of NGOs (Non-Governmental Organizations), diplomacy refers to the practice of building and maintaining partnerships with other organizations, stakeholders, and governments to achieve common objectives related to social or environmental issues. NGOs often work in complex environments, where multiple stakeholders have different interests and goals. Diplomacy allows NGOs to navigate these complex environments and engage in constructive dialogue with different actors to promote understanding, build consensus, and facilitate cooperation. Effective NGO diplomacy involves building trust, fostering dialogue, and promoting transparency and accountability. NGOs may engage in diplomacy through various means, including advocacy, lobbying, partnerships, and negotiations. By working collaboratively with other organizations and stakeholders, NGOs can achieve greater impact and reach their goals more effectively. Criticism Tanzanian author and academic Issa G. Shivji has criticised NGOs in two essays: "Silences in NGO discourse: The role and future of NGOs in Africa" and "Reflections on NGOs in Tanzania: What we are, what we are not and what we ought to be". Shivji writes that despite the good intentions of NGO leaders and activists, he is critical of the "objective effects of actions, regardless of their intentions". According to Shivji, the rise of NGOs is part of a neoliberal paradigm and not motivated purely by altruism; NGOs want to change the world without understanding it, continuing an imperial relationship. In his study of NGO involvement in Mozambique, James Pfeiffer addresses their negative effects on the country's health. According to Pfeiffer, NGOs in Mozambique have "fragmented the local health system, undermined local control of health programs, and contributed to growing local social inequality". They can be uncoordinated, creating parallel projects which divert health-service workers from their normal duties to instead serve the NGOs. This undermines local primary-healthcare efforts, and removes the government's ability to maintain agency over its health sector. Pfeiffer suggested a collaborative model of the NGO and the DPS (the Mozambique Provincial Health Directorate); the NGO should be "formally held to standard and adherence within the host country", reduce "showcase" projects and unsustainable parallel programs. In her 1997 Foreign Affairs article, Jessica Mathews wrote: "For all their strengths, NGOs are special interests. The best of them ... often suffer from tunnel vision, judging every public act by how it affects their particular interest". NGOs are unencumbered by policy trade-offs. According to Vijay Prashad, since the 1970s "the World Bank, under Robert McNamara, championed the NGO as an alternative to the state, leaving