of thematic funding flows,
and the omnipresent results agenda of prioritizing quantification over qualitative change
NGOs are an increasingly modern phenomenon, acquiring a central position in service delivery,
based on the political and economic changes experienced globally in the 1980s (Edwards &
Hulme, 1996; Lewis & Kanji, 2009; DeMars, 2005). As researchers such as Edwards and Hulme
(1996) have claimed, the emergence of neoliberal ideology that advocated the use of market
solutions and the retrenchment of the state generated a vacuum in socially based service
provision. The general distrust of individual donors in state bureaucracies, which many perceived
as ineffective or corrupt, led to the funneling of development aid via the proliferating NGO
industry (Lewis & Kanji, 2009; Karkee & Comfort, 2016; DeMars, 2005). NGOs became
presented as more malleable, creative, and grounded closer to the grassroots and, as such, an
enticing alternative channel of aid delivery (Lewis & Kanji, 2009; Banks et al., 2015). This
tendency was boosted in Nepal, where democracy was restored in 1990, at a time when civil
society organizations began to multiply in mere decades (Karkee & Comfort, 2016). Though
giving power to a new breed of actors in development, Edwards and Hulme (1996) prophetically
cautioned that such increased closeness between these groups and official aid would translate to
a relationship that was going to be too close for comfort, thus institutionalizing a financial
dependency that would ultimately result in who is accountable to whom tensions that are
characteristic of the sector to date (Edwards and Hulme, 1996; Banks et al., 2015). In this way,
the NGO sector in Nepal was formed into an environment where its survival was financially
dependent on adhering to the intentions of the outside donors (Karkee & Comfort, 2016; Lewis
Donor agendas cannot be assumed to be mere acts of goodwill but are a way of promoting
strategic, economic, and political interests of the donor states or institutions (Mawdsley, 2012;
Banks et al., 2015; Gulrajani, 2011). As Emma Mawdsley (2012) contends in her study on the
shifting context of aid, financing tends to be allocated to thematic agendas that coincide with the
foreign policy interests of countries situated in the global North, including counter-terrorism,
adjustment to climate change, or liberal democracy promotion. This forms funding windows that
encourage NGOs to conceptualize their work in these terms, which is commonly known as
chasing grants (Lewis, 2014; Fruttero and Gauri, 2005; Banks et al., 2015). An example is that a
local Nepal NGO focusing on non-modern agriculture may have to relabel what they do as a
project to improve climate resilience to obtain funding, whereas a local community may not have
prioritized climate resilience as the issue of concern (Karkee & Comfort, 2016; Mawdsley,
2012). This thematic earmarking implies that local priorities may be crowded out in the interests
of globally fashionable development patterns. Pressure to conform is one clear expression of the
principal-agent dynamic, as the donor (the principal) establishes the objectives and the NGO (the
agent) has to adjust its mission to achieve the objectives to gain resources (Jensen & Meckling,
1976; Fruttero & Gauri, 2005). This leads to what is called the development landscape in Nepal,
where developments are usually advocated in Washington, London, or Geneva, but not in
Kathmandu or the local villages where the projects are actually meant to benefit (Mawdsley,
(RBM) and its associated instrument, the Logical Framework Approach (LFA) or log-frame
(Wallace, 1997; Lewis, 2014; Eyben, 2013). The log-frame has a background in military
planning and was later adapted by development agencies such as USAID as a means of
introducing managerial discipline and measurable responsibility into aid efforts. Though at an
early stage and then becoming prominent, some scholars such as Wallace (1997) critique that the
log-frame puts a linear, simplistic paradigm onto the unpredictable, uncontrollable, and non-
linear societal change process (Wallace, 1997; Eyben, 2013). It compels NGOs to measure the
success of a project in a strict hierarchy of pre-defined inputs, outputs, outcomes, and impacts
that are easily quantifiable and reported. The subsequent result of all this quantification is what
Ebrahim (2005) refers to as accountability myopia (Ebrahim, 2005; Eyben, 2013). Organizations
are so intent on achieving the quantifiable outcomes in their log-frames (the training people,
completing the number of workshops) that they forget the ultimate, more elusive, less
real institutional change. This measurable tyranny results in a distorted reward system in which
NGOs are paid well to show good reports rather than necessarily good sustainable impact
(Ebrahim, 2005; Wallace, 1997; Fowler, 1997; Eyben, 2013). The instrument of accountability
inadvertently corrupts the whole aspect of the long-run mission to the short run and donor-
satisfying indicators.
B. Translating Agendas into Action: The Impact on Program Design and Implementation
The hegemony of donor agendas, as defined in the foregoing section, is not an abstraction, but it
has some concrete implications on the design and implementation aspects of development
programs in Nepal. The literature provides a clear trend in that requirements of donors are often
the ones that inform the practices in NGOs to the extent of making them skew towards
subcontracting instead of the vision-driven and locally-based organization models (Edwards &
Hulme, 1996; Fruttero & Gauri, 2005; Lewis, 2014; Banks et al., 2015).
One of the main themes in the critical literature is that NGOs have been turned into a kind of
subcontractor of donor-initiated projects without having priority over the reason their work is
being conducted (Edwards & Hulme, 1996; Banks et al., 2015). Edwards and Hulme (1996) were
not the first to observe this trend, and they claimed that the correlate of NGOs’ increasing
dependence on official aid has been the trend to contractual relations and an increasingly
contractual approach, where the efficient delivery of services has been the priority rather than a
belief in social change. This is where the role of a subcontractor is a direct result of the principal-
agent relationship. Authors who have applied Agency Theory specifically to the non-profit world
(Fruttero and Gauri, 2005) describe this tactic as the donors (principals) coming up with
elaborate contracts and reporting conditions in an attempt to counter the risks of the various
forms of goal divergence and information asymmetry. These mechanisms build towards making
sure that the NGO (agent) will carry out the objectives of the donor and thus making it a body
that will be an implementation arm of a pre-determined agenda (Fruttero & Gauri, 2005). In
Nepal, it takes the form of NGOs pursuing grants by carefully crafting their proposals according
to the limited, tricky thematic and methodological requirements enunciated in donor calls
(Karkee & Comfort, 2016; Lewis, 2014). Rather than a program that was developed based on a
Consequently, the portfolio of an NGO can end up as a disjointed set of projects and activities
that are defined and dictated by donors rather than being a continuous plan that starts with a
long-term vision of the NGO itself (Lewis, 2014). This gives rise to a severe inner dilemma, as
NGOs must strike a balance between their initial mandate (inward accountability) and the
agreement requirements with their funders (upward accountability), a conflict which emerges as
The donors’ influence is not just about project selection but goes down to the how of
implementation. A good example is the rampant demand to adopt the Logical Framework
Approach (LFA). According to Alan Fowler (1997), one of the foremost authorities on the
subject of managing NGOs, those tools are not neutral. They come with some assumptions built
into them: linearity, predictability, and control, often the opposite of the messiness of community
development (Fowler, 1997). This pre-determined nature of the indicators that are the focus of
the log-frame may inhibit adaptive management and learning within organisations, as the staff
may be more focused on the numbers that they are supposed to meet in their reports than be
responsive to emergent issues and opportunities in the field (Ebrahim, 2005; Fowler, 1997).
Moreover, this managerialist solution tends to transform the concept of community participation
with minimal change into a checklist process. Although almost all of the donor-funded projects
are said to be participatory, the literature indicates that in many cases, this can be very shallow.
Andrea Cornwall (2008), who is a well-known theorist on participation, states that a lot of the
term participation amounts to nothing more than co-optation, which means local people are
consulted or compelled to provide labor to a project whose overall aims and structure have
already been determined by people elsewhere (Cornwall, 2008; Lewis and Kanji, 2009). This
amounts to a form of tokenism due to the fact that committees can be set up within the
authority vested in these committees. Indeed, when one examines development projects in
Bangladesh (David Lewis and Nazneen Kanji, 2009), one discovers that even where
participatory structures have been established, they have not always been established to enable
communities to exercise power, but rather to justify the projects to external funders (Lewis &
Kanji, 2009). This habit directly carries a threat to any chance of real community ownership, one
providing skills in reporting, using the English language, sophisticated financial outputs, as well
as tracking and evaluation (M&E) (Lewis, 2014; Mercer, 2002; Banks et al., 2015). Although
skills are needed to handle large grants, too much of this can lead to undesirable consequences.
According to Claire Mercer (2002), when reviewing the NGO literature in Africa, this gives rise
to a dual-tier system (Mercer, 2002). Only a few, better-staffed and professionalized NGOs
operating in capital cities develop the ability to access international resources, leaving other
smaller and community-based organizations (CBOs), which have strong local ties but poorer
administration capabilities, out in the cold. The result is that this process may cause the NGO to
have a disconnection with its constituency. Employees can be so culturally and linguistically
familiar with the language and cultures of the international development sector that they may be
more familiar with it than with the communities they are expected to help (Lewis, 2014; Mercer,
2002). It also strengthens the upwards accountability towards donors as opposed to downwards
accountability towards beneficiaries. The legitimacy of the NGO now is based on its capacity to
measure against the international norms rather than its integration and responsiveness to the
needs of the local community, generating a new wave of problems in the long-term significance
These demands of donor agendas and imposition of their management tools are not just process
topics but they have significant long-term impacts on program sustainability that are often
negative. The literature captures a sustainable paradox where systems that are meant to create
accountability and efficiency at the same time destroys the pillars that are needed to create
sustainable impacts. This effect is evidently noteworthy along four essential spheres of
sustainability which include financial, institutional, and social and systemic ones.
(Lewis, 2014; Fowler, 1997; Humphries, Gomez, & Hartwig, 2010; Banks et al., 2015). NGOs in
Nepal are always involved in an unstable scramble to win the next grant and thus have to work
with a very short timeline and cannot think strategically in the long term. The literature abounds
with the conversation of the so-called funding cliff—when the funding of a 3 to 5-year project
cycle is over, as well as the funding of staff salaries and operational expenses, and any of the
independence. The usage of grant funds to create an endowment or invest in any form of
revenue-generating initiatives in the form of income may be restricted by the donor's rules and
may not be used to create a future revenue base. According to a detailed investigation conducted
programs in Southern Africa, this dependency proved to be the biggest risk to the further
existence of local organizations (Humphries et al., 2010). After the donor left, numerous
organizations that were very successful implementers were compelled to make drastic reductions
performance is thus rewarded, long-term survival is extraordinarily hard, so some academics say
that the system creates a kind of permanent state of temporary (Fowler, 1997). This economic
vulnerability will keep NGOs hostage to the interests of donors to sustain their organization.
Although donors often stipulate building capacity as one of the elements in the project, the
literature is critical of what capacity is really being constructed. In many cases, institutional
development is interchanged with the enhancement of the capacity of an NGO to fulfill the donor
regulatory demands. Capacity-building activities are rather limited and aimed at enhancing
financial reporting, monitoring, and evaluation (M&E), information gathering, and writing grant
proposals (Ebrahim, 2005; Humphries et al., 2010). These skills are valuable, but they are in the
best interest of upholding accountability. This preoccupation also tends to lead to a sacrifice of
building core institutional resilience. Other critical domains like strategic planning, community-
based governance, local fundraising, and policy advocacy are constantly overlooked due to the
lack of meeting with the immediate project-reporting interests of the donor. This is bolstered by
the fact that the principal-agent relationship supports the point in that donors are mostly
interested in the smooth performance of the task delegated to them and not necessarily in the
overall wellness of their local affiliate over a long period (Fruttero & Gauri, 2005). The outcome
is that Nepali NGOs have the administrative capacity to be more capable of running foreign
grants, but are institutionally vulnerable and lacking strategic autonomy as well as strong
And perhaps the most treacherous effect of donor-driven development is upon social
sustainability: that is, the extent to which a community considers a project its own, and will
continue its activities once external support is removed. Real ownership is cultivated by extreme
involvement, mutual decision-making, and the feeling of co-creation. But the top-down,
outcomes-driven model that dominates in the aid sector is actively counter-productive to this. As
has been said earlier, signifying representation may amount to little more than tokenism
(Cornwall, 2008). Communities also will not feel responsible for the long-term success of a
project when communities are approached as recipients or data as opposed to active agents in
Khan (2003), which has many similarities to the situation in Nepal, indicated that most projects
that had formed village committees and other sections of the project were, in fact, paper
committees and sections because they had no actual power (Khan, 2003). These superficial
structures tend to break when the funding of the project has come to an end and the staff of the
NGO have left, and the project stops working. The signs of progress trumpeted in donor final
strengthening the existing national and local government systems, and these structures tend to
become independent. This was very well seen in the aftermath of the 2015 Nepal earthquake.
This was also the case, as Dhungana and Pal (2025) explain, where a manufactured boom in
international aid succeeded by a variety of various agencies usually bypassed or flooded early
coordination abilities within governments (Dhungana & Pal, 2025). Some have called this kind
of patriotic disaster assistance a disaster to the capacity and legitimacy of the state to lead its
recovery. This act is in direct opposition to the recommendations of the Paris Declaration on Aid
Effectiveness (OECD, 2005), which states that donors should orient their assistance to country
priorities, and national systems should be used. Competition associated with grant-seeking ranks
NGOs in competition with one another, thereby discouraging NGOs from cooperating and
sharing good practices. The end outcome is disjointed point-level interventions as opposed to a
unified, system-level development plan, and achieving such a sustainable and at-scale change is
almost impossible.
Although the above sections have described structural pressures exercised mutually by the
donors, it would be erroneous to conceive of NGOs as victims. The literature also gives quite
and even resist donor power. Particularly, Nepali NGOs, no less than their colleagues in the
Global South, have developed a variety of complex tactics to carve out their niche of missions in
an otherwise shrinking funding landscape. Such tactics can be: tactical adaptation, seeking
A version of strategic compliance is one of the most frequently reported strategies in the
literature. This means that the external compliance with donor demands and rules is met, but
little or considerable adaptation or redefinition of these demands is also made to respond more
closely to the local conditions and the NGO's mission. Smart NGO managers will pay attention
to playing the game by mastering donor-buzzword use in their proposals and reports, as noted by
David Lewis (2014): sustainability, empowerment, participation (Lewis, 2014; KC, 2025). This
act of conformity wins funding, but on the ground, the organization can apply the program more
flexibly and locally responsive than is implied in the official project documents. The basis of this
strategy is information asymmetry between the principal and the agent. Since the NGO (agent) is
better aware of the local context than a distant donor (principal), the former might use this kind
of advantage of knowledge. This is not, of course, a deceptive provision but a practical reaction
which may be strict, top-down, and those of communities, which may be complicated, bottom-
up. But, researchers warn that this is a dangerous balancing between and among. It is very hard
work, and it can easily result in a stressful dualism of NGO personnel having to meet two very
A more radical approach is to reorganize the organization itself towards becoming less reliant on
traditional sources of donations. The literature notes that there has been an increasing degree of
the emergence of so-called hybrid organizations that combine non-profit social missions and for-
profit enterprise forms. The Bangladesh Rural Advancement Committee (BRAC) has been cited
as the most well-known of these and has been applied as a yardstick in development research.
BRAC transformed into an enormous social enterprise, which, as explained by Lewis (2014),
significantly funds its activities by providing various businesses such as dairy and textile
production (Lewis, 2014; Ebrahim, 2016). Such financial independence brings it a power of
freedom and strategic independence that cannot be envisioned in most fully donor-dependent
organizations. It can afford to have its long-term priorities, to cross-subsidise less profitable but
socially important programmes, and invest in innovation without first having to check with a
donor. Although the size of BRAC is unparalleled, its approach offers an inspirational design. In
Nepal, there is minimal literature on this topic, which can present an important research gap in
the future, although there is some anecdotal evidence that social enterprise and the mobilization
of local resources are becoming a popular topic of conversation. This plan is a direct effort to
change the power structure of the relationship using the aid by lessening the monetary superiority
of foreign donors. Critics, however, point out that a market-based solution cannot be used to
solve every social problem, and that seeking profit even in the hope of social good can threaten
Lastly, NGOs do not only stand alone; they also utilize the changing global norms and create
coalitions to gain more strength. The localization of aid, which has been institutionalized in the
form of commitments (e.g., the Grand Bargain, 2016) and national policies (USAID) is a major
political opportunity (The Grand Bargain, 2016 ; Fowler, 1997). These efforts, which preach to
channel more funds directly to organizations based in the south and seek southern leadership,
offer a potent new vocabulary and legitimacy to NGOs seeking greater flexibility of funding and
opportunity to have greater control in program design. NGOs in Nepal are also becoming prone
to networks and consortia to be able to partake in policy dialogue with donors and the
government. According to Alan Fowler (1997), these networks may act as an important
counterforce to the dominance of donors, whereby smaller groups can combine their expertise,
combine their resources, share their information, and speak with one voice (Fowler, 1997). They
can negotiate more amicable terms, confront unsatisfactory donor policies, and advance
development agendas that are more in line with national and local priorities by putting up a
united front. This mass action will be a departure, at least from any longer competing over
crumbs of funding, to a rediscovered solidarity of redesigning the very terms of the development
game itself. This is a direct contribution to cooling down the atomizing power of the
conventional aid model and provides the route to greater coordination and systemically
sustainable development.
IV. Conclusion
This literature survey has been conducted on the intricate relationship between donor agendas on
one hand and the sustainability of NGO development programs in Nepal on the other hand
structure; in order to ensure that aid is properly utilized, donors create a system of accountability
and control that, in many cases, ends up having many unfriendly aspects to sustainability in the
long term. As illustrated, this is captured by the evidence that donor priorities instituted via
thematic funding, short-term project cycles, and strict managerial instruments such as logical
framework significantly dictate the shape of development (Edwards & Hulme, 1996; Wallace,
1997; Ebrahim, 2005; Fowler, 1997; Cornwall, 2008; Banks et al., 2015). This is a process that
ensures NGOs go through a pattern of upward accountability whereby following donor directives
equates to success instead of deeply rooted, community-oriented, and sustainable change. The
feebleness of institutional autonomy, and loss of local ownership, which are, in actual sense, the
cornerstones of actual sustainability (Ebrahim, 2005; Edwards & Hulme, 1996; Fowler, 1997;
Cornwall, 2008). But it can also be seen in the literature that NGOs are not without power. They
have considerable agency, and they apply various tactics, including tactical redefinition of
project objectives and organizational innovation and collective advocacy (Lewis, 2014; KC,
By far the greatest weakness of the existing collection of research is the extreme cross-sectional
feature of this research. The greater part of investigations is done within a project lifecycle or
right after the project finale. As a result, longitudinal studies are lacking in terms of researching
what occurs to the programs, institutions, and communities five, ten, or even fifteen years after
donor funding is withdrawn. We understand a great deal about implementation as a process, but
Secondly, there are large gaps in terms of themes. Whereas the literature has much to say about
the opinion of the NGO managers and the donor staff, the opinions of the community members
and the so-called beneficiaries are sorely missing. People urgently need research that puts focus
on their lived experiences and their definitions of success and sustainability. In addition, the
scholarship on Nepal has a tendency to view the NGO sector as monolithic. It calls for more
refined and comparative studies that question how these dynamics vary in different contexts,
such as between large, urban, professionalised INGOs and small, rural, grassroots-based
organisations; between different sectors of development (e.g., health versus governance); and
Ebrahim, 2005; Najam, 1996) and the instruments applied in practice. Much M&E tracking using
field-based systems is inextricably wedded to the linear, output-obsessed log-frame logic. To fill
such a dichotomy, research that aims to design and implement practical, alternative M&E
systems capable of providing holistic accountability (upward, downward, and inward) is also a
must.
Therefore, participatory, longitudinal case studies tracking projects and communities over a very
long period should be considered in future studies. This would be invaluable information, on a
kind of bottom-up approach, to aid sustainability. In addition, it would be prudent to compare the
works done on a smaller scale and at grassroots levels to the perspective of the biggest
organizations within the aid sector to decentralize the narratives since they are usually propped
towards the largest actors. In filling these gaps, there will be a possibility that future research
studies can go beyond the diagnosis of the problem to help provide evidence-based solutions to
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