Non Governmental Organisations (NGOs) are considered as one of the major institutions involved in community development apart from the state and other institutions. The idea of local participation is the one that has resulted into their emergence as participation is considered to be an essential part of development. With the advent of democracy in 1994, and the coming in of the HIV and AIDS pandemic in Malawi, there has been a mushrooming of NGOs in the country. Now that its over fourteen years since their emergence in Malawi, its high time a study was conducted to establish contributions these NGOs are making in the development of the country (especially in the health sector), identify the challenges they are facing and find possible solutions that can help improve their effectiveness. This thesis presents findings of such a study done with NAPHAM in Malawi.