南北問題
NGOs have been challenged as not representing the needs of the developing world, diminishing the "Southern voice" and preserving the [[North–South divide in the World|North–South divide]]. The equality of relationships between northern and southern parts of an NGO, and between southern and northern NGOs working in partnership, has been questioned; the north may lead in advocacy and resource mobilization, and the south delivers services in the developing world. The needs of the developing world may not be addressed appropriately, as northern NGOs do not consult (or participate in) partnerships or assign unrepresentative priorities. NGOs have been accused of damaging the public sector in target countries, such as mismanagement resulting in the breakdown of public healthcare systems.