Expanding Our Search for Cost-Effective Ways to Reduce Poverty

In September 2025, we created a livelihoods research subteam to specifically focus on programs that increase the economic well-being of people in extreme poverty. While we have evaluated and funded livelihoods programs throughout GiveWell’s history, we now have a dedicated program officer overseeing this portfolio, which has allowed us to build on and deepen that work.
Historically, GiveWell has predominantly focused on health-related programs. Diseases like malaria, diarrhea, and pneumonia can be prevented fairly cheaply, and the evidence for health programs is often strong relative to other areas. As our research team has grown, we’ve been building capacity to explore programs that increase people’s incomes, where the long-term impact is often more challenging to measure and effectiveness differs from context to context.
In this episode, GiveWell co-founder and CEO Elie Hassenfeld speaks with Senior Program Officer Adam Salisbury about GiveWell’s expanding work on livelihoods programs, which programs might be the most cost-effective, and research we’re funding to help answer some key questions.

Elie and Adam discuss:

Testing variations of cash transfers: GiveDirectly’s flagship cash transfer program currently falls below our cost-effectiveness threshold for livelihoods interventions, but it has a proven ability to scale. We funded three pilots to test whether specific program adaptations could improve cost-effectiveness enough to meet our threshold: (1) pairing small grants to local businesses with household cash transfers so vendors can stock up to meet new demand, (2) timing cash transfers to coincide with the construction of a new footbridge so recipients can access markets more easily, and (3) targeting cash transfers to the poorest young adults, who may be at a stage in their lives where a large lump sum transfer might be especially impactful.
Exploring poverty graduation programs: Poverty graduation programs provide extremely poor households with a tool to generate income, such as a sewing machine, along with training and small amounts of money or food so that families have what they need without selling the asset. Evidence shows that these programs increase incomes over the first couple of years, and more recent evidence suggests these effects can persist for five years or longer. We are considering grants for research to assess which program designs are most cost-effective, whether income increases hold up over even longer time periods, and whether the programs can be implemented effectively at scale. Because around two-thirds of poverty graduation programs are now delivered by governments rather than NGOs, we are also exploring opportunities to support these programs by providing technical assistance to governments.
Funding research to address key uncertainties: By funding research

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