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Why it’s important to think through all of the factors that influence a charity’s impact

Recent Incubation Grants - Mon, 01/13/2020 - 08:51

Charity evaluation is rarely straightforward. Many factors, within a charity’s control or outside of it, can influence the impact a charity has.

This blog post will highlight a case that illustrates how thinking through these factors can lead to surprising information that changes our understanding of a charity’s impact.

Summary

GiveWell recommended a grant to Results for Development (R4D) in May 2016 for its recently-launched program to increase access to pneumonia treatments for children in Tanzania. We thought this program was promising enough to potentially join our short list of GiveWell top charities once we had more information on its impact.

Expanded access to treatments is a factor in reducing child mortality from pneumonia, but not the only factor. We ultimately want to know not just whether more pneumonia treatments are available in Tanzania, but whether fewer children die of pneumonia as a result of R4D’s work. We expect the program to best achieve this impact if pneumonia patients visit health clinics with treatments in stock and are diagnosed and treated correctly.

We learned as we followed R4D’s work that there was limited information available on the accuracy of clinicians’ pneumonia diagnoses. We initially guessed that clinicians were diagnosing pneumonia accurately around 80 percent of the time. R4D collected data on diagnostic accuracy and we learned that the rate of accurate pneumonia diagnosis was actually 18 percent. This caused our estimate of the program’s impact to fall, though it remains in the range that we look for in potential top charities.

This finding highlights why it’s important to think through all of the factors along the path from a charity’s activities to its ultimate impact; if we had just considered whether more treatments were available, we would have missed this part of the story. We’re excited to continue following R4D’s work because of the role it has played in collecting this information to date and our expectation that it will continue collecting information that allows us to estimate its impact on the availability of pneumonia treatments across Tanzania. We expect to consider R4D as a potential future top charity.

In this post, we discuss:

  • The background for GiveWell’s grant to R4D (More)
  • Our plans for assessing the impact of R4D’s program (More)
  • Approaches to measuring R4D’s impact (More)
  • Lessons from this work (More)
Grant background

Pneumonia is a leading cause of children’s death worldwide.[1] R4D approached us in 2015 and told us that Tanzania did not have sufficient funding to maintain an adequate supply of pneumonia treatments in the country’s public sector health system.[2] R4D was interested in providing market-shaping technical assistance and catalytic, time-limited funding for pneumonia drug supplies, with the goal of improving the availability of drugs in order to avert more deaths.[3]

We recommended a GiveWell Incubation Grant in May 2016 of $6.4 million to support the first phase of R4D’s scale-up of pneumonia treatments in Tanzania. We thought R4D might meet our top charity criteria once we had more information with which to assess its impact.[4]

How will we know if R4D is reducing deaths from pneumonia?

Funding the purchase of additional pneumonia treatments would seem a simple solution to the inadequate supply of the drugs. But to truly assess the impact of the program on reducing child mortality from pneumonia, we wanted to understand:[5]

  1. Would R4D increase the availability of pneumonia treatments?
  2. Would clinicians diagnose pneumonia accurately? (We initially estimated 80 percent accuracy in diagnoses in the public and private sectors.[6])
  3. Would clinicians prescribe pneumonia treatments to people who needed them?

The second and third questions relate to factors outside of the scope of R4D’s program, which aimed to increase the availability of treatments. However, they play an important role in R4D’s success in reducing deaths from pneumonia.

We were surprised by how difficult it was to answer the second and third questions. There did not appear to be existing data from Tanzania on pneumonia diagnosis and treatment and it was challenging to design effective ways to measure them.

Gathering information

A common story we hear is that many charities do not conduct surveys to verify whether they’re reaching program participants and having the hoped-for impact because:

  • donors don’t want to pay for monitoring; or
  • charities don’t want to implement monitoring: it’s time-consuming, expensive, and not clearly in demand from donors.

Neither was true in this case. We were interested in funding measurement of the rates of accurate diagnosis and treatment. R4D was interested not only in implementing the measurement, but in taking the lead on developing creative ways to tackle questions about the program’s impact. The latter is rare in our experience. When we have asked charities how they monitor their work, we have often been told that the charity simply knows its program works.

Initial plans

R4D initially planned to use health clinic records to see whether pneumonia treatments were increasing due to its program and whether those treatments were correctly prescribed.[7] However, R4D found in an initial investigation that these records were incomplete and thus did not indicate whether the intended impact was occurring.[8]

R4D considered and decided against a number of other means of assessing whether children who had pneumonia received treatment, such as video-recording clinicians (which was rejected due to anticipated challenges in obtaining consent for patients), surveying patients outside of health clinics (which was rejected due to its cost and anticipated challenges with patient recall), and conducting a high-quality study focused on child mortality (which was rejected due to the high cost of running a sufficiently large study).[9]

Eventual solution

R4D next partnered with IDinsight, another GiveWell Incubation Grant recipient, to develop a new approach to gathering this information.[10] Working with IDinsight, the government of Tanzania, and the Tanzanian national medical school, R4D used lung ultrasounds, which directly tested whether patients with respiratory symptoms had pneumonia, to measure the accuracy rate for clinicians’ pneumonia diagnoses—a neat solution.[11]

The lung ultrasound information yielded surprising results. The rates of accurate pneumonia diagnosis were quite low. Only 18 percent of children with pneumonia confirmed by lung ultrasound were correctly diagnosed.[12]

Getting the full picture

Even that, however, didn’t tell the full story. If we had just looked at diagnostic rates and assumed that incorrect diagnosis leads to incorrect prescription of treatment, then we would have missed another important element of the story: many children who were not diagnosed with pneumonia were still prescribed the right drug to treat pneumonia. When they had the pneumonia treatment in stock, clinicians prescribed it in 46 percent of cases in which they had incorrectly diagnosed a child as having something other than pneumonia. We are unsure why.[13]

Our estimate of the cost-effectiveness of R4D’s pneumonia program fell by 27 percent when we updated it to reflect this new information.[14]

A broader question

The importance of looking for factors that influence impact across a charity’s causal chain, whether under the charity’s control or not, is not unique to pneumonia, nor Tanzania, nor R4D. For example, when we try to understand whether GiveWell top charity Against Malaria Foundation‘s work to prevent malaria by supplying insecticide-treated nets results in fewer people dying of malaria, we think through all the parts of the process that could fail. We aim to do this for our other top charities, as well.

Our estimate of R4D’s pneumonia program’s cost-effectiveness remains in the range that we look for in potential top charities and we’re excited to continue following its work.[15] But without the new information on diagnostic accuracy, we, R4D, and the government of Tanzania might have gotten an incorrect picture of its impact.

We made another grant to R4D in January 2019 to support the second phase of the pneumonia treatment program. We forecast a 40 percent chance that R4D (as a whole) or one of its specific programs (like pneumonia treatment) is a top charity by December 2023.[16] As we move forward, we plan to continue to ask ourselves all of the ways this grant might have more or less impact, as we did before, and as we do in all cases.

Sources

Sources for this post may be found here.

The post Why it’s important to think through all of the factors that influence a charity’s impact appeared first on The GiveWell Blog.

Why it’s important to think through all of the factors that influence a charity’s impact

All Categories Blogs - Mon, 01/13/2020 - 08:51

Charity evaluation is rarely straightforward. Many factors, within a charity’s control or outside of it, can influence the impact a charity has.

This blog post will highlight a case that illustrates how thinking through these factors can lead to surprising information that changes our understanding of a charity’s impact.

Summary

GiveWell recommended a grant to Results for Development (R4D) in May 2016 for its recently-launched program to increase access to pneumonia treatments for children in Tanzania. We thought this program was promising enough to potentially join our short list of GiveWell top charities once we had more information on its impact.

Expanded access to treatments is a factor in reducing child mortality from pneumonia, but not the only factor. We ultimately want to know not just whether more pneumonia treatments are available in Tanzania, but whether fewer children die of pneumonia as a result of R4D’s work. We expect the program to best achieve this impact if pneumonia patients visit health clinics with treatments in stock and are diagnosed and treated correctly.

We learned as we followed R4D’s work that there was limited information available on the accuracy of clinicians’ pneumonia diagnoses. We initially guessed that clinicians were diagnosing pneumonia accurately around 80 percent of the time. R4D collected data on diagnostic accuracy and we learned that the rate of accurate pneumonia diagnosis was actually 18 percent. This caused our estimate of the program’s impact to fall, though it remains in the range that we look for in potential top charities.

This finding highlights why it’s important to think through all of the factors along the path from a charity’s activities to its ultimate impact; if we had just considered whether more treatments were available, we would have missed this part of the story. We’re excited to continue following R4D’s work because of the role it has played in collecting this information to date and our expectation that it will continue collecting information that allows us to estimate its impact on the availability of pneumonia treatments across Tanzania. We expect to consider R4D as a potential future top charity.

In this post, we discuss:

  • The background for GiveWell’s grant to R4D (More)
  • Our plans for assessing the impact of R4D’s program (More)
  • Approaches to measuring R4D’s impact (More)
  • Lessons from this work (More)
Grant background

Pneumonia is a leading cause of children’s death worldwide.[1] R4D approached us in 2015 and told us that Tanzania did not have sufficient funding to maintain an adequate supply of pneumonia treatments in the country’s public sector health system.[2] R4D was interested in providing market-shaping technical assistance and catalytic, time-limited funding for pneumonia drug supplies, with the goal of improving the availability of drugs in order to avert more deaths.[3]

We recommended a GiveWell Incubation Grant in May 2016 of $6.4 million to support the first phase of R4D’s scale-up of pneumonia treatments in Tanzania. We thought R4D might meet our top charity criteria once we had more information with which to assess its impact.[4]

How will we know if R4D is reducing deaths from pneumonia?

Funding the purchase of additional pneumonia treatments would seem a simple solution to the inadequate supply of the drugs. But to truly assess the impact of the program on reducing child mortality from pneumonia, we wanted to understand:[5]

  1. Would R4D increase the availability of pneumonia treatments?
  2. Would clinicians diagnose pneumonia accurately? (We initially estimated 80 percent accuracy in diagnoses in the public and private sectors.[6])
  3. Would clinicians prescribe pneumonia treatments to people who needed them?

The second and third questions relate to factors outside of the scope of R4D’s program, which aimed to increase the availability of treatments. However, they play an important role in R4D’s success in reducing deaths from pneumonia.

We were surprised by how difficult it was to answer the second and third questions. There did not appear to be existing data from Tanzania on pneumonia diagnosis and treatment and it was challenging to design effective ways to measure them.

Gathering information

A common story we hear is that many charities do not conduct surveys to verify whether they’re reaching program participants and having the hoped-for impact because:

  • donors don’t want to pay for monitoring; or
  • charities don’t want to implement monitoring: it’s time-consuming, expensive, and not clearly in demand from donors.

Neither was true in this case. We were interested in funding measurement of the rates of accurate diagnosis and treatment. R4D was interested not only in implementing the measurement, but in taking the lead on developing creative ways to tackle questions about the program’s impact. The latter is rare in our experience. When we have asked charities how they monitor their work, we have often been told that the charity simply knows its program works.

Initial plans

R4D initially planned to use health clinic records to see whether pneumonia treatments were increasing due to its program and whether those treatments were correctly prescribed.[7] However, R4D found in an initial investigation that these records were incomplete and thus did not indicate whether the intended impact was occurring.[8]

R4D considered and decided against a number of other means of assessing whether children who had pneumonia received treatment, such as video-recording clinicians (which was rejected due to anticipated challenges in obtaining consent for patients), surveying patients outside of health clinics (which was rejected due to its cost and anticipated challenges with patient recall), and conducting a high-quality study focused on child mortality (which was rejected due to the high cost of running a sufficiently large study).[9]

Eventual solution

R4D next partnered with IDinsight, another GiveWell Incubation Grant recipient, to develop a new approach to gathering this information.[10] Working with IDinsight, the government of Tanzania, and the Tanzanian national medical school, R4D used lung ultrasounds, which directly tested whether patients with respiratory symptoms had pneumonia, to measure the accuracy rate for clinicians’ pneumonia diagnoses—a neat solution.[11]

The lung ultrasound information yielded surprising results. The rates of accurate pneumonia diagnosis were quite low. Only 18 percent of children with pneumonia confirmed by lung ultrasound were correctly diagnosed.[12]

Getting the full picture

Even that, however, didn’t tell the full story. If we had just looked at diagnostic rates and assumed that incorrect diagnosis leads to incorrect prescription of treatment, then we would have missed another important element of the story: many children who were not diagnosed with pneumonia were still prescribed the right drug to treat pneumonia. When they had the pneumonia treatment in stock, clinicians prescribed it in 46 percent of cases in which they had incorrectly diagnosed a child as having something other than pneumonia. We are unsure why.[13]

Our estimate of the cost-effectiveness of R4D’s pneumonia program fell by 27 percent when we updated it to reflect this new information.[14]

A broader question

The importance of looking for factors that influence impact across a charity’s causal chain, whether under the charity’s control or not, is not unique to pneumonia, nor Tanzania, nor R4D. For example, when we try to understand whether GiveWell top charity Against Malaria Foundation‘s work to prevent malaria by supplying insecticide-treated nets results in fewer people dying of malaria, we think through all the parts of the process that could fail. We aim to do this for our other top charities, as well.

Our estimate of R4D’s pneumonia program’s cost-effectiveness remains in the range that we look for in potential top charities and we’re excited to continue following its work.[15] But without the new information on diagnostic accuracy, we, R4D, and the government of Tanzania might have gotten an incorrect picture of its impact.

We made another grant to R4D in January 2019 to support the second phase of the pneumonia treatment program. We forecast a 40 percent chance that R4D (as a whole) or one of its specific programs (like pneumonia treatment) is a top charity by December 2023.[16] As we move forward, we plan to continue to ask ourselves all of the ways this grant might have more or less impact, as we did before, and as we do in all cases.

Sources

Sources for this post may be found here.

The post Why it’s important to think through all of the factors that influence a charity’s impact appeared first on The GiveWell Blog.

Why it’s important to think through all of the factors that influence a charity’s impact

Charity evaluation is rarely straightforward. Many factors, within a charity’s control or outside of it, can influence the impact a charity has.

This blog post will highlight a case that illustrates how thinking through these factors can lead to surprising information that changes our understanding of a charity’s impact.

Summary

GiveWell recommended a grant to Results for Development (R4D) in May 2016 for its recently-launched program to increase access to pneumonia treatments for children in Tanzania. We thought this program was promising enough to potentially join our short list of GiveWell top charities once we had more information on its impact.

Expanded access to treatments is a factor in reducing child mortality from pneumonia, but not the only factor. We ultimately want to know not just whether more pneumonia treatments are available in Tanzania, but whether fewer children die of pneumonia as a result of R4D’s work. We expect the program to best achieve this impact if pneumonia patients visit health clinics with treatments in stock and are diagnosed and treated correctly.

We learned as we followed R4D’s work that there was limited information available on the accuracy of clinicians’ pneumonia diagnoses. We initially guessed that clinicians were diagnosing pneumonia accurately around 80 percent of the time. R4D collected data on diagnostic accuracy and we learned that the rate of accurate pneumonia diagnosis was actually 18 percent. This caused our estimate of the program’s impact to fall, though it remains in the range that we look for in potential top charities.

This finding highlights why it’s important to think through all of the factors along the path from a charity’s activities to its ultimate impact; if we had just considered whether more treatments were available, we would have missed this part of the story. We’re excited to continue following R4D’s work because of the role it has played in collecting this information to date and our expectation that it will continue collecting information that allows us to estimate its impact on the availability of pneumonia treatments across Tanzania. We expect to consider R4D as a potential future top charity.

In this post, we discuss:

  • The background for GiveWell’s grant to R4D (More)
  • Our plans for assessing the impact of R4D’s program (More)
  • Approaches to measuring R4D’s impact (More)
  • Lessons from this work (More)
Grant background

Pneumonia is a leading cause of children’s death worldwide.[1] R4D approached us in 2015 and told us that Tanzania did not have sufficient funding to maintain an adequate supply of pneumonia treatments in the country’s public sector health system.[2] R4D was interested in providing market-shaping technical assistance and catalytic, time-limited funding for pneumonia drug supplies, with the goal of improving the availability of drugs in order to avert more deaths.[3]

We recommended a GiveWell Incubation Grant in May 2016 of $6.4 million to support the first phase of R4D’s scale-up of pneumonia treatments in Tanzania. We thought R4D might meet our top charity criteria once we had more information with which to assess its impact.[4]

How will we know if R4D is reducing deaths from pneumonia?

Funding the purchase of additional pneumonia treatments would seem a simple solution to the inadequate supply of the drugs. But to truly assess the impact of the program on reducing child mortality from pneumonia, we wanted to understand:[5]

  1. Would R4D increase the availability of pneumonia treatments?
  2. Would clinicians diagnose pneumonia accurately? (We initially estimated 80 percent accuracy in diagnoses in the public and private sectors.[6])
  3. Would clinicians prescribe pneumonia treatments to people who needed them?

The second and third questions relate to factors outside of the scope of R4D’s program, which aimed to increase the availability of treatments. However, they play an important role in R4D’s success in reducing deaths from pneumonia.

We were surprised by how difficult it was to answer the second and third questions. There did not appear to be existing data from Tanzania on pneumonia diagnosis and treatment and it was challenging to design effective ways to measure them.

Gathering information

A common story we hear is that many charities do not conduct surveys to verify whether they’re reaching program participants and having the hoped-for impact because:

  • donors don’t want to pay for monitoring; or
  • charities don’t want to implement monitoring: it’s time-consuming, expensive, and not clearly in demand from donors.

Neither was true in this case. We were interested in funding measurement of the rates of accurate diagnosis and treatment. R4D was interested not only in implementing the measurement, but in taking the lead on developing creative ways to tackle questions about the program’s impact. The latter is rare in our experience. When we have asked charities how they monitor their work, we have often been told that the charity simply knows its program works.

Initial plans

R4D initially planned to use health clinic records to see whether pneumonia treatments were increasing due to its program and whether those treatments were correctly prescribed.[7] However, R4D found in an initial investigation that these records were incomplete and thus did not indicate whether the intended impact was occurring.[8]

R4D considered and decided against a number of other means of assessing whether children who had pneumonia received treatment, such as video-recording clinicians (which was rejected due to anticipated challenges in obtaining consent for patients), surveying patients outside of health clinics (which was rejected due to its cost and anticipated challenges with patient recall), and conducting a high-quality study focused on child mortality (which was rejected due to the high cost of running a sufficiently large study).[9]

Eventual solution

R4D next partnered with IDinsight, another GiveWell Incubation Grant recipient, to develop a new approach to gathering this information.[10] Working with IDinsight, the government of Tanzania, and the Tanzanian national medical school, R4D used lung ultrasounds, which directly tested whether patients with respiratory symptoms had pneumonia, to measure the accuracy rate for clinicians’ pneumonia diagnoses—a neat solution.[11]

The lung ultrasound information yielded surprising results. The rates of accurate pneumonia diagnosis were quite low. Only 18 percent of children with pneumonia confirmed by lung ultrasound were correctly diagnosed.[12]

Getting the full picture

Even that, however, didn’t tell the full story. If we had just looked at diagnostic rates and assumed that incorrect diagnosis leads to incorrect prescription of treatment, then we would have missed another important element of the story: many children who were not diagnosed with pneumonia were still prescribed the right drug to treat pneumonia. When they had the pneumonia treatment in stock, clinicians prescribed it in 46 percent of cases in which they had incorrectly diagnosed a child as having something other than pneumonia. We are unsure why.[13]

Our estimate of the cost-effectiveness of R4D’s pneumonia program fell by 27 percent when we updated it to reflect this new information.[14]

A broader question

The importance of looking for factors that influence impact across a charity’s causal chain, whether under the charity’s control or not, is not unique to pneumonia, nor Tanzania, nor R4D. For example, when we try to understand whether GiveWell top charity Against Malaria Foundation‘s work to prevent malaria by supplying insecticide-treated nets results in fewer people dying of malaria, we think through all the parts of the process that could fail. We aim to do this for our other top charities, as well.

Our estimate of R4D’s pneumonia program’s cost-effectiveness remains in the range that we look for in potential top charities and we’re excited to continue following its work.[15] But without the new information on diagnostic accuracy, we, R4D, and the government of Tanzania might have gotten an incorrect picture of its impact.

We made another grant to R4D in January 2019 to support the second phase of the pneumonia treatment program. We forecast a 40 percent chance that R4D (as a whole) or one of its specific programs (like pneumonia treatment) is a top charity by December 2023.[16] As we move forward, we plan to continue to ask ourselves all of the ways this grant might have more or less impact, as we did before, and as we do in all cases.

Sources

Sources for this post may be found here.

The post Why it’s important to think through all of the factors that influence a charity’s impact appeared first on The GiveWell Blog.

Update on our work on Fistula Foundation

All Categories Blogs - Thu, 01/02/2020 - 10:06

Although our list of top charities is short (just eight excellent organizations), we’re always on the lookout for other groups to add. Fistula Foundation is one of the charities we’re planning to prioritize highly for further evaluation. Donating to Fistula Foundation is not yet one of our recommendations—as it’s still under active investigation—but we’re excited to share an update on our work so far and next steps.

Living with fistula

An obstetric fistula is an abnormal opening between the vagina and the bladder or rectum, which causes leakage of urine and/or feces through the vagina.[1] This type of fistula[2] is typically caused by a prolonged obstructed labor in which the fetus presses on the mother’s pubic bone and cuts off blood flow to the tissue nearby.[3]

Living with fistula may cause harm in many ways: physically, through skin conditions and constipation; economically, as it may be hard to get or keep a job, due to odor; and socially, as fistula is associated with divorce and isolation, also due to the odor.[4] Describing a fistula patient’s experience in 2016, New York Times columnist Nicholas Kristof referred to people with fistulas as “modern-day lepers.”[5]

Surgery may be used to repair fistulas in many cases.[6] Fistula Foundation supports fistula repair surgeries and a variety of activities to increase the number of fistula patients who receive treatment.[7]

GiveWell and Fistula Foundation

We first reviewed Fistula Foundation as a potential top charity in 2011, two years after it expanded its mission to treat fistula globally.[8] We decided that it did not then meet our strict top charity requirements due to our uncertainty about the success of surgeries and our lack of confidence in the degree to which Fistula Foundation’s support caused surgeries to take place that otherwise would not have.[9]

Our charity review process evolved over the years that followed. We began placing more emphasis on completing independent evidence reviews for promising programs as a first step in our research process, before looking at individual charities implementing the most promising programs that we identify: our “priority programs.”

As part of our work to complete more evidence reviews, we looked into surgery to repair obstetric fistula in 2017. We estimated that fistula surgery was potentially in the range of cost-effectiveness of our priority programs, although we had major open questions about the cost of surgery and patients’ long-term outcomes.[10] Despite these questions, we felt that fistula surgery met our criteria to be named a priority program and we continued our work to better understand it.

We partnered with a group called IDinsight through GiveWell’s Incubation Grants program to improve our understanding of the cost of fistula surgery. This was particularly challenging for us to estimate due to our uncertainty over (a) the cost to reach potential patients, who may be in remote areas and socially disconnected, and (b) the costs and impact of training surgeons and providing equipment (typical activities conducted by fistula management charities) on the long-term success of the surgeries.[11] Though we were interested in fistula management charities broadly, IDinsight identified Fistula Foundation as a promising group and produced an estimate of Fistula Foundation’s cost per surgery in Kenya, including outreach and indirect costs such as training.[12]

Our evidence review and work with IDinsight led us to revisit Fistula Foundation as a potential top charity. We made a $100,000 participation grant to Fistula Foundation after publishing an interim review of its work.[13]

Top charity contender

We consider Fistula Foundation a top charity contender. Our next steps are to determine which evidence will help us understand the effect Fistula Foundation’s programs have had on the number of surgeries performed, which is a key input into our understanding of its cost-effectiveness, and to review recent studies on the impact of fistula surgery at one to two years post-surgery.

Our open questions and next steps

Open questions

We plan to prioritize several key questions as we continue our review of Fistula Foundation. We want to better understand:[14]

  • the role Fistula Foundation plays in supporting additional surgeries;
  • the long-term outcomes of surgeries supported by Fistula Foundation;
  • the counterfactual impact of Fistula Foundation (i.e. the degree to which it is increasing the number of fistula surgeries performed, relative to what would have occurred in its absence); and
  • the opportunity costs of fistula surgery (e.g. what the doctors who treat fistulas would have done in the absence of this program).

Next steps

We’re unsure when we will complete our review. The timing will depend on our overall research capacity as well as how we prioritize Fistula Foundation alongside review of other potential top charities. We very roughly estimate that there’s a 30% chance we will review Fistula Foundation in 2020.

We’re still in the process of vetting Fistula Foundation and have more confidence in our current list of top charities. We’re excited to continue learning about the work of this promising organization in the future.

Sources

Sources for this post may be found here.

The post Update on our work on Fistula Foundation appeared first on The GiveWell Blog.

Update on our work on Fistula Foundation

Although our list of top charities is short (just eight excellent organizations), we’re always on the lookout for other groups to add. Fistula Foundation is one of the charities we’re planning to prioritize highly for further evaluation. Donating to Fistula Foundation is not yet one of our recommendations—as it’s still under active investigation—but we’re excited to share an update on our work so far and next steps.

Living with fistula

An obstetric fistula is an abnormal opening between the vagina and the bladder or rectum, which causes leakage of urine and/or feces through the vagina.[1] This type of fistula[2] is typically caused by a prolonged obstructed labor in which the fetus presses on the mother’s pubic bone and cuts off blood flow to the tissue nearby.[3]

Living with fistula may cause harm in many ways: physically, through skin conditions and constipation; economically, as it may be hard to get or keep a job, due to odor; and socially, as fistula is associated with divorce and isolation, also due to the odor.[4] Describing a fistula patient’s experience in 2016, New York Times columnist Nicholas Kristof referred to people with fistulas as “modern-day lepers.”[5]

Surgery may be used to repair fistulas in many cases.[6] Fistula Foundation supports fistula repair surgeries and a variety of activities to increase the number of fistula patients who receive treatment.[7]

GiveWell and Fistula Foundation

We first reviewed Fistula Foundation as a potential top charity in 2011, two years after it expanded its mission to treat fistula globally.[8] We decided that it did not then meet our strict top charity requirements due to our uncertainty about the success of surgeries and our lack of confidence in the degree to which Fistula Foundation’s support caused surgeries to take place that otherwise would not have.[9]

Our charity review process evolved over the years that followed. We began placing more emphasis on completing independent evidence reviews for promising programs as a first step in our research process, before looking at individual charities implementing the most promising programs that we identify: our “priority programs.”

As part of our work to complete more evidence reviews, we looked into surgery to repair obstetric fistula in 2017. We estimated that fistula surgery was potentially in the range of cost-effectiveness of our priority programs, although we had major open questions about the cost of surgery and patients’ long-term outcomes.[10] Despite these questions, we felt that fistula surgery met our criteria to be named a priority program and we continued our work to better understand it.

We partnered with a group called IDinsight through GiveWell’s Incubation Grants program to improve our understanding of the cost of fistula surgery. This was particularly challenging for us to estimate due to our uncertainty over (a) the cost to reach potential patients, who may be in remote areas and socially disconnected, and (b) the costs and impact of training surgeons and providing equipment (typical activities conducted by fistula management charities) on the long-term success of the surgeries.[11] Though we were interested in fistula management charities broadly, IDinsight identified Fistula Foundation as a promising group and produced an estimate of Fistula Foundation’s cost per surgery in Kenya, including outreach and indirect costs such as training.[12]

Our evidence review and work with IDinsight led us to revisit Fistula Foundation as a potential top charity. We made a $100,000 participation grant to Fistula Foundation after publishing an interim review of its work.[13]

Top charity contender

We consider Fistula Foundation a top charity contender. Our next steps are to determine which evidence will help us understand the effect Fistula Foundation’s programs have had on the number of surgeries performed, which is a key input into our understanding of its cost-effectiveness, and to review recent studies on the impact of fistula surgery at one to two years post-surgery.

Our open questions and next steps

Open questions

We plan to prioritize several key questions as we continue our review of Fistula Foundation. We want to better understand:[14]

  • the role Fistula Foundation plays in supporting additional surgeries;
  • the long-term outcomes of surgeries supported by Fistula Foundation;
  • the counterfactual impact of Fistula Foundation (i.e. the degree to which it is increasing the number of fistula surgeries performed, relative to what would have occurred in its absence); and
  • the opportunity costs of fistula surgery (e.g. what the doctors who treat fistulas would have done in the absence of this program).

Next steps

We’re unsure when we will complete our review. The timing will depend on our overall research capacity as well as how we prioritize Fistula Foundation alongside review of other potential top charities. We very roughly estimate that there’s a 30% chance we will review Fistula Foundation in 2020.

We’re still in the process of vetting Fistula Foundation and have more confidence in our current list of top charities. We’re excited to continue learning about the work of this promising organization in the future.

Sources

Sources for this post may be found here.

The post Update on our work on Fistula Foundation appeared first on The GiveWell Blog.

Allocation of discretionary funds from Q3 2019

All Categories Blogs - Thu, 12/19/2019 - 11:18

In the third quarter of 2019, donors gave a combined $2.6 million to GiveWell for granting to recommended charities at our discretion. We greatly appreciate this support, which enables us to direct funding where we believe it can be used most impactfully. We grant this funding to one or more of our top charities each quarter.

We decided to allocate all $2.6 million to Helen Keller International’s (HKI) vitamin A supplementation (VAS) program. HKI is a GiveWell top charity that supports provision of vitamin A supplements to young children, reducing their likelihood of dying from infectious disease. It does so by providing technical assistance, engaging in advocacy, and contributing funding to government-run VAS programs in sub-Saharan Africa. We based our decision on our estimate of the high cost-effectiveness of the work HKI expects to conduct with this funding.

We provide an updated recommendation for donors below.

Summary

In this post, we discuss:

  • what HKI will do with this funding. (More)
  • our process for deciding where to allocate funds. (More)
  • our bottom line for donors giving today. (More)

Unlike other quarters, we made our decision of where to allocate third-quarter (Q3) discretionary funding alongside annual updates to our list of top charity recommendations, which we published in November. As part of our annual update, we provided a recommendation to Open Philanthropy, a philanthropic organization that is a major supporter of our top charities, about how it should allocate funding to each of our top charities in 2019. We reference this recommendation below.

What will HKI do with this funding?

In addition to granting $2.6 million in Q3 discretionary funding, in November 2019, we recommended that Open Philanthropy grant $9.7 million to HKI’s VAS program, for a total of $12.3 million. This funding will enable HKI to spend:

  • $5.5 million to continue its work in five countries (Guinea, Mali, Burkina Faso, Côte d’Ivoire, and Niger), including supplementing its budgets in 2020 and 2021 and extending its funding runway to 2022.
  • $4.5 million to start a new program in the Democratic Republic of Congo, with funding to cover 2020-2022.
  • $2.4 million to expand its program to Bauchi State, Nigeria, with funding to cover 2020-2022.

We believe that Q3 discretionary funding will be pooled with the Open Philanthropy grant to enable the above; we don’t restrict discretionary funds to a particular piece of HKI’s VAS work, and see all of the above as valuable.

This work is highly cost-effective. We estimate that it is 28 times as cost-effective as cash transfers (“28x cash”)1We use the unconditional cash transfer program implemented by top charity GiveDirectly as a benchmark for comparing the cost-effectiveness of different programs. When discussing cost-effectiveness, we generally refer to the cost-effectiveness of a program in multiples of “cash.” jQuery("#footnote_plugin_tooltip_1").tooltip({ tip: "#footnote_plugin_tooltip_text_1", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); overall, and, by country, ranges from 19x cash to 38x cash.2Estimates of the cost-effectiveness of each funding gap can be found in this spreadsheet, sheet “List of funding gaps.” See column AB, rows 38-43 and 46 for our country-level estimates and cell T60 for our overall estimate. Throughout this page, we are using “adjusted” cost-effectiveness figures, i.e. cost-effectiveness estimates that adjust for certain factors, such as a charity’s quality of monitoring, that are not part of our main cost-effectiveness analysis. The adjusted estimates drive our allocation recommendations. jQuery("#footnote_plugin_tooltip_2").tooltip({ tip: "#footnote_plugin_tooltip_text_2", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); Additional details on HKI’s funding needs and spending plans are here.

Our process for deciding where to allocate funds

In late 2019, our top charities shared information about how they would use additional funding. Each charity has different opportunities to spend funding that can vary in cost-effectiveness: for example, extension of a charity’s program in one country or expansion of its program to a new country. In some cases, we don’t believe that a charity will be able to support those opportunities with its existing budget and projected donations. In those cases, we refer to the charity’s “funding gaps.”

In general, we follow the seven principles described in this page when deciding which funding gaps to fill. The first of these principles is to put significant weight on our cost-effectiveness estimates, which aim to capture total improvement in well-being per dollar spent. These estimates suggested that HKI’s VAS program had a very high priority funding gap (28x cash overall in the seven countries listed above).

Other possibilities we considered

Sightsavers’ deworming program. We estimated that allocating $2.6 million to GiveWell top charity Sightsavers for its deworming program would be similar in cost-effectiveness to HKI’s VAS program.3See this spreadsheet, sheet “List of funding gaps,” cell T58. jQuery("#footnote_plugin_tooltip_3").tooltip({ tip: "#footnote_plugin_tooltip_text_3", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] });

We decided to allocate the $2.6 million to HKI’s VAS program because at the time we made the decision (in October), we were considering changes to our deworming cost-effectiveness model and were uncertain whether we would estimate Sightsavers’ cost-effectiveness as higher or lower than HKI’s.

Other top charities (Against Malaria Foundation, Malaria Consortium’s seasonal malaria chemoprevention program, END Fund’s deworming program, and GiveDirectly). At the time of our decision, we estimated that supporting HKI’s VAS program or Sightsavers’ deworming program would be significantly more cost-effective than supporting other top charities, and thus decided to focus our decision on comparing HKI’s VAS program and Sightsavers’ deworming program.

We did not compare HKI’s VAS program to our top charities SCI Foundation or Evidence Action’s Deworm the World, which we do not believe have near-term funding needs.

Our bottom line for donors giving today

We continue to recommend that donors giving to GiveWell choose the option on our donation form for “grants to recommended charities at GiveWell’s discretion” so that we can direct the funding to the top charity or charities with the most pressing funding needs.

As part of our annual update, we recommended that Open Philanthropy make several grants to our top charities. Taking Open Philanthropy’s support into account, we note that if we had additional funds to allocate at this time, we would likely allocate them to Malaria Consortium’s seasonal malaria chemoprevention (SMC) program. We believe that Malaria Consortium’s program has the highest impact per additional dollar donated today. After the Open Philanthropy grant and the Q3 discretionary funding, additional donations to HKI’s VAS program would support funding gaps that we model as less cost-effective than the funding gaps on Malaria Consortium’s current margin.

Notes   [ + ]

1. ↑ We use the unconditional cash transfer program implemented by top charity GiveDirectly as a benchmark for comparing the cost-effectiveness of different programs. When discussing cost-effectiveness, we generally refer to the cost-effectiveness of a program in multiples of “cash.” 2. ↑ Estimates of the cost-effectiveness of each funding gap can be found in this spreadsheet, sheet “List of funding gaps.” See column AB, rows 38-43 and 46 for our country-level estimates and cell T60 for our overall estimate. Throughout this page, we are using “adjusted” cost-effectiveness figures, i.e. cost-effectiveness estimates that adjust for certain factors, such as a charity’s quality of monitoring, that are not part of our main cost-effectiveness analysis. The adjusted estimates drive our allocation recommendations. 3. ↑ See this spreadsheet, sheet “List of funding gaps,” cell T58. function footnote_expand_reference_container() { jQuery("#footnote_references_container").show(); jQuery("#footnote_reference_container_collapse_button").text("-"); } function footnote_collapse_reference_container() { jQuery("#footnote_references_container").hide(); jQuery("#footnote_reference_container_collapse_button").text("+"); } function footnote_expand_collapse_reference_container() { if (jQuery("#footnote_references_container").is(":hidden")) { footnote_expand_reference_container(); } else { footnote_collapse_reference_container(); } } function footnote_moveToAnchor(p_str_TargetID) { footnote_expand_reference_container(); var l_obj_Target = jQuery("#" + p_str_TargetID); if(l_obj_Target.length) { jQuery('html, body').animate({ scrollTop: l_obj_Target.offset().top - window.innerHeight/2 }, 1000); } }

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Allocation of discretionary funds from Q3 2019

Top Charities Blogs - Thu, 12/19/2019 - 11:18

In the third quarter of 2019, donors gave a combined $2.6 million to GiveWell for granting to recommended charities at our discretion. We greatly appreciate this support, which enables us to direct funding where we believe it can be used most impactfully. We grant this funding to one or more of our top charities each quarter.

We decided to allocate all $2.6 million to Helen Keller International’s (HKI) vitamin A supplementation (VAS) program. HKI is a GiveWell top charity that supports provision of vitamin A supplements to young children, reducing their likelihood of dying from infectious disease. It does so by providing technical assistance, engaging in advocacy, and contributing funding to government-run VAS programs in sub-Saharan Africa. We based our decision on our estimate of the high cost-effectiveness of the work HKI expects to conduct with this funding.

We provide an updated recommendation for donors below.

Summary

In this post, we discuss:

  • what HKI will do with this funding. (More)
  • our process for deciding where to allocate funds. (More)
  • our bottom line for donors giving today. (More)

Unlike other quarters, we made our decision of where to allocate third-quarter (Q3) discretionary funding alongside annual updates to our list of top charity recommendations, which we published in November. As part of our annual update, we provided a recommendation to Open Philanthropy, a philanthropic organization that is a major supporter of our top charities, about how it should allocate funding to each of our top charities in 2019. We reference this recommendation below.

What will HKI do with this funding?

In addition to granting $2.6 million in Q3 discretionary funding, in November 2019, we recommended that Open Philanthropy grant $9.7 million to HKI’s VAS program, for a total of $12.3 million. This funding will enable HKI to spend:

  • $5.5 million to continue its work in five countries (Guinea, Mali, Burkina Faso, Côte d’Ivoire, and Niger), including supplementing its budgets in 2020 and 2021 and extending its funding runway to 2022.
  • $4.5 million to start a new program in the Democratic Republic of Congo, with funding to cover 2020-2022.
  • $2.4 million to expand its program to Bauchi State, Nigeria, with funding to cover 2020-2022.

We believe that Q3 discretionary funding will be pooled with the Open Philanthropy grant to enable the above; we don’t restrict discretionary funds to a particular piece of HKI’s VAS work, and see all of the above as valuable.

This work is highly cost-effective. We estimate that it is 28 times as cost-effective as cash transfers (“28x cash”)1We use the unconditional cash transfer program implemented by top charity GiveDirectly as a benchmark for comparing the cost-effectiveness of different programs. When discussing cost-effectiveness, we generally refer to the cost-effectiveness of a program in multiples of “cash.” jQuery("#footnote_plugin_tooltip_1").tooltip({ tip: "#footnote_plugin_tooltip_text_1", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); overall, and, by country, ranges from 19x cash to 38x cash.2Estimates of the cost-effectiveness of each funding gap can be found in this spreadsheet, sheet “List of funding gaps.” See column AB, rows 38-43 and 46 for our country-level estimates and cell T60 for our overall estimate. Throughout this page, we are using “adjusted” cost-effectiveness figures, i.e. cost-effectiveness estimates that adjust for certain factors, such as a charity’s quality of monitoring, that are not part of our main cost-effectiveness analysis. The adjusted estimates drive our allocation recommendations. jQuery("#footnote_plugin_tooltip_2").tooltip({ tip: "#footnote_plugin_tooltip_text_2", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); Additional details on HKI’s funding needs and spending plans are here.

Our process for deciding where to allocate funds

In late 2019, our top charities shared information about how they would use additional funding. Each charity has different opportunities to spend funding that can vary in cost-effectiveness: for example, extension of a charity’s program in one country or expansion of its program to a new country. In some cases, we don’t believe that a charity will be able to support those opportunities with its existing budget and projected donations. In those cases, we refer to the charity’s “funding gaps.”

In general, we follow the seven principles described in this page when deciding which funding gaps to fill. The first of these principles is to put significant weight on our cost-effectiveness estimates, which aim to capture total improvement in well-being per dollar spent. These estimates suggested that HKI’s VAS program had a very high priority funding gap (28x cash overall in the seven countries listed above).

Other possibilities we considered

Sightsavers’ deworming program. We estimated that allocating $2.6 million to GiveWell top charity Sightsavers for its deworming program would be similar in cost-effectiveness to HKI’s VAS program.3See this spreadsheet, sheet “List of funding gaps,” cell T58. jQuery("#footnote_plugin_tooltip_3").tooltip({ tip: "#footnote_plugin_tooltip_text_3", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] });

We decided to allocate the $2.6 million to HKI’s VAS program because at the time we made the decision (in October), we were considering changes to our deworming cost-effectiveness model and were uncertain whether we would estimate Sightsavers’ cost-effectiveness as higher or lower than HKI’s.

Other top charities (Against Malaria Foundation, Malaria Consortium’s seasonal malaria chemoprevention program, END Fund’s deworming program, and GiveDirectly). At the time of our decision, we estimated that supporting HKI’s VAS program or Sightsavers’ deworming program would be significantly more cost-effective than supporting other top charities, and thus decided to focus our decision on comparing HKI’s VAS program and Sightsavers’ deworming program.

We did not compare HKI’s VAS program to our top charities SCI Foundation or Evidence Action’s Deworm the World, which we do not believe have near-term funding needs.

Our bottom line for donors giving today

We continue to recommend that donors giving to GiveWell choose the option on our donation form for “grants to recommended charities at GiveWell’s discretion” so that we can direct the funding to the top charity or charities with the most pressing funding needs.

As part of our annual update, we recommended that Open Philanthropy make several grants to our top charities. Taking Open Philanthropy’s support into account, we note that if we had additional funds to allocate at this time, we would likely allocate them to Malaria Consortium’s seasonal malaria chemoprevention (SMC) program. We believe that Malaria Consortium’s program has the highest impact per additional dollar donated today. After the Open Philanthropy grant and the Q3 discretionary funding, additional donations to HKI’s VAS program would support funding gaps that we model as less cost-effective than the funding gaps on Malaria Consortium’s current margin.

Notes   [ + ]

1. ↑ We use the unconditional cash transfer program implemented by top charity GiveDirectly as a benchmark for comparing the cost-effectiveness of different programs. When discussing cost-effectiveness, we generally refer to the cost-effectiveness of a program in multiples of “cash.” 2. ↑ Estimates of the cost-effectiveness of each funding gap can be found in this spreadsheet, sheet “List of funding gaps.” See column AB, rows 38-43 and 46 for our country-level estimates and cell T60 for our overall estimate. Throughout this page, we are using “adjusted” cost-effectiveness figures, i.e. cost-effectiveness estimates that adjust for certain factors, such as a charity’s quality of monitoring, that are not part of our main cost-effectiveness analysis. The adjusted estimates drive our allocation recommendations. 3. ↑ See this spreadsheet, sheet “List of funding gaps,” cell T58. function footnote_expand_reference_container() { jQuery("#footnote_references_container").show(); jQuery("#footnote_reference_container_collapse_button").text("-"); } function footnote_collapse_reference_container() { jQuery("#footnote_references_container").hide(); jQuery("#footnote_reference_container_collapse_button").text("+"); } function footnote_expand_collapse_reference_container() { if (jQuery("#footnote_references_container").is(":hidden")) { footnote_expand_reference_container(); } else { footnote_collapse_reference_container(); } } function footnote_moveToAnchor(p_str_TargetID) { footnote_expand_reference_container(); var l_obj_Target = jQuery("#" + p_str_TargetID); if(l_obj_Target.length) { jQuery('html, body').animate({ scrollTop: l_obj_Target.offset().top - window.innerHeight/2 }, 1000); } }

The post Allocation of discretionary funds from Q3 2019 appeared first on The GiveWell Blog.

Allocation of discretionary funds from Q3 2019

In the third quarter of 2019, donors gave a combined $2.6 million to GiveWell for granting to recommended charities at our discretion. We greatly appreciate this support, which enables us to direct funding where we believe it can be used most impactfully. We grant this funding to one or more of our top charities each quarter.

We decided to allocate all $2.6 million to Helen Keller International’s (HKI) vitamin A supplementation (VAS) program. HKI is a GiveWell top charity that supports provision of vitamin A supplements to young children, reducing their likelihood of dying from infectious disease. It does so by providing technical assistance, engaging in advocacy, and contributing funding to government-run VAS programs in sub-Saharan Africa. We based our decision on our estimate of the high cost-effectiveness of the work HKI expects to conduct with this funding.

We provide an updated recommendation for donors below.

Summary

In this post, we discuss:

  • what HKI will do with this funding. (More)
  • our process for deciding where to allocate funds. (More)
  • our bottom line for donors giving today. (More)

Unlike other quarters, we made our decision of where to allocate third-quarter (Q3) discretionary funding alongside annual updates to our list of top charity recommendations, which we published in November. As part of our annual update, we provided a recommendation to Open Philanthropy, a philanthropic organization that is a major supporter of our top charities, about how it should allocate funding to each of our top charities in 2019. We reference this recommendation below.

What will HKI do with this funding?

In addition to granting $2.6 million in Q3 discretionary funding, in November 2019, we recommended that Open Philanthropy grant $9.7 million to HKI’s VAS program, for a total of $12.3 million. This funding will enable HKI to spend:

  • $5.5 million to continue its work in five countries (Guinea, Mali, Burkina Faso, Côte d’Ivoire, and Niger), including supplementing its budgets in 2020 and 2021 and extending its funding runway to 2022.
  • $4.5 million to start a new program in the Democratic Republic of Congo, with funding to cover 2020-2022.
  • $2.4 million to expand its program to Bauchi State, Nigeria, with funding to cover 2020-2022.

We believe that Q3 discretionary funding will be pooled with the Open Philanthropy grant to enable the above; we don’t restrict discretionary funds to a particular piece of HKI’s VAS work, and see all of the above as valuable.

This work is highly cost-effective. We estimate that it is 28 times as cost-effective as cash transfers (“28x cash”)1We use the unconditional cash transfer program implemented by top charity GiveDirectly as a benchmark for comparing the cost-effectiveness of different programs. When discussing cost-effectiveness, we generally refer to the cost-effectiveness of a program in multiples of “cash.” jQuery("#footnote_plugin_tooltip_1").tooltip({ tip: "#footnote_plugin_tooltip_text_1", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); overall, and, by country, ranges from 19x cash to 38x cash.2Estimates of the cost-effectiveness of each funding gap can be found in this spreadsheet, sheet “List of funding gaps.” See column AB, rows 38-43 and 46 for our country-level estimates and cell T60 for our overall estimate. Throughout this page, we are using “adjusted” cost-effectiveness figures, i.e. cost-effectiveness estimates that adjust for certain factors, such as a charity’s quality of monitoring, that are not part of our main cost-effectiveness analysis. The adjusted estimates drive our allocation recommendations. jQuery("#footnote_plugin_tooltip_2").tooltip({ tip: "#footnote_plugin_tooltip_text_2", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); Additional details on HKI’s funding needs and spending plans are here.

Our process for deciding where to allocate funds

In late 2019, our top charities shared information about how they would use additional funding. Each charity has different opportunities to spend funding that can vary in cost-effectiveness: for example, extension of a charity’s program in one country or expansion of its program to a new country. In some cases, we don’t believe that a charity will be able to support those opportunities with its existing budget and projected donations. In those cases, we refer to the charity’s “funding gaps.”

In general, we follow the seven principles described in this page when deciding which funding gaps to fill. The first of these principles is to put significant weight on our cost-effectiveness estimates, which aim to capture total improvement in well-being per dollar spent. These estimates suggested that HKI’s VAS program had a very high priority funding gap (28x cash overall in the seven countries listed above).

Other possibilities we considered

Sightsavers’ deworming program. We estimated that allocating $2.6 million to GiveWell top charity Sightsavers for its deworming program would be similar in cost-effectiveness to HKI’s VAS program.3See this spreadsheet, sheet “List of funding gaps,” cell T58. jQuery("#footnote_plugin_tooltip_3").tooltip({ tip: "#footnote_plugin_tooltip_text_3", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] });

We decided to allocate the $2.6 million to HKI’s VAS program because at the time we made the decision (in October), we were considering changes to our deworming cost-effectiveness model and were uncertain whether we would estimate Sightsavers’ cost-effectiveness as higher or lower than HKI’s.

Other top charities (Against Malaria Foundation, Malaria Consortium’s seasonal malaria chemoprevention program, END Fund’s deworming program, and GiveDirectly). At the time of our decision, we estimated that supporting HKI’s VAS program or Sightsavers’ deworming program would be significantly more cost-effective than supporting other top charities, and thus decided to focus our decision on comparing HKI’s VAS program and Sightsavers’ deworming program.

We did not compare HKI’s VAS program to our top charities SCI Foundation or Evidence Action’s Deworm the World, which we do not believe have near-term funding needs.

Our bottom line for donors giving today

We continue to recommend that donors giving to GiveWell choose the option on our donation form for “grants to recommended charities at GiveWell’s discretion” so that we can direct the funding to the top charity or charities with the most pressing funding needs.

As part of our annual update, we recommended that Open Philanthropy make several grants to our top charities. Taking Open Philanthropy’s support into account, we note that if we had additional funds to allocate at this time, we would likely allocate them to Malaria Consortium’s seasonal malaria chemoprevention (SMC) program. We believe that Malaria Consortium’s program has the highest impact per additional dollar donated today. After the Open Philanthropy grant and the Q3 discretionary funding, additional donations to HKI’s VAS program would support funding gaps that we model as less cost-effective than the funding gaps on Malaria Consortium’s current margin.

Notes   [ + ]

1. ↑ We use the unconditional cash transfer program implemented by top charity GiveDirectly as a benchmark for comparing the cost-effectiveness of different programs. When discussing cost-effectiveness, we generally refer to the cost-effectiveness of a program in multiples of “cash.” 2. ↑ Estimates of the cost-effectiveness of each funding gap can be found in this spreadsheet, sheet “List of funding gaps.” See column AB, rows 38-43 and 46 for our country-level estimates and cell T60 for our overall estimate. Throughout this page, we are using “adjusted” cost-effectiveness figures, i.e. cost-effectiveness estimates that adjust for certain factors, such as a charity’s quality of monitoring, that are not part of our main cost-effectiveness analysis. The adjusted estimates drive our allocation recommendations. 3. ↑ See this spreadsheet, sheet “List of funding gaps,” cell T58. function footnote_expand_reference_container() { jQuery("#footnote_references_container").show(); jQuery("#footnote_reference_container_collapse_button").text("-"); } function footnote_collapse_reference_container() { jQuery("#footnote_references_container").hide(); jQuery("#footnote_reference_container_collapse_button").text("+"); } function footnote_expand_collapse_reference_container() { if (jQuery("#footnote_references_container").is(":hidden")) { footnote_expand_reference_container(); } else { footnote_collapse_reference_container(); } } function footnote_moveToAnchor(p_str_TargetID) { footnote_expand_reference_container(); var l_obj_Target = jQuery("#" + p_str_TargetID); if(l_obj_Target.length) { jQuery('html, body').animate({ scrollTop: l_obj_Target.offset().top - window.innerHeight/2 }, 1000); } }

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We’re glad to answer your questions

All Categories Blogs - Tue, 12/17/2019 - 07:45

We know that many individuals make their charitable donations at this time of year. We’re here to help!

If you would like to discuss your 2019 giving decision with a GiveWell staff member, please email us at info@givewell.org or schedule a call here.

For example, we’re glad to:

  • Provide a brief overview of our 2019 top charity recommendations.
  • Assist with the logistics of making a donation and discuss options for donating, such as appreciated securities, checks, and wire transfers.
  • Answer any questions about our research or recommendations.

We look forward to hearing from you!

The post We’re glad to answer your questions appeared first on The GiveWell Blog.

We’re glad to answer your questions

We know that many individuals make their charitable donations at this time of year. We’re here to help!

If you would like to discuss your 2019 giving decision with a GiveWell staff member, please email us at info@givewell.org or schedule a call here.

For example, we’re glad to:

  • Provide a brief overview of our 2019 top charity recommendations.
  • Assist with the logistics of making a donation and discuss options for donating, such as appreciated securities, checks, and wire transfers.
  • Answer any questions about our research or recommendations.

We look forward to hearing from you!

The post We’re glad to answer your questions appeared first on The GiveWell Blog.

December 2019 open thread

All Categories Blogs - Fri, 12/13/2019 - 12:31

Our goal with hosting quarterly open threads is to give blog readers an opportunity to publicly raise comments or questions about GiveWell or related topics (in the comments section below). As always, you’re also welcome to email us at info@givewell.org or to request a call with GiveWell staff if you have feedback or questions you’d prefer to discuss privately. We’ll try to respond promptly to questions or comments.

You can view our September 2019 open thread here.

The post December 2019 open thread appeared first on The GiveWell Blog.

December 2019 open thread

Our goal with hosting quarterly open threads is to give blog readers an opportunity to publicly raise comments or questions about GiveWell or related topics (in the comments section below). As always, you’re also welcome to email us at info@givewell.org or to request a call with GiveWell staff if you have feedback or questions you’d prefer to discuss privately. We’ll try to respond promptly to questions or comments.

You can view our September 2019 open thread here.

The post December 2019 open thread appeared first on The GiveWell Blog.

Staff members’ personal donations for giving season 2019

All Categories Blogs - Tue, 12/10/2019 - 07:43

For this post, a number of GiveWell staff members volunteered to share the thinking behind their personal donations for the year. We published similar posts in previous years.1See our staff giving posts from 2018, 2017, 2016, 2015, 2014, and 2013. jQuery("#footnote_plugin_tooltip_1").tooltip({ tip: "#footnote_plugin_tooltip_text_1", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); Staff are listed in order of their start dates at GiveWell.

You can click the below links to jump to a staff member’s entry:

Elie Hassenfeld

This year, I’m planning to donate to GiveWell for granting to recommended charities at its discretion.

I feel the same way I have the last two years, when I’ve written, “GiveWell is currently producing the highest-quality research it ever has, which has led to more thoroughly researched, higher-quality recommendations that have been compared to more potential alternatives than ever before.”

Natalie Crispin

I will be giving my annual gift to GiveWell for granting at its discretion to recommended charities.

We will most likely use this funding to support Malaria Consortium’s seasonal malaria chemoprevention (SMC) program, which we estimate averts the death of a child for $2,300. I’m excited to support Malaria Consortium both on the strength of the evidence for the high impact and modest cost of SMC and on the strength of Malaria Consortium as an organization.

I’ve had the opportunity over the last ten years to work directly with each of our top charities, to scrutinize the information they give us, and ask them approximately a gazillion questions. All of our top charities have put an exceptional amount of effort into helping us to understand how they work and what impact they have. And that, of course, is a small part of what they do to run exceptional programs. I am very glad to be among their supporters.

Josh Rosenberg

I’m planning to give the same way that I did in previous years (slightly more explanation on my approach to giving is here):

  • 80% to GiveWell for granting at its discretion to recommended charities. GiveWell’s top charities are the most cost-effective ways to help people that I know of. I see Malaria Consortium’s work on seasonal malaria chemoprevention (the current default option for discretionary funding) as a robust and highly effective giving opportunity.
  • 10% to animal welfare charities. I believe that animal welfare is a particularly important and neglected problem.
  • 10% to charities that work to reduce global catastrophic risks. I would like to see future generations thrive, and I am compelled by moral arguments that suggest this is an extremely important priority. However, I have struggled to find particularly promising giving opportunities to support this goal. I plan to place this portion of my giving into a donor-advised fund with the expectation that I will allocate it when a promising opportunity arises in the future.

Catherine Hollander

This year marks my fifth giving season as a GiveWell employee. I’m grateful to continue to work with this group of thoughtful individuals and excited to support the top charities identified via my colleagues’ research. This year, I plan to give 100% of my year-end donation to Malaria Consortium’s seasonal malaria chemoprevention (SMC) program, a GiveWell top charity that we believe is highly cost-effective and in need of additional funding ($36 million over the next three years).

I am choosing to give to Malaria Consortium directly, over giving to “Grants to recommended charities at GiveWell’s discretion,” because I value interventions to promote health and avert deaths very highly. I have been impressed with the organizational strength of Malaria Consortium, on top of the evidence illustrating that SMC is an effective way to prevent malaria.

I continue to strive to give regularly, in order to maintain a habit and to encourage myself to think concretely about what I believe by putting my own money at stake. I do this by committing to make my largest donation at the end of each year. I may also make smaller donations throughout the year if exciting opportunities arise or for personal reasons.

Andrew Martin

I’m allocating my annual donation to GiveWell for “Grants to recommended charities at GiveWell’s discretion.” I think that GiveWell as a whole is better able to assess which top charity could make the best use of additional funding at a particular time than I am as an individual donor.

In our 2019 top charity announcement blog post, we wrote:

“The top charity we model as having the highest impact per additional dollar can change throughout the year. To inform our understanding, we ask our top charities to provide us with updated information on an ongoing basis. For example, a top charity may share that it has found new opportunities for impact, such as the potential to work in a new country with a significant need for its program.”

Our blog posts on our allocation of discretionary funds from the fourth quarter of 2018 and our allocation of discretionary funds from the first quarter of 2019 are good examples of how GiveWell makes decisions about allocating discretionary funds. After taking the $10.1 million it allocated to Malaria Consortium’s seasonal malaria chemoprevention program from Q4 2018 into account, GiveWell determined that additional funding from Q1 2019 would likely have a larger impact if it was allocated to the Against Malaria Foundation (AMF)—both Malaria Consortium and AMF had funding gaps with similar cost-effectiveness, but AMF’s funding needs were more urgent at the time.

It seems likely that GiveWell will allocate my donation this year to Malaria Consortium—as of November 2019, GiveWell estimates that it has the highest priority remaining funding gap among our top charities. But I’d prefer to allow GiveWell to allocate my donation at its discretion, rather than donate to Malaria Consortium directly, in order to give GiveWell additional flexibility in case it receives new information and changes its prioritization of remaining funding gaps.

Isabel Arjmand

I’m generally happy with the balance across types of giving that I struck in previous years.

The sizable majority of my annual giving, 83% this year, will go to “Grants to recommended charities at GiveWell’s discretion.” It’s important to me that most of my charitable giving be geared towards having as much of a positive impact as possible. I would be excited for my donation to go to any of our eight top charities as I believe all of them are doing high-quality, cost-effective work, and I’m especially excited about the prospect of my donation going to Malaria Consortium’s seasonal malaria chemoprevention program, as I believe is most likely. I’m grateful that I had the opportunity to visit Malaria Consortium in Burkina Faso earlier this year and I was impressed by what the program looked like in action.

While most of my giving is oriented toward trying to “do the most good” in a utilitarian sense, the remaining 17% is divided across causes I feel motivated or even obliged to support for “good citizenship” or other reasons, with the same amount going to each of the below bullet points. Like Michael Eddy (below), I think that some cause areas might be extremely important and effective but lend themselves less well to GiveWell-style evaluation; I don’t want to neglect them entirely because of that.

  • GiveDirectly and StrongMinds because I’m excited about their existence and their influence in the global health and development space. (I wrote more about this in previous years.)
  • Cool Earth and the Clean Air Task Force, two organizations addressing climate change through very different approaches.
  • ProPublica for its investigative journalism on topics like U.S. immigration and civil rights violations.
  • Sogorea Te Land Trust, an Indigenous women-led organization in Oakland, inspired by a sense of responsibility to the communities that are native to the area where I live.

I’d like to be able to understand well the impact of donations in areas outside GiveWell’s recommendations, like climate change or human rights, and make donations that I can feel confident in. Each year when I begin the project of looking for organizations outside GiveWell’s recommendations, I’m frustrated anew by how challenging it is—not only could it easily be a full-time job, but the information a person needs generally isn’t available. It’s a good reminder for me of the value of GiveWell’s work and it motivates me as a donor to give so much of my donation to our recommended charities. In the absence of in-depth research, I look for organizations with a theory of change I believe in, a decent amount of information online about their programs and finances, and to the extent possible, a track record of successful work. Each of the organizations above is one that I’d like to materially support and signal support for, although given the small scale of my donations I’m not sure how feasible that is. Making these smaller donations also encourages me each year to engage with issues I care about by (briefly) researching these areas.

I’m very grateful for the opportunity I have to make these donations, the research GiveWell has done that informs the bulk of my giving, and the many conversations I’ve had with colleagues that make my decisions more thoughtful and informed.

Nicole Zok

I’m planning to donate to GiveWell for granting to recommended charities at its discretion.

I can see good arguments for donating marginal funds to either Malaria Consortium’s seasonal malaria chemoprevention (SMC) program or the Against Malaria Foundation (AMF). In particular, we estimate the cost-effectiveness of AMF and Malaria Consortium’s funding gaps, after accounting for funding that we recommended the Open Philanthropy Project donate to our top charities, to be very similar (AMF at 17x as good as cash transfers, and Malaria Consortium at 16x cash). Given the general uncertainty in our cost-effectiveness estimates, I don’t take this to be a meaningful difference.

Since the cost-effectiveness of the remaining funding gaps is so similar, other differences between the two charities—including our subjective assessment of organizational strength, the timeline on which funds would be spent if donated to each charity, the funding gaps that remain after giving season, and any new funding opportunities that charities may identify in the short term—will be more important factors in deciding where to allocate funding that’s donated to GiveWell for granting to recommended charities (assuming there are no significant changes to our estimates of the cost-effectiveness of the remaining funding gaps). We expect to have more information about some of these factors in early 2020, and I expect that will enable us to make a more informed decision about where to allocate marginal funding. I also believe that GiveWell collectively is better equipped to make this decision than I am individually.

Dan Brown

I will give 91% of my 2019 charity donation to GiveWell to allocate to recommended charities at its discretion because I would like GiveWell to have the flexibility to react to new information when allocating these funds. I expect these funds will be directed to Malaria Consortium, as explained in this post.

I will give 5% of my donation to Stonewall (UK), an organisation tackling discrimination against LGBT people. Whilst I have focused most of my donation on global health and development, I would also like to support a more justice-focused cause. I have fairly limited information with which to choose amongst charities in this area as I’m not aware of a GiveWell-type organisation to help direct my donation. However, I would like to see more done to tackle homophobia in sport, and the main organisation I am aware of that has tried to do this is Stonewall (UK) (through its Rainbow Laces campaign).

I will give the remaining 4% of my donation to Afrinspire. I have donated to this charity for a number of years. To my knowledge, the money I donate is used to help pay for school costs for orphaned children in Kampala (through the Jaguza Initiative). I do not expect this to be as cost-effective as other charitable giving opportunities, but I do not think it would be responsible to unexpectedly decrease this donation now that I am paying more attention personally to cost-effectiveness.

Olivia Larsen

I was a GiveWell donor before I started working at GiveWell, and I’m excited to continue supporting GiveWell’s recommended charities with my donation this year.

I’ll be giving 100% of my donation to “Grants to recommended charities at GiveWell’s discretion.” I’m continually impressed by the thoughtfulness that goes into the decision of where to allocate funds, and I’d be excited for my donation to go to Malaria Consortium’s seasonal malaria chemoprevention program (our best guess of where this quarter’s discretionary grantmaking will go)—or to an even more cost-effective giving opportunity!

I feel very lucky to be in a position to be able to give to charity at all, and the prospect of being able to save a life (in expectation) for around $2,300, as we estimate seasonal malaria chemoprevention can, is really inspiring to me.

Steph Stojanovic

My husband and I have been GiveWell donors for a number of years. We were impressed by the rigor of the research from afar and I can confirm that it is even more impressive when you’re on the inside! In the past, we’ve split our giving between GiveWell top charities and meta-effective altruism (EA) organizations. This year, we plan to do this same.

We already gave half of our giving directly to AMF in a period in which GiveWell was prioritizing their funding gaps (i.e. when GiveWell was directing discretionary funding to AMF). The reason behind donating direct to charity instead of GiveWell’s discretionary fund was a boring tax deductibility reason. We will be giving the other half of our annual giving to One For The World (OFTW). OFTW is a grantee of GiveWell Incubation Grant funding, and my husband sits on their board. OFTW promotes effective giving at colleges across the country, asking students to pledge 1% of their future earnings to GiveWell recommended charities. For us, supporting OFTW is similar to supporting GiveWell operating expenses—it’s a great way to get leverage as a donor and help spread effective giving beyond traditional EA communities. It’s also important for us to support the organizations we are involved with, so we are happy to be able to support both GiveWell and OFTW this year.

James Snowden

I plan to allocate the majority of my annual giving directly to Malaria Consortium’s seasonal malaria chemoprevention program, and a smaller portion to GiveWell to grant at its discretion.

The majority of my giving is decided together with my family, who have a preference to donate directly to an organization rather than through my employer. This year, I recommended that my family give to Malaria Consortium. I think Malaria Consortium is an excellent giving opportunity from a variety of different perspectives (cost-effectiveness, robustness of the evidence base, room for more funding, organizational strength, transparency, and limited downside risk). While I think all our top charities are good giving opportunities, I believe Malaria Consortium has the most robust case, so I’m excited to support them again this year.

I’m planning to give my personal donation to GiveWell to grant at its discretion for the same reasons outlined by Andrew above.

I also considered giving to the Centre for Pesticide Suicide Prevention (CPSP), one of GiveWell’s Incubation Grantees that I follow closely. CPSP works on a highly neglected issue and I believe their chosen strategy (reducing suicides through assisting governments in the targeted regulation of highly hazardous pesticides) has a track record of success. I chose not to support CPSP personally this year because GiveWell will be considering a grant renewal in 2020, and I expect to have more information at that point.

Michael Eddy

I divide my annual giving into two buckets:

  • giving that aims to directly improve people’s lives; and
  • giving that aims to address the root causes of unjust systems

For my giving that aims to directly improve people’s lives, I’m directing the entirety of my donations to GiveWell to grant at its discretion. Like others, I find that programs like Malaria Consortium’s SMC program, which can avert a child’s death for around $2,300, to be an extremely good use of my resources. Furthermore, after having joined GiveWell recently, I’ve been thoroughly impressed with the credibility and rigor of the analysis and the thoughtfulness of the staff.

At the same time, I find it unconscionable that we live with political, economic, health, and legal systems that allow such deprivation to persist. While these systems and the institutions that undergird them are difficult to affect, I’d expect the most effective ways to make human progress to not be directly measurable or evaluable using rigorous evidence. GiveWell’s focus on interventions that have strong evidence & clearly measurable outcomes is one known limitation of our research, and so in my personal giving I continue to explore what effectiveness looks like when supporting organizations and individuals to shape the institutions they live in.

This is a broad area and I have spent limited time understanding where charitable resources can go the furthest. While I aspire to give in cause areas that are important, tractable and neglected, in practice, I rely mostly on organizations that I have been impressed with through my career, cause areas that motivate me and the recommendations of trusted contacts who work on these cause areas, including Norma Altshuler & colleagues at the Hewlett Foundation. This includes:

  • Young1ove a youth-led, evidence-based movement that adapts and scales-up health and education programs. I am particularly impressed with their commitment to a long-term partnership model working hand-in-hand with the government of Botswana to generate and use evidence.
  • Namati an organization that advances justice by mixing direct delivery through a grassroots network of legal advocates with a broader network of organizations advocating for larger-scale legal change.

In addition, a cause area I’m particularly motivated by and find to be particularly neglected are organizations which elevate the voices of LGBTQ+ citizens to advocate for and defend their rights in the countries in which they live. In many countries, same-sex relations are illegal (in part due to colonial-era laws), which is just one of many deprivations faced by the marginalization of gender and sexual minorities. My giving in this bucket is particularly informed by a friend who wrote his PhD thesis on the issue. I primarily donate to Astraea Foundation, an organization that regrants to grassroots organizations, but also donate directly to a few more local organizations including:

Finally, I do a small amount of giving each year to free services that survive off of user-contributions, organizations addressing issues in my local community and giving aligned to causes that my friends and family support.

Kimberly Huynh

I plan on allocating my annual gift as follows:

  • 70% to GiveWell to grant at its discretion
  • 10% to charities that work on climate change mitigation (preventing or reducing greenhouse gas emissions)
  • 20% to miscellaneous organizations in honor of various family members and friends

I have allocated the largest share of my annual gift to GiveWell because it is highly important to me to donate to a place where I know my giving will have an impact. I have opted to let GiveWell allocate my donation at its discretion because I believe that I will do more good by being flexible. Namely, GiveWell’s staff members who work directly with its top charities understand these charities’ immediate financial needs better than I do.

I am donating to organizations that work on climate change mitigation because I would like to put a greater stake in its progress beyond my own related graduate research. I have not yet reviewed the cost-effectiveness of climate change-related organizations to a degree I feel confident in. My percent contribution to charities in this issue area is thus relatively small and will likely be divided between at least a couple of different organizations.

I plan to investigate climate change-related organizations more deeply next year. In turn, my percent contribution to this area will likely increase at the expense of my miscellaneous donations. In the future, I would like to fix my contributions to climate change-related organizations to my own actions. For example, I may choose to donate a sum equal to the number of miles I have flown that year multiplied by a percentage chosen in advance. By fixing my donations to my actions, I hope to think more critically about my carbon footprint and to act with greater intention.

My remaining donations are primarily gift donations for loved ones. The majority of this was to Médecins Sans Frontières on behalf of my younger brother per his request.

Teryn Mattox

In 2019, my family has given roughly half of our charitable donations to GiveDirectly and half to high-impact farmed animal welfare organizations. I joined GiveWell in the fall. After several months of learning more about the GiveWell process, in 2020 we will shift our donations away from GiveDirectly and towards one or two of the relatively higher-impact top charities that most closely align with our personal priorities. Specifically, my partner and I value deaths averted more highly relative to increased income than is reflected in GiveWell’s moral weights. We are also more risk averse with our giving than GiveWell is—that is, we are less willing to donate when there is very wide uncertainty around magnitude of impact. As a result of these two considerations, we will focus our giving on malaria prevention programs over deworming programs in 2020.

We will continue to give roughly half of our donations to organizations promoting animal welfare. This is based on the intensity of the suffering inflicted upon animals, the sheer number of factory-farmed animals being brutally tortured each year, the potential impact of our donations in reducing this suffering, and our beliefs about the importance of animal suffering relative to human suffering. After conversations with individuals at Open Philanthropy Project, we have decided to give about half of our animal welfare-related donations to the Effective Altruism Animal Welfare Fund.

Jim Bobowski

My family has allocated our 2019 giving in three directions. Approximately 15% is directed towards non-profits associated with our child such as school, Cub Scouts, and athletic organizations that we support throughout the year. Approximately 35% is directed towards additional causes personal to our family, including animal welfare and tackling heart disease. Fifty percent of our annual giving will be directed to Malaria Consortium’s seasonal malaria chemoprevention program. Candidly, we were torn between allocating this money to “Grants to recommended charities at GiveWell’s discretion” versus giving to Malaria Consortium. While we 100% believe in GiveWell’s method and are confident it leads to optimal outcomes, the research team’s recent update estimating one life saved for every $2,300 donated to Malaria Consortium won the family vote. The possibility of saving a life or two seemed more tangible to our household and was the deciding factor for this in 2019.

Notes   [ + ]

1. ↑ See our staff giving posts from 2018, 2017, 2016, 2015, 2014, and 2013. function footnote_expand_reference_container() { jQuery("#footnote_references_container").show(); jQuery("#footnote_reference_container_collapse_button").text("-"); } function footnote_collapse_reference_container() { jQuery("#footnote_references_container").hide(); jQuery("#footnote_reference_container_collapse_button").text("+"); } function footnote_expand_collapse_reference_container() { if (jQuery("#footnote_references_container").is(":hidden")) { footnote_expand_reference_container(); } else { footnote_collapse_reference_container(); } } function footnote_moveToAnchor(p_str_TargetID) { footnote_expand_reference_container(); var l_obj_Target = jQuery("#" + p_str_TargetID); if(l_obj_Target.length) { jQuery('html, body').animate({ scrollTop: l_obj_Target.offset().top - window.innerHeight/2 }, 1000); } }

The post Staff members’ personal donations for giving season 2019 appeared first on The GiveWell Blog.

Staff members’ personal donations for giving season 2019

For this post, a number of GiveWell staff members volunteered to share the thinking behind their personal donations for the year. We published similar posts in previous years.1See our staff giving posts from 2018, 2017, 2016, 2015, 2014, and 2013. jQuery("#footnote_plugin_tooltip_1").tooltip({ tip: "#footnote_plugin_tooltip_text_1", tipClass: "footnote_tooltip", effect: "fade", fadeOutSpeed: 100, predelay: 400, position: "top right", relative: true, offset: [10, 10] }); Staff are listed in order of their start dates at GiveWell.

You can click the below links to jump to a staff member’s entry:

Elie Hassenfeld

This year, I’m planning to donate to GiveWell for granting to recommended charities at its discretion.

I feel the same way I have the last two years, when I’ve written, “GiveWell is currently producing the highest-quality research it ever has, which has led to more thoroughly researched, higher-quality recommendations that have been compared to more potential alternatives than ever before.”

Natalie Crispin

I will be giving my annual gift to GiveWell for granting at its discretion to recommended charities.

We will most likely use this funding to support Malaria Consortium’s seasonal malaria chemoprevention (SMC) program, which we estimate averts the death of a child for $2,300. I’m excited to support Malaria Consortium both on the strength of the evidence for the high impact and modest cost of SMC and on the strength of Malaria Consortium as an organization.

I’ve had the opportunity over the last ten years to work directly with each of our top charities, to scrutinize the information they give us, and ask them approximately a gazillion questions. All of our top charities have put an exceptional amount of effort into helping us to understand how they work and what impact they have. And that, of course, is a small part of what they do to run exceptional programs. I am very glad to be among their supporters.

Josh Rosenberg

I’m planning to give the same way that I did in previous years (slightly more explanation on my approach to giving is here):

  • 80% to GiveWell for granting at its discretion to recommended charities. GiveWell’s top charities are the most cost-effective ways to help people that I know of. I see Malaria Consortium’s work on seasonal malaria chemoprevention (the current default option for discretionary funding) as a robust and highly effective giving opportunity.
  • 10% to animal welfare charities. I believe that animal welfare is a particularly important and neglected problem.
  • 10% to charities that work to reduce global catastrophic risks. I would like to see future generations thrive, and I am compelled by moral arguments that suggest this is an extremely important priority. However, I have struggled to find particularly promising giving opportunities to support this goal. I plan to place this portion of my giving into a donor-advised fund with the expectation that I will allocate it when a promising opportunity arises in the future.

Catherine Hollander

This year marks my fifth giving season as a GiveWell employee. I’m grateful to continue to work with this group of thoughtful individuals and excited to support the top charities identified via my colleagues’ research. This year, I plan to give 100% of my year-end donation to Malaria Consortium’s seasonal malaria chemoprevention (SMC) program, a GiveWell top charity that we believe is highly cost-effective and in need of additional funding ($36 million over the next three years).

I am choosing to give to Malaria Consortium directly, over giving to “Grants to recommended charities at GiveWell’s discretion,” because I value interventions to promote health and avert deaths very highly. I have been impressed with the organizational strength of Malaria Consortium, on top of the evidence illustrating that SMC is an effective way to prevent malaria.

I continue to strive to give regularly, in order to maintain a habit and to encourage myself to think concretely about what I believe by putting my own money at stake. I do this by committing to make my largest donation at the end of each year. I may also make smaller donations throughout the year if exciting opportunities arise or for personal reasons.

Andrew Martin

I’m allocating my annual donation to GiveWell for “Grants to recommended charities at GiveWell’s discretion.” I think that GiveWell as a whole is better able to assess which top charity could make the best use of additional funding at a particular time than I am as an individual donor.

In our 2019 top charity announcement blog post, we wrote:

“The top charity we model as having the highest impact per additional dollar can change throughout the year. To inform our understanding, we ask our top charities to provide us with updated information on an ongoing basis. For example, a top charity may share that it has found new opportunities for impact, such as the potential to work in a new country with a significant need for its program.”

Our blog posts on our allocation of discretionary funds from the fourth quarter of 2018 and our allocation of discretionary funds from the first quarter of 2019 are good examples of how GiveWell makes decisions about allocating discretionary funds. After taking the $10.1 million it allocated to Malaria Consortium’s seasonal malaria chemoprevention program from Q4 2018 into account, GiveWell determined that additional funding from Q1 2019 would likely have a larger impact if it was allocated to the Against Malaria Foundation (AMF)—both Malaria Consortium and AMF had funding gaps with similar cost-effectiveness, but AMF’s funding needs were more urgent at the time.

It seems likely that GiveWell will allocate my donation this year to Malaria Consortium—as of November 2019, GiveWell estimates that it has the highest priority remaining funding gap among our top charities. But I’d prefer to allow GiveWell to allocate my donation at its discretion, rather than donate to Malaria Consortium directly, in order to give GiveWell additional flexibility in case it receives new information and changes its prioritization of remaining funding gaps.

Isabel Arjmand

I’m generally happy with the balance across types of giving that I struck in previous years.

The sizable majority of my annual giving, 83% this year, will go to “Grants to recommended charities at GiveWell’s discretion.” It’s important to me that most of my charitable giving be geared towards having as much of a positive impact as possible. I would be excited for my donation to go to any of our eight top charities as I believe all of them are doing high-quality, cost-effective work, and I’m especially excited about the prospect of my donation going to Malaria Consortium’s seasonal malaria chemoprevention program, as I believe is most likely. I’m grateful that I had the opportunity to visit Malaria Consortium in Burkina Faso earlier this year and I was impressed by what the program looked like in action.

While most of my giving is oriented toward trying to “do the most good” in a utilitarian sense, the remaining 17% is divided across causes I feel motivated or even obliged to support for “good citizenship” or other reasons, with the same amount going to each of the below bullet points. Like Michael Eddy (below), I think that some cause areas might be extremely important and effective but lend themselves less well to GiveWell-style evaluation; I don’t want to neglect them entirely because of that.

  • GiveDirectly and StrongMinds because I’m excited about their existence and their influence in the global health and development space. (I wrote more about this in previous years.)
  • Cool Earth and the Clean Air Task Force, two organizations addressing climate change through very different approaches.
  • ProPublica for its investigative journalism on topics like U.S. immigration and civil rights violations.
  • Sogorea Te Land Trust, an Indigenous women-led organization in Oakland, inspired by a sense of responsibility to the communities that are native to the area where I live.

I’d like to be able to understand well the impact of donations in areas outside GiveWell’s recommendations, like climate change or human rights, and make donations that I can feel confident in. Each year when I begin the project of looking for organizations outside GiveWell’s recommendations, I’m frustrated anew by how challenging it is—not only could it easily be a full-time job, but the information a person needs generally isn’t available. It’s a good reminder for me of the value of GiveWell’s work and it motivates me as a donor to give so much of my donation to our recommended charities. In the absence of in-depth research, I look for organizations with a theory of change I believe in, a decent amount of information online about their programs and finances, and to the extent possible, a track record of successful work. Each of the organizations above is one that I’d like to materially support and signal support for, although given the small scale of my donations I’m not sure how feasible that is. Making these smaller donations also encourages me each year to engage with issues I care about by (briefly) researching these areas.

I’m very grateful for the opportunity I have to make these donations, the research GiveWell has done that informs the bulk of my giving, and the many conversations I’ve had with colleagues that make my decisions more thoughtful and informed.

Nicole Zok

I’m planning to donate to GiveWell for granting to recommended charities at its discretion.

I can see good arguments for donating marginal funds to either Malaria Consortium’s seasonal malaria chemoprevention (SMC) program or the Against Malaria Foundation (AMF). In particular, we estimate the cost-effectiveness of AMF and Malaria Consortium’s funding gaps, after accounting for funding that we recommended the Open Philanthropy Project donate to our top charities, to be very similar (AMF at 17x as good as cash transfers, and Malaria Consortium at 16x cash). Given the general uncertainty in our cost-effectiveness estimates, I don’t take this to be a meaningful difference.

Since the cost-effectiveness of the remaining funding gaps is so similar, other differences between the two charities—including our subjective assessment of organizational strength, the timeline on which funds would be spent if donated to each charity, the funding gaps that remain after giving season, and any new funding opportunities that charities may identify in the short term—will be more important factors in deciding where to allocate funding that’s donated to GiveWell for granting to recommended charities (assuming there are no significant changes to our estimates of the cost-effectiveness of the remaining funding gaps). We expect to have more information about some of these factors in early 2020, and I expect that will enable us to make a more informed decision about where to allocate marginal funding. I also believe that GiveWell collectively is better equipped to make this decision than I am individually.

Dan Brown

I will give 91% of my 2019 charity donation to GiveWell to allocate to recommended charities at its discretion because I would like GiveWell to have the flexibility to react to new information when allocating these funds. I expect these funds will be directed to Malaria Consortium, as explained in this post.

I will give 5% of my donation to Stonewall (UK), an organisation tackling discrimination against LGBT people. Whilst I have focused most of my donation on global health and development, I would also like to support a more justice-focused cause. I have fairly limited information with which to choose amongst charities in this area as I’m not aware of a GiveWell-type organisation to help direct my donation. However, I would like to see more done to tackle homophobia in sport, and the main organisation I am aware of that has tried to do this is Stonewall (UK) (through its Rainbow Laces campaign).

I will give the remaining 4% of my donation to Afrinspire. I have donated to this charity for a number of years. To my knowledge, the money I donate is used to help pay for school costs for orphaned children in Kampala (through the Jaguza Initiative). I do not expect this to be as cost-effective as other charitable giving opportunities, but I do not think it would be responsible to unexpectedly decrease this donation now that I am paying more attention personally to cost-effectiveness.

Olivia Larsen

I was a GiveWell donor before I started working at GiveWell, and I’m excited to continue supporting GiveWell’s recommended charities with my donation this year.

I’ll be giving 100% of my donation to “Grants to recommended charities at GiveWell’s discretion.” I’m continually impressed by the thoughtfulness that goes into the decision of where to allocate funds, and I’d be excited for my donation to go to Malaria Consortium’s seasonal malaria chemoprevention program (our best guess of where this quarter’s discretionary grantmaking will go)—or to an even more cost-effective giving opportunity!

I feel very lucky to be in a position to be able to give to charity at all, and the prospect of being able to save a life (in expectation) for around $2,300, as we estimate seasonal malaria chemoprevention can, is really inspiring to me.

Steph Stojanovic

My husband and I have been GiveWell donors for a number of years. We were impressed by the rigor of the research from afar and I can confirm that it is even more impressive when you’re on the inside! In the past, we’ve split our giving between GiveWell top charities and meta-effective altruism (EA) organizations. This year, we plan to do this same.

We already gave half of our giving directly to AMF in a period in which GiveWell was prioritizing their funding gaps (i.e. when GiveWell was directing discretionary funding to AMF). The reason behind donating direct to charity instead of GiveWell’s discretionary fund was a boring tax deductibility reason. We will be giving the other half of our annual giving to One For The World (OFTW). OFTW is a grantee of GiveWell Incubation Grant funding, and my husband sits on their board. OFTW promotes effective giving at colleges across the country, asking students to pledge 1% of their future earnings to GiveWell recommended charities. For us, supporting OFTW is similar to supporting GiveWell operating expenses—it’s a great way to get leverage as a donor and help spread effective giving beyond traditional EA communities. It’s also important for us to support the organizations we are involved with, so we are happy to be able to support both GiveWell and OFTW this year.

James Snowden

I plan to allocate the majority of my annual giving directly to Malaria Consortium’s seasonal malaria chemoprevention program, and a smaller portion to GiveWell to grant at its discretion.

The majority of my giving is decided together with my family, who have a preference to donate directly to an organization rather than through my employer. This year, I recommended that my family give to Malaria Consortium. I think Malaria Consortium is an excellent giving opportunity from a variety of different perspectives (cost-effectiveness, robustness of the evidence base, room for more funding, organizational strength, transparency, and limited downside risk). While I think all our top charities are good giving opportunities, I believe Malaria Consortium has the most robust case, so I’m excited to support them again this year.

I’m planning to give my personal donation to GiveWell to grant at its discretion for the same reasons outlined by Andrew above.

I also considered giving to the Centre for Pesticide Suicide Prevention (CPSP), one of GiveWell’s Incubation Grantees that I follow closely. CPSP works on a highly neglected issue and I believe their chosen strategy (reducing suicides through assisting governments in the targeted regulation of highly hazardous pesticides) has a track record of success. I chose not to support CPSP personally this year because GiveWell will be considering a grant renewal in 2020, and I expect to have more information at that point.

Michael Eddy

I divide my annual giving into two buckets:

  • giving that aims to directly improve people’s lives; and
  • giving that aims to address the root causes of unjust systems

For my giving that aims to directly improve people’s lives, I’m directing the entirety of my donations to GiveWell to grant at its discretion. Like others, I find that programs like Malaria Consortium’s SMC program, which can avert a child’s death for around $2,300, to be an extremely good use of my resources. Furthermore, after having joined GiveWell recently, I’ve been thoroughly impressed with the credibility and rigor of the analysis and the thoughtfulness of the staff.

At the same time, I find it unconscionable that we live with political, economic, health, and legal systems that allow such deprivation to persist. While these systems and the institutions that undergird them are difficult to affect, I’d expect the most effective ways to make human progress to not be directly measurable or evaluable using rigorous evidence. GiveWell’s focus on interventions that have strong evidence & clearly measurable outcomes is one known limitation of our research, and so in my personal giving I continue to explore what effectiveness looks like when supporting organizations and individuals to shape the institutions they live in.

This is a broad area and I have spent limited time understanding where charitable resources can go the furthest. While I aspire to give in cause areas that are important, tractable and neglected, in practice, I rely mostly on organizations that I have been impressed with through my career, cause areas that motivate me and the recommendations of trusted contacts who work on these cause areas, including Norma Altshuler & colleagues at the Hewlett Foundation. This includes:

  • Young1ove a youth-led, evidence-based movement that adapts and scales-up health and education programs. I am particularly impressed with their commitment to a long-term partnership model working hand-in-hand with the government of Botswana to generate and use evidence.
  • Namati an organization that advances justice by mixing direct delivery through a grassroots network of legal advocates with a broader network of organizations advocating for larger-scale legal change.

In addition, a cause area I’m particularly motivated by and find to be particularly neglected are organizations which elevate the voices of LGBTQ+ citizens to advocate for and defend their rights in the countries in which they live. In many countries, same-sex relations are illegal (in part due to colonial-era laws), which is just one of many deprivations faced by the marginalization of gender and sexual minorities. My giving in this bucket is particularly informed by a friend who wrote his PhD thesis on the issue. I primarily donate to Astraea Foundation, an organization that regrants to grassroots organizations, but also donate directly to a few more local organizations including:

Finally, I do a small amount of giving each year to free services that survive off of user-contributions, organizations addressing issues in my local community and giving aligned to causes that my friends and family support.

Kimberly Huynh

I plan on allocating my annual gift as follows:

  • 70% to GiveWell to grant at its discretion
  • 10% to charities that work on climate change mitigation (preventing or reducing greenhouse gas emissions)
  • 20% to miscellaneous organizations in honor of various family members and friends

I have allocated the largest share of my annual gift to GiveWell because it is highly important to me to donate to a place where I know my giving will have an impact. I have opted to let GiveWell allocate my donation at its discretion because I believe that I will do more good by being flexible. Namely, GiveWell’s staff members who work directly with its top charities understand these charities’ immediate financial needs better than I do.

I am donating to organizations that work on climate change mitigation because I would like to put a greater stake in its progress beyond my own related graduate research. I have not yet reviewed the cost-effectiveness of climate change-related organizations to a degree I feel confident in. My percent contribution to charities in this issue area is thus relatively small and will likely be divided between at least a couple of different organizations.

I plan to investigate climate change-related organizations more deeply next year. In turn, my percent contribution to this area will likely increase at the expense of my miscellaneous donations. In the future, I would like to fix my contributions to climate change-related organizations to my own actions. For example, I may choose to donate a sum equal to the number of miles I have flown that year multiplied by a percentage chosen in advance. By fixing my donations to my actions, I hope to think more critically about my carbon footprint and to act with greater intention.

My remaining donations are primarily gift donations for loved ones. The majority of this was to Médecins Sans Frontières on behalf of my younger brother per his request.

Teryn Mattox

In 2019, my family has given roughly half of our charitable donations to GiveDirectly and half to high-impact farmed animal welfare organizations. I joined GiveWell in the fall. After several months of learning more about the GiveWell process, in 2020 we will shift our donations away from GiveDirectly and towards one or two of the relatively higher-impact top charities that most closely align with our personal priorities. Specifically, my partner and I value deaths averted more highly relative to increased income than is reflected in GiveWell’s moral weights. We are also more risk averse with our giving than GiveWell is—that is, we are less willing to donate when there is very wide uncertainty around magnitude of impact. As a result of these two considerations, we will focus our giving on malaria prevention programs over deworming programs in 2020.

We will continue to give roughly half of our donations to organizations promoting animal welfare. This is based on the intensity of the suffering inflicted upon animals, the sheer number of factory-farmed animals being brutally tortured each year, the potential impact of our donations in reducing this suffering, and our beliefs about the importance of animal suffering relative to human suffering. After conversations with individuals at Open Philanthropy Project, we have decided to give about half of our animal welfare-related donations to the Effective Altruism Animal Welfare Fund.

Jim Bobowski

My family has allocated our 2019 giving in three directions. Approximately 15% is directed towards non-profits associated with our child such as school, Cub Scouts, and athletic organizations that we support throughout the year. Approximately 35% is directed towards additional causes personal to our family, including animal welfare and tackling heart disease. Fifty percent of our annual giving will be directed to Malaria Consortium’s seasonal malaria chemoprevention program. Candidly, we were torn between allocating this money to “Grants to recommended charities at GiveWell’s discretion” versus giving to Malaria Consortium. While we 100% believe in GiveWell’s method and are confident it leads to optimal outcomes, the research team’s recent update estimating one life saved for every $2,300 donated to Malaria Consortium won the family vote. The possibility of saving a life or two seemed more tangible to our household and was the deciding factor for this in 2019.

Notes   [ + ]

1. ↑ See our staff giving posts from 2018, 2017, 2016, 2015, 2014, and 2013. function footnote_expand_reference_container() { jQuery("#footnote_references_container").show(); jQuery("#footnote_reference_container_collapse_button").text("-"); } function footnote_collapse_reference_container() { jQuery("#footnote_references_container").hide(); jQuery("#footnote_reference_container_collapse_button").text("+"); } function footnote_expand_collapse_reference_container() { if (jQuery("#footnote_references_container").is(":hidden")) { footnote_expand_reference_container(); } else { footnote_collapse_reference_container(); } } function footnote_moveToAnchor(p_str_TargetID) { footnote_expand_reference_container(); var l_obj_Target = jQuery("#" + p_str_TargetID); if(l_obj_Target.length) { jQuery('html, body').animate({ scrollTop: l_obj_Target.offset().top - window.innerHeight/2 }, 1000); } }

The post Staff members’ personal donations for giving season 2019 appeared first on The GiveWell Blog.

Ask us your questions about giving on our year-end conference call

All Categories Blogs - Tue, 12/03/2019 - 07:43

We invite you to join our year-end conference call on Thursday, December 12 at 3:30pm ET/12:30pm PT. GiveWell’s Executive Director Elie Hassenfeld and research staff will present our latest work and answer your questions.

Sign up here to join the call

On the call, we will provide introductory context on our top charities and research process as well as taking questions on all topics, including new research.

We hope you’ll join us!

The post Ask us your questions about giving on our year-end conference call appeared first on The GiveWell Blog.

Ask us your questions about giving on our year-end conference call

We invite you to join our year-end conference call on Thursday, December 12 at 3:30pm ET/12:30pm PT. GiveWell’s Executive Director Elie Hassenfeld and research staff will present our latest work and answer your questions.

Sign up here to join the call

On the call, we will provide introductory context on our top charities and research process as well as taking questions on all topics, including new research.

We hope you’ll join us!

The post Ask us your questions about giving on our year-end conference call appeared first on The GiveWell Blog.

New research on moral weights

All Categories Blogs - Mon, 12/02/2019 - 05:04

Each year, GiveWell identifies more great giving opportunities than we are able to fully fund. As a result, in our charity recommendation decisions, we necessarily face very challenging questions, such as: How much funding should we recommend for programs that reduce poverty versus programs that reduce deaths from malaria? How should we prioritize programs that primarily benefit children versus adults? And, how do we compare funding those programs with others that have different good outcomes, such as reducing suffering from chronic health issues like anemia?

We recently received results from research we supported to help us answer these questions from the perspective of communities similar to those our top charities operate in. This blog post provides a brief summary of the project and results. Additional details are available on this page.

Background on the project

We assess charities based on their overall impact per dollar. In order to compare the impact per dollar across programs, we assign quantitative “moral weights” to each good outcome. We have invested a significant amount of time to arrive at these weights, but we still find our conclusions unsatisfying, in large part because of the fundamental difficulty of these questions. We have worked to improve our process for valuing different outcomes over the years, but we believe our current process is far from ideal.

Moral weights seems to be a highly neglected research topic. Limited information exists on how people value different outcomes. In particular, very few researchers have asked people living in low-income countries how they would make these tradeoffs. We see this as a potentially important input into our weights but have been unable to incorporate this information because it largely did not exist.

We recently supported a project intended to help address this gap in the literature. We provided funding and guidance to IDinsight, a data analytics, research, and advisory organization, to survey about 2,000 people living in extreme poverty in Kenya and Ghana in 2019 about how they value different outcomes.

Survey results

The results from this research are now available here. Among other findings, they suggest that survey respondents have higher values for saving lives (relative to reducing poverty) and higher values for averting deaths of children under 5 years old (relative to averting deaths of individuals over 5 years old) than we had previously been using in our decision-making.

Although we see these study results as adding to our understanding, we would caution against putting too much weight on them. Research methods like those used in the survey have major limitations, discussed here. This study is one that should be put in the context of a larger literature about these questions and represents one approach to moral weights among many.

Nevertheless, we see this research as a valuable contribution to the literature on preferences and moral views in communities with high rates of extreme poverty. It seems to be the first study of its kind conducted in sub-Saharan Africa, and the people surveyed for this study had a substantially lower average consumption level than other studies using similar methods.

Preliminary conclusions and updates

We have provisionally updated our moral weights to place more emphasis on programs that avert deaths (relative to those that reduce poverty) and to value programs averting deaths at all ages more equally (relative to our previous assumption of valuing programs that avert deaths of individuals over 5 years old more highly). The direction of these updates was driven by this study and other, independent arguments for putting more weight on health relative to income. However, we have not yet thoroughly debated how to revise our framework for moral weights or fully completed our analysis of these results, so we see our current, provisionally-updated moral weights as a work in progress. We plan to revisit our framework for moral weights in the future.

These updates did not have a major impact on our recommended funding allocation to charities in 2019.

Additional details

We share additional details on the survey and our early interpretation on this page.

Josh Rosenberg and Catherine Hollander co-authored this post.

The post New research on moral weights appeared first on The GiveWell Blog.

New research on moral weights

Each year, GiveWell identifies more great giving opportunities than we are able to fully fund. As a result, in our charity recommendation decisions, we necessarily face very challenging questions, such as: How much funding should we recommend for programs that reduce poverty versus programs that reduce deaths from malaria? How should we prioritize programs that primarily benefit children versus adults? And, how do we compare funding those programs with others that have different good outcomes, such as reducing suffering from chronic health issues like anemia?

We recently received results from research we supported to help us answer these questions from the perspective of communities similar to those our top charities operate in. This blog post provides a brief summary of the project and results. Additional details are available on this page.

Background on the project

We assess charities based on their overall impact per dollar. In order to compare the impact per dollar across programs, we assign quantitative “moral weights” to each good outcome. We have invested a significant amount of time to arrive at these weights, but we still find our conclusions unsatisfying, in large part because of the fundamental difficulty of these questions. We have worked to improve our process for valuing different outcomes over the years, but we believe our current process is far from ideal.

Moral weights seems to be a highly neglected research topic. Limited information exists on how people value different outcomes. In particular, very few researchers have asked people living in low-income countries how they would make these tradeoffs. We see this as a potentially important input into our weights but have been unable to incorporate this information because it largely did not exist.

We recently supported a project intended to help address this gap in the literature. We provided funding and guidance to IDinsight, a data analytics, research, and advisory organization, to survey about 2,000 people living in extreme poverty in Kenya and Ghana in 2019 about how they value different outcomes.

Survey results

The results from this research are now available here. Among other findings, they suggest that survey respondents have higher values for saving lives (relative to reducing poverty) and higher values for averting deaths of children under 5 years old (relative to averting deaths of individuals over 5 years old) than we had previously been using in our decision-making.

Although we see these study results as adding to our understanding, we would caution against putting too much weight on them. Research methods like those used in the survey have major limitations, discussed here. This study is one that should be put in the context of a larger literature about these questions and represents one approach to moral weights among many.

Nevertheless, we see this research as a valuable contribution to the literature on preferences and moral views in communities with high rates of extreme poverty. It seems to be the first study of its kind conducted in sub-Saharan Africa, and the people surveyed for this study had a substantially lower average consumption level than other studies using similar methods.

Preliminary conclusions and updates

We have provisionally updated our moral weights to place more emphasis on programs that avert deaths (relative to those that reduce poverty) and to value programs averting deaths at all ages more equally (relative to our previous assumption of valuing programs that avert deaths of individuals over 5 years old more highly). The direction of these updates was driven by this study and other, independent arguments for putting more weight on health relative to income. However, we have not yet thoroughly debated how to revise our framework for moral weights or fully completed our analysis of these results, so we see our current, provisionally-updated moral weights as a work in progress. We plan to revisit our framework for moral weights in the future.

These updates did not have a major impact on our recommended funding allocation to charities in 2019.

Additional details

We share additional details on the survey and our early interpretation on this page.

Josh Rosenberg and Catherine Hollander co-authored this post.

The post New research on moral weights appeared first on The GiveWell Blog.

Announcing our 2019 top charities

All Categories Blogs - Tue, 11/26/2019 - 04:08

We’re excited to announce our top charities for 2019. After thousands of hours of vetting and review, eight charities stood out as excellent.

These charities work on evidence-backed and impactful health and poverty alleviation programs serving people in the poorest parts of the world. We’ve identified specific opportunities for our top charities to use an additional $75 million in donations to save 33,000 lives, $30 million to treat 36 million children for parasitic worm infections, and $450 million to provide unconditional cash transfers to 375,000 extremely low-income individuals. Our expectation is that our top charities can effectively use even more funding than that—that’s just a starting point.

Our 2019 recommendation: “Grants to recommended charities at GiveWell’s discretion”

Our top recommendation for donors giving in 2019 is to give to “Grants to recommended charities at GiveWell’s discretion.” We will grant these funds each quarter to the top charity or charities where we believe they will have the greatest impact.

The top charity we model as having the highest impact per additional dollar can change throughout the year. To inform our understanding, we ask our top charities to provide us with updated information on an ongoing basis. For example, a top charity may share that it has found new opportunities for impact, such as the potential to work in a new country with a significant need for its program.

In addition, top charities typically receive funding from GiveWell donors and other sources on an ongoing basis. We update our expectations of how much additional funding charities need each quarter by incorporating funding they have received since our last allocation of “Grants to recommended charities at GiveWell’s discretion.”

Summary
  • Our 2019 top charities (More)
  • How we prioritize our top charities’ funding needs (More)
  • New information we learned in 2019 (More)
  • Giving to GiveWell’s operations (More)
  • Tips for donating efficiently (More)
  • Questions? (More)
  • More information on our top charities and 2019 review process (More)
Our 2019 top charities

We recommend seven top charities with immediate funding needs. We list them below in the order we prioritize their funding needs. We think that Malaria Consortium’s seasonal malaria chemoprevention program can use funding most effectively in the near term.

We recommend that donors give to “Grants to recommended charities at GiveWell’s discretion,” which we will grant quarterly to our top charities according to where we see the highest-impact funding need.
  • Malaria Consortium’s seasonal malaria chemoprevention (SMC) program. Malaria Consortium provides preventive, anti-malarial medication to young children during periods of high malaria transmission, reducing their likelihood of dying from malaria. Read our full review.
  • Against Malaria Foundation (AMF). AMF provides insecticide-treated nets to hang over sleeping spaces that block and kill malaria-transmitting mosquitoes, reducing people’s likelihood of dying from the disease. Read our full review.
  • Helen Keller International (HKI)’s vitamin A supplementation program. HKI supports the provision of vitamin A supplements to young children, reducing their likelihood of dying from infectious disease. Read our full review.
  • Charities that treat parasitic worm infections. We recommend charities that implement programs to treat parasitic worm infections (deworming programs) because these cheap health treatments may lead children to earn higher incomes when they enter the workforce as adults.
  • GiveDirectly. GiveDirectly distributes no-strings-attached cash grants to very poor households. Read our full review.

The below organization has met our top charity standards in all other ways, but we are waiting for more information about its near-term needs for funding. We have listed it separately to reflect our recommendation to wait until we have more information before providing funding:

  • SCI Foundation. Formerly known as the Schistosomiasis Control Initiative, SCI Foundation supports deworming programs. Read our full review.

There were no additions or removals from our top charities list in 2019, although the order in which we prioritize directing funding to our top charities has changed.

How we prioritize our top charities’ funding needs Why we recommend “Grants to recommended charities at GiveWell’s discretion”

Although we think all of our top charities are excellent, we don’t recommend them equally. We look at how each charity will spend the next charitable dollar it receives. In some cases, charities already have sufficient funding to work in the highest-need countries; in other cases, they may have a time-sensitive opportunity where it is particularly valuable to ensure they receive funding quickly.

We ask our top charities for information to update our prioritization each quarter when we grant funding given to “Grants to recommended charities at GiveWell’s discretion.” Our ability to direct this funding based on the most up-to-date information is the reason we recommend donors choose this option above all others.

Malaria Consortium’s SMC program

Some donors prefer to choose a specific charity to support. We recommend these donors consider giving to Malaria Consortium’s SMC program, which we think has the highest impact per additional dollar donated today.

Malaria Consortium-trained health workers go door-to-door during malaria season to provide young children with medication to prevent malaria. The health workers administer the first dose and instruct caregivers on how to complete the treatment over the following days. Malaria Consortium and its partners monitor the effectiveness of their work by looking into whether mosquitoes are developing resistance to the treatment, and by surveying a random selection of parents to check what proportion of children targeted by SMC programs actually receive the medication. A few GiveWell staff visited Malaria Consortium in Burkina Faso in August; a reflection on that visit describes what it’s like to witness the SMC program in the field.

Malaria Consortium’s SMC program is highly cost-effective. We estimate that every marginal $2,300 donated to Malaria Consortium’s SMC program will avert one death from malaria. Malaria Consortium can use an additional $36 million, above and beyond its current and expected funding, to implement its program over the next three years. Additional details on Malaria Consortium’s funding needs and spending plans are here.

Malaria Consortium stands out as an excellent organization and we’re excited to advise that donors who want to choose a specific charity to support donate to Malaria Consortium’s SMC program.

Click here to donate.

Note: Malaria Consortium implements a number of programs and our recommendation is limited to its SMC program. Donations made in support of Malaria Consortium via GiveWell will be restricted to SMC. If you choose to give directly to Malaria Consortium and wish to follow our recommendation, please inform Malaria Consortium that you want your support to be restricted to SMC.

New information we learned in 2019

Our 2019 top charities have all been named GiveWell top charities in the past, but we don’t stop reviewing organizations once they’re on our top charity list. Our research team continually assesses our existing top charities to determine whether we should direct more funding to them.

At the start of each year, our research team considers which new information or analysis is most likely to change our charity recommendations and/or improve our ability to share the reasoning for our recommendations with the community of supporters who rely on our work. Details on the research we conducted in 2019 is here.

Giving to GiveWell’s operations

GiveWell is a nonprofit. The research we conduct is fully funded by donors who choose to support our operations. We hope that donors will consider allocating funding in 2019 to support our work.

Our organization has grown a lot this year. We hired 12 new staff across the domains of research, outreach/marketing, and operations. We plan to continue growing in each of these areas in 2020. To increase the impact of the funds we direct in the future, we’re planning to hire researchers to help us conduct additional high-quality research into new and existing areas. To direct more funding to the top charities we recommend, we’re planning to grow our outreach and marketing team. We plan to grow our operations team to strengthen our human resources, finance, and technical systems as we expand.

We’ll need to grow the number of donors who give to our operations to support our planned expansion. We cap the amount that any individual donor can provide to our operations at 20% of our total budget to ensure a stable and diverse funding base.

Our recommendation for donors:

  • If you’ve never given to our operations in the past, we hope you’ll consider adding 10% to your donation to support our operations.
  • If you’ve supported our operations in the past, we hope you’ll consider renewing your gift.

We retain our excess assets policy, which ensures that if we fundraise for our own operations beyond a certain level, we will grant the excess to the best giving opportunities we’ve found.

Tips for donating efficiently

We appreciate your support in any way that you can give. We also offer some advice on how to maximize the efficiency of your gift:

Questions?

Please contact donations@givewell.org if you have any questions about your donation.

More information on our top charities and 2019 review process

The post Announcing our 2019 top charities appeared first on The GiveWell Blog.

Announcing our 2019 top charities

GiveDirectly Blogs - Tue, 11/26/2019 - 04:08

We’re excited to announce our top charities for 2019. After thousands of hours of vetting and review, eight charities stood out as excellent.

These charities work on evidence-backed and impactful health and poverty alleviation programs serving people in the poorest parts of the world. We’ve identified specific opportunities for our top charities to use an additional $75 million in donations to save 33,000 lives, $30 million to treat 36 million children for parasitic worm infections, and $450 million to provide unconditional cash transfers to 375,000 extremely low-income individuals. Our expectation is that our top charities can effectively use even more funding than that—that’s just a starting point.

Our 2019 recommendation: “Grants to recommended charities at GiveWell’s discretion”

Our top recommendation for donors giving in 2019 is to give to “Grants to recommended charities at GiveWell’s discretion.” We will grant these funds each quarter to the top charity or charities where we believe they will have the greatest impact.

The top charity we model as having the highest impact per additional dollar can change throughout the year. To inform our understanding, we ask our top charities to provide us with updated information on an ongoing basis. For example, a top charity may share that it has found new opportunities for impact, such as the potential to work in a new country with a significant need for its program.

In addition, top charities typically receive funding from GiveWell donors and other sources on an ongoing basis. We update our expectations of how much additional funding charities need each quarter by incorporating funding they have received since our last allocation of “Grants to recommended charities at GiveWell’s discretion.”

Summary
  • Our 2019 top charities (More)
  • How we prioritize our top charities’ funding needs (More)
  • New information we learned in 2019 (More)
  • Giving to GiveWell’s operations (More)
  • Tips for donating efficiently (More)
  • Questions? (More)
  • More information on our top charities and 2019 review process (More)
Our 2019 top charities

We recommend seven top charities with immediate funding needs. We list them below in the order we prioritize their funding needs. We think that Malaria Consortium’s seasonal malaria chemoprevention program can use funding most effectively in the near term.

We recommend that donors give to “Grants to recommended charities at GiveWell’s discretion,” which we will grant quarterly to our top charities according to where we see the highest-impact funding need.
  • Malaria Consortium’s seasonal malaria chemoprevention (SMC) program. Malaria Consortium provides preventive, anti-malarial medication to young children during periods of high malaria transmission, reducing their likelihood of dying from malaria. Read our full review.
  • Against Malaria Foundation (AMF). AMF provides insecticide-treated nets to hang over sleeping spaces that block and kill malaria-transmitting mosquitoes, reducing people’s likelihood of dying from the disease. Read our full review.
  • Helen Keller International (HKI)’s vitamin A supplementation program. HKI supports the provision of vitamin A supplements to young children, reducing their likelihood of dying from infectious disease. Read our full review.
  • Charities that treat parasitic worm infections. We recommend charities that implement programs to treat parasitic worm infections (deworming programs) because these cheap health treatments may lead children to earn higher incomes when they enter the workforce as adults.
  • GiveDirectly. GiveDirectly distributes no-strings-attached cash grants to very poor households. Read our full review.

The below organization has met our top charity standards in all other ways, but we are waiting for more information about its near-term needs for funding. We have listed it separately to reflect our recommendation to wait until we have more information before providing funding:

  • SCI Foundation. Formerly known as the Schistosomiasis Control Initiative, SCI Foundation supports deworming programs. Read our full review.

There were no additions or removals from our top charities list in 2019, although the order in which we prioritize directing funding to our top charities has changed.

How we prioritize our top charities’ funding needs Why we recommend “Grants to recommended charities at GiveWell’s discretion”

Although we think all of our top charities are excellent, we don’t recommend them equally. We look at how each charity will spend the next charitable dollar it receives. In some cases, charities already have sufficient funding to work in the highest-need countries; in other cases, they may have a time-sensitive opportunity where it is particularly valuable to ensure they receive funding quickly.

We ask our top charities for information to update our prioritization each quarter when we grant funding given to “Grants to recommended charities at GiveWell’s discretion.” Our ability to direct this funding based on the most up-to-date information is the reason we recommend donors choose this option above all others.

Malaria Consortium’s SMC program

Some donors prefer to choose a specific charity to support. We recommend these donors consider giving to Malaria Consortium’s SMC program, which we think has the highest impact per additional dollar donated today.

Malaria Consortium-trained health workers go door-to-door during malaria season to provide young children with medication to prevent malaria. The health workers administer the first dose and instruct caregivers on how to complete the treatment over the following days. Malaria Consortium and its partners monitor the effectiveness of their work by looking into whether mosquitoes are developing resistance to the treatment, and by surveying a random selection of parents to check what proportion of children targeted by SMC programs actually receive the medication. A few GiveWell staff visited Malaria Consortium in Burkina Faso in August; a reflection on that visit describes what it’s like to witness the SMC program in the field.

Malaria Consortium’s SMC program is highly cost-effective. We estimate that every marginal $2,300 donated to Malaria Consortium’s SMC program will avert one death from malaria. Malaria Consortium can use an additional $36 million, above and beyond its current and expected funding, to implement its program over the next three years. Additional details on Malaria Consortium’s funding needs and spending plans are here.

Malaria Consortium stands out as an excellent organization and we’re excited to advise that donors who want to choose a specific charity to support donate to Malaria Consortium’s SMC program.

Click here to donate.

Note: Malaria Consortium implements a number of programs and our recommendation is limited to its SMC program. Donations made in support of Malaria Consortium via GiveWell will be restricted to SMC. If you choose to give directly to Malaria Consortium and wish to follow our recommendation, please inform Malaria Consortium that you want your support to be restricted to SMC.

New information we learned in 2019

Our 2019 top charities have all been named GiveWell top charities in the past, but we don’t stop reviewing organizations once they’re on our top charity list. Our research team continually assesses our existing top charities to determine whether we should direct more funding to them.

At the start of each year, our research team considers which new information or analysis is most likely to change our charity recommendations and/or improve our ability to share the reasoning for our recommendations with the community of supporters who rely on our work. Details on the research we conducted in 2019 is here.

Giving to GiveWell’s operations

GiveWell is a nonprofit. The research we conduct is fully funded by donors who choose to support our operations. We hope that donors will consider allocating funding in 2019 to support our work.

Our organization has grown a lot this year. We hired 12 new staff across the domains of research, outreach/marketing, and operations. We plan to continue growing in each of these areas in 2020. To increase the impact of the funds we direct in the future, we’re planning to hire researchers to help us conduct additional high-quality research into new and existing areas. To direct more funding to the top charities we recommend, we’re planning to grow our outreach and marketing team. We plan to grow our operations team to strengthen our human resources, finance, and technical systems as we expand.

We’ll need to grow the number of donors who give to our operations to support our planned expansion. We cap the amount that any individual donor can provide to our operations at 20% of our total budget to ensure a stable and diverse funding base.

Our recommendation for donors:

  • If you’ve never given to our operations in the past, we hope you’ll consider adding 10% to your donation to support our operations.
  • If you’ve supported our operations in the past, we hope you’ll consider renewing your gift.

We retain our excess assets policy, which ensures that if we fundraise for our own operations beyond a certain level, we will grant the excess to the best giving opportunities we’ve found.

Tips for donating efficiently

We appreciate your support in any way that you can give. We also offer some advice on how to maximize the efficiency of your gift:

Questions?

Please contact donations@givewell.org if you have any questions about your donation.

More information on our top charities and 2019 review process

The post Announcing our 2019 top charities appeared first on The GiveWell Blog.

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