Published: November 2020; Last updated: April 2021
Table of Contents
Maximum Impact Fund cited as the most popular choice
In 2020, the most recent year for which we have complete data, the Maximum Impact Fund was the most commonly selected option for donations on GiveWell’s website.
How is this calculated?
Below, we'll refer to the different outcomes our top charities can achieve. Our top charities list divides into two broad categories:
Life-saving
- Malaria Consortium's seasonal malaria chemoprevention program
- Against Malaria Foundation
- Helen Keller International's vitamin A supplementation program
- New Incentives
- Evidence Action's Deworm the World Initiative
- SCI Foundation
- The END Fund's deworming program
- Sightsavers' deworming program
- GiveDirectly
- Monthly: If you enter a monthly recurring donation, we'll calculate the total amount you would donate during one year of giving. We'll use your 12-month total to calculate your estimated impact.
- One-time: If you enter a one-time donation, we'll use that donation amount to calculate your estimated impact.
- 1
For more information about the cost per output and cost per outcome figures for our top charities, see this page.
- 2
The Global Burden of Disease (GBD) project estimates more than 640,000 global deaths from malaria in 2019. “Measure: Deaths, 2019 number: 643,380.9.” Institute for Health Metrics and Evaluation, Global Burden of Disease, GBD Compare, Global malaria deaths. The World Health Organization (WHO) estimates approximately 409,000 malaria deaths in 2018. “Globally, malaria deaths have reduced steadily over the period 2000–2019, from 736 000 in 2000 to 409 000 in 2019.” WHO, World Malaria Report 2020, Pg xv.
- 3
WHO, World Malaria Report 2020, Pg 21, Figure 3.2d. For the list of countries in sub-Saharan African, see United Nations Development Programme, "About sub-Saharan Africa". “The percentage of total malaria deaths among children aged under 5 years was 84% in 2000 and 67% in 2019.” WHO, World Malaria Report 2020, Pg xv.
- 4
"In its Global Burden of Disease (GBD), IHME models VAD [vitamin A deficiency] as both a direct cause of years lived with disability (YLDs) and as a risk factor for three other diseases (diarrheal diseases, lower respiratory tract infections (LRTIs), and measles)." GiveWell's non-verbatim summary of a conversation with the Institute for Health Metrics and Evaluation, April 5, 2019
- 5
The GBD project attributes 233,000 deaths to "Vitamin A deficiency: all causes" in 2017. GBD 2017 Risk Factor Collaborators, 2018, p. 1948.
- 6
"In 2019, global coverage rates for the third dose of the diphtheria, tetanus and pertussis vaccine (DTP3) reached 85 per cent." This vaccine is "often used as an indicator of how well countries are providing routine immunization services." UNICEF, "Immunization," 2020. We say “at least” because coverage tends to be lower for other vaccines. For global vaccination rates, see Our World in Data, Global vaccination coverage, World, 2019.
- 7
In 2019, 57% of infants in Nigeria received the third dose of the diphtheria, tetanus, and pertussis vaccine. Our World in Data, Global vaccination coverage, Nigeria, 2019
- 8
According to the Global Burden of Disease (GBD), global prevalence of cases of intestinal worms in 2019 is as follows: schistosomiasis, 140.0 million; hookworm disease, 172.5 million; trichuriasis, 360.3 million; and ascariasis, 445.6 million (@Institute for Health Metrics and Evaluation, Global Burden of Disease, GBD Results Tool, Global parasitic worm infection prevalence@).
- 9
“37.65% above $10/day, 2017.” Rosen and Ortiz-Ospina, 2019, Distribution of population between different poverty thresholds, World, 1981 to 2017.
Income-increasing
Donation amount and frequency
Impact by output and outcome
In each case except GiveDirectly, we present two estimates: one based on the cost of each output and one based on the cost of each outcome. Outputs refer to the nearest-term, easiest-to-measure impacts the charities achieve, such as providing insecticide-treated nets or deworming treatments. Outcomes refer to the ultimate impact of the donation, such as saving a life or increasing someone's income, that results from the outputs.
We use cost per output and cost per outcome figures from our public cost-effectiveness model.1 This model does not yet include estimates for New Incentives; you can find those in our cost-effectiveness model for New Incentives. We divide your donation total (one-time or one-year, if recurring) by the cost of an output and an outcome to produce the results we show in the calculator.
You can read more about our approach to estimating cost-effectiveness and its role in our decisions about what to fund and recommend to donors here. Explicit cost-effectiveness estimates are a major, but not the only, input into our decision-making process. More on the principles we use in decision-making here.
For more information about the cost per output and cost per outcome figures for our top charities, see this page.
Cost to save a life with this program
For the life-saving charities we recommend, if the donation amount you enter is less than the total we estimate is needed to save a life, we'll show you our estimate of the cost to save a life with that program.
Impact estimates are updated annually (last updated: Nov. 2020). Our estimate of the cost to save a life is based on our cost-effectiveness model. This model does not yet include an estimate for New Incentives; you can find that in our cost-effectiveness model for New Incentives.
We present cost per life saved estimates as a range rounded to the nearest thousand dollars on our Impact Calculator page. This range represents our estimate of the average cost-effectiveness of a donation to that charity.. Charities' cost-effectiveness can vary widely by geography, depending on the underlying burden of disease and the costs of operating in a given country. The cost-effectiveness of any specific funding opportunity for a charity may be above or below this range.
Rounding
We round the impact numbers we share with you. We round because although we spend significant time on our cost-effectiveness analyses, we consider our estimates to be extremely rough, rather than highly precise. You can learn more about this here. We have a higher degree of confidence in our cost per output measures than our cost per outcome measures, as the former involve fewer judgment calls.
When rounding in our Impact Calculator, we choose the more conservative figure each time. For example, we round our estimate of the number of outputs provided down to the nearest whole number. If a donation is less than the amount we estimate is needed to achieve one output, the calculator will display "0" outputs achieved. We round the number of lives saved down to the nearest whole number for both numbers in the range presented. For our income-increasing charities, we round the "approximate increase to this group’s lifetime earnings" down to the nearest whole number.
Ranges
We use a range when we share our estimates of the cost to save a life. This reflects the degree of precision we believe our model can estimate, as well as the range of cost-effectiveness that charities are likely to achieve across the countries they work in. Charities' cost-effectiveness can vary widely by geography, depending on the underlying burden of disease and the costs of operating in a given country.
For the income-increasing charities we recommend, we do not use a range for the outcome.
We do not use ranges for our estimates of the cost per output in either case.
Impact of malaria
Estimates of annual malaria deaths vary from about 410,000 to 640,000.2 At least 90% of the malaria deaths reported by the World Health Organization (WHO) for 2019 were in sub-Saharan Africa, and children under five years old accounted for about two-thirds of malaria deaths globally.3
Presuming the proportion of children dying from malaria is approximately constant across countries, then at least 60% of total malaria deaths were children under 5 years old in sub-Saharan Africa (90% of total malaria deaths in sub-Saharan Africa multiplied by 67% of total malaria deaths occurring in children under five).
Impact of vitamin A deficiency
The Institute for Health Metrics and Evaluation's Global Burden of Disease project estimates that vitamin A deficiency increases the risk of diarrhea, measles, and lower respiratory tract infections.4 In 2017, an estimated 233,000 global deaths were linked to this increased risk.5
Impact of vaccine-preventable diseases
Worldwide, at least 15% infants did not receive all recommended childhood vaccines in 2019.6 In Nigeria, where New Incentives operates, 43% of infants did not receive all recommended vaccines.7
Impact of parasitic worms
Many types of parasitic worms infect human beings, causing illnesses including schistosomiasis and soil-transmitted helminthiasis. Hundreds of millions of people have these infections.8
Global incomes
According to Our World in Data’s analysis of the World Bank’s PovcalNet data, about 62% of the world’s population in 2017 had per capita consumption of $10 per day or less ($3,650 per year or less).9