In a post on Global Health Hub, blogger and medical student Abraar Karan examines the roles of global health non-governmental organizations (NGOs) and local governments in the countries where they work with regard to development initiatives, writing, “While it is true that NGOs are responsible for a large portion of health care provision that would otherwise be unaddressed, due to the limited interactions between governmental and non-governmental parties, the NGO response must be financially self-sustaining, which it is not.” Karan concludes, “Aside from their fragmented and isolated place in international health care systems … NGOs must not only be incorporated into government health systems but also into university and research systems” (11/16).