Tag Archives: Against Malaria Foundation

Our recommendations for giving in 2022

We wrote back in July that we expected to be funding-constrained this year. That remains true as we approach the end of the year, putting us in the unusual position of leaving impact on the table.
We’ve set a goal of raising $600 million in 2022, but our research team has identified $900 million in highly cost-effective funding gaps. That leaves $300 million in funding gaps unfilled. By donating this year, you can help us not only meet but exceed our goal—and say yes to more excellent opportunities to save and improve lives.
Additionally, our giving guidance for donors has changed this year. For the first time, our top recommendation is to give to our new All Grants Fund, which we allocate to any need that meets our cost-effectiveness bar. We think it’s the best bet for donors who want to support the most promising opportunities we’ve found to help people, regardless of program or location. And it reflects our current views on how we can best meet our goal of maximizing global well-being—by taking advantage of every path to impact, whether that’s funding top charities, seeding and scaling newer programs, or funding research. See below for more on all three of our giving funds.

Why your support is so important
We rely heavily on numbers to think through our funding decisions. But it’s important to remind ourselves what those numbers represent.[1] If we reach our goal of $600 million this year, we speculatively guess that that funding would save around 70,000 lives.[2] That’s approximately the population of Portland, Maine.[3]
To make the image a little more specific: we also expect most of the lives saved will be those of very young children, under five years old.[4] If they reach their fifth birthday, they’ll have a much higher chance of surviving into adulthood.[5] We think about 49,000 of the lives these donations are expected to save will be those of children under five[6]—enough to fill more than 2,000 average US primary school classrooms.[7]
But raising $600 million is not a given. We expect $350 million of our funding this year to come from Open Philanthropy, our single largest donor.[8] The rest will come from our broader community of supporters (like you!), and our projections for this category of our fundraising are fairly uncertain.
What $600

Givewell Blog | http://feeds.feedburner.com/TheGivewellBlog

Goto full post >>

Our recommendations for giving in 2021

You can have a remarkable impact by supporting cost-effective, evidence-based charities.
Just looking at the approximately $100 million[1] GiveWell had discretion to grant in 2020—a subset of all the money we directed to the charities we recommend—the impact of our donors is impressive. We estimate these grants will:

Save more than 24,000 lives
Treat over 6 million children with a full course of antimalarial medication
Provide vitamin A supplementation to over 8.6 million children
Deliver over 4.4 million long-lasting insecticide-treated nets (LLINs) to protect against malaria
Vaccinate 118,000 children
Treat over 11.4 million children for parasitic worms

We’re grateful for your support and interest in our work, and we’re excited to share our recommendations and updates on our recent research. We hope you consider donating to some of the truly outstanding charities we recommend.

Summary

We continue to recommend the same excellent top charities.
Our top recommendation: GiveWell’s Maximum Impact Fund
GiveWell’s evolving role
How our research teams have increased our room for more funding

Our top charities team identified many more cost-effective funding opportunities in 2021.
Our new interventions team identified a number of promising new program areas to support.
We finalized three initial focus areas for high-leverage work within public health regulation and investigated grants in each of those areas.

​​
Updates to our impact estimates
Giving unrestricted funding
How to give efficiently
Ways to learn more

We continue to recommend the same excellent top charities.
The nine charities we recommend are high-impact, cost-effective, and backed by evidence and our rigorous analysis. This year, our top charities list remains unchanged.
While our list of recommendations is the same, we have made major strides in our research identifying new giving opportunities within our top charities. We expect to direct about $300 million to our top charities in 2021, compared to about $180 million in 2020. More detail on this below.
We’ve also made major strides in identifying new opportunities that are as cost-effective as current top charities, and expect to grant about $130 million to new interventions this year. We expect to continue that work in 2022.
Our top recommendation: GiveWell’s Maximum Impact Fund
Our Maximum Impact Fund remains our top recommendation for donors who want to do as much good as possible with their gift. As always, we take no fees, and grant from our Maximum Impact Fund on a quarterly basis to the opportunities where we believe additional donations will help the most.
Cost-effectiveness varies

Givewell Blog | http://feeds.feedburner.com/TheGivewellBlog

Goto full post >>

Initial thoughts on malaria vaccine approval

The World Health Organization (WHO) recently recommended the widespread use of the malaria vaccine RTS,S/AS011We’ll use “RTS,S” as shorthand in this post. jQuery(‘#footnote_plugin_tooltip_13408_1_1’).tooltip({ tip: ‘#footnote_plugin_tooltip_text_13408_1_1’, tipClass: ‘footnote_tooltip’, effect: ‘fade’, predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: ‘top right’, relative: true, offset: [10, 10], }); for children. It provides an additional, effective tool to fight malaria. This is great news!
We’ve been following this vaccine’s development for years and, in the last few months, have been speaking with organizations involved in its development and potential wider rollout.
Our work on RTS,S (and other malaria vaccines) is ongoing, and we might significantly update our views in the near future. But because we’ve been following its progress, we’re sharing some initial thoughts.
In brief

This vaccine is a promising addition to the set of tools available to fight malaria, but it’s not a panacea. We expect long-lasting insecticide-treated nets (LLINs) and seasonal malaria chemoprevention (SMC)—interventions provided through two of the programs we currently recommend—to continue to be important in the fight against malaria in the near term.2

The parts of the WHO news release that we have bolded indicate that RTS,S should be used with existing malaria control interventions:

“WHO Director-General Dr Tedros Adhanom Ghebreyesus [said,] ‘Using this vaccine on top of existing tools to prevent malaria could save tens of thousands of young lives each year.’”
“WHO recommends that in the context of comprehensive malaria control the RTS,S/AS01 malaria vaccine be used for the prevention of P. falciparum malaria in children living in regions with moderate to high transmission as defined by WHO.”
Similarly, Gavi’s news release states: “The vaccine will be a complementary malaria control tool to be added to the core package of WHO-recommended measures for malaria prevention. This includes the routine use of insecticide-treated bed nets, indoor spraying with insecticides, malaria chemoprevention strategies, and the timely use of malaria testing and treatment.”
jQuery(‘#footnote_plugin_tooltip_13408_1_2’).tooltip({ tip: ‘#footnote_plugin_tooltip_text_13408_1_2’, tipClass: ‘footnote_tooltip’, effect: ‘fade’, predelay: 0, fadeInSpeed: 200, delay: 400, fadeOutSpeed: 200, position: ‘top right’, relative: true, offset: [10, 10], });
Simple comparisons of potential costs and effectiveness of RTS,S and SMC suggest that SMC could be more cost-effective (see below). But there are lots of unknowns about RTS,S that could change that.
We are actively looking into whether there are promising funding opportunities in this space.
So:

For the time being, this news

Givewell Blog | http://feeds.feedburner.com/TheGivewellBlog

Goto full post >>

Our recommendations for giving in 2020

You can have a major, positive impact today by choosing to support organizations backed by strong evidence: our top charities.
We recommend the nonprofits that offer the most impact per dollar we’re aware of. In fact, we estimate that you can save a life by donating $3,000-$5,000 to our top recommendation.[1]
If you’re a longtime donor, you’ll recognize most of this year’s top charities. You may even wonder why our list hasn’t changed much. However, a tremendous amount of research—truly thousands of hours—has been done to ensure that these organizations continue to meet our high standards. And although there are many familiar names, one is entirely new: New Incentives.
We’re proud to share our recommendations and grateful to you for considering supporting them. We hope you’ll read on!

Summary
In this post, we’ll cover:

How to give in 2020
Our work on COVID-19
Key research updates
Introducing New Incentives
Giving to GiveWell’s operations
How to give efficiently
Ways to learn more

How to give in 2020
Our nine top charities are the best opportunities we’ve found for donors to save or improve lives.
We conduct an intense, monthslong assessment of each top charity before determining it can be added to our list. All top charities meet our high standards for evidence of effectiveness, cost-effectiveness, and transparency. We believe they will use donations well.
However, our work to ensure that our top charities meet our standards isn’t the end of our process. We continually assess where funding is most needed within our list of top charities. Donors can support the highest-priority needs by giving to our Maximum Impact Fund.
The Maximum Impact Fund is our top recommendation for donors who want to do as much good as possible with their gift. We regularly make grants from the Maximum Impact Fund to our top charities. We direct these grants where we believe they will achieve the most good at the time they’re given.
Our top charities’ funding needs constantly change. For example, a top charity might identify an opportunity to work in a new country that requires more funding than it has on hand. Another might receive a large grant that fills its immediate funding needs. We continually monitor these changes and re-prioritize our top charities’ needs.
Giving to the Maximum Impact Fund is the best way to take advantage of our latest research and to ensure your

Givewell Blog | http://feeds.feedburner.com/TheGivewellBlog

Goto full post >>

Maximum Impact Fund update: We estimate GiveWell donors’ $15.3 million to the Against Malaria Foundation will save over 3,000 lives

Thanks to our donors, we have disbursed $23.3 million in flexible funding to our top charities this year. This generous, flexible support is worthy of celebration!
This post focuses on our decision to grant $15.3 million to the Against Malaria Foundation (AMF), which includes the $11.7 million that donors gave to “Grants to recommended charities at GiveWell’s discretion” in the first half of 2020.[1]
AMF supports the distribution of insecticide-treated nets in areas with high rates of malaria. The nets stop mosquitoes from biting and spreading the disease. We estimate our donors’ support for AMF will collectively save over 3,000 lives, mostly of young children in the Democratic Republic of the Congo (DRC) and Guinea.[2] Without this grant, we think net distributions in DRC and Guinea would have been delayed.
We believe that AMF was the highest-impact choice for this grant. We chose AMF after assessing the effect of the COVID-19 pandemic on our top charities, the urgency of our top charities’ funding needs, and our estimates of their impact per dollar. We’re grateful for GiveWell donors’ trust in providing flexible funding to fill this need.
Why we chose AMF
We typically allocate flexible donations to our top charities every quarter. However, we delayed allocating the donations we received to “Grants to recommended charities at GiveWell’s discretion” in the first quarter of 2020. We wanted to better understand the impact of the growing COVID-19 pandemic on charities’ budgets and plans before making a decision about where funding would have the greatest impact.
AMF was a top contender for receiving this grant because of its high estimated impact per dollar. It is continuing its work during the pandemic, with some delays and modifications.[3] However, we wanted to resolve a couple open questions about its work before making a grant.[4]
First, we wanted to make sure that AMF needed additional funding. At the end of 2019, it held around $70 million that was earmarked for specific distributions, but we were unsure how much of this funding would be formally committed.[5] As of June 2020, AMF had committed nearly all of this funding and held only around $4 million in uncommitted funds.[6] Distributions AMF hoped to carry out in DRC and Guinea in late 2021 to early 2022 would require significantly more than $4 million.[7] There is a strong

Givewell Blog | http://feeds.feedburner.com/TheGivewellBlog

Goto full post >>

Why we’re excited to fund charities’ work a few years in the future

We recently spoke with someone who wanted to donate to a GiveWell top charity. They were interested in getting the funding “out the door” and to program participants as quickly as possible.
But our top choice for funding today is Malaria Consortium’s seasonal malaria chemoprevention program—for work it expects to complete in 2022.[1] The potential donor was puzzled. Shouldn’t we prioritize an organization that needs the money sooner?
We often recommend donations today that support programs a few years from now. This probably diverges from many people’s intuitions about getting funding out the door as soon as possible.
Three key reasons why funding today leads to more impact in the future
1. Upfront coordination and planning increases charities’ impact.
Highly effective charities tend to spend a lot of time preparing before they implement their programs.
The Against Malaria Foundation (AMF) is a GiveWell top charity that supports the distribution of insecticide-treated nets, primarily in sub-Saharan Africa. These nets are hung over sleeping spaces and prevent mosquitoes from biting and transmitting potentially deadly malaria. AMF says the ideal lead time for its work is 23 months.[2] During that time, it takes the following steps:

Choosing a location: AMF decides where it should direct funding to have the greatest impact. It considers malaria prevalence, the number of people in need of nets, and whether partner organizations can conduct distributions according to AMF requirements.[3]
Negotiating an agreement: AMF and the country’s national malaria program negotiate a net distribution agreement and seek government approval.[4]
Ordering nets: AMF negotiates with net manufacturers to place an order for nets suited to local needs, which may vary in size, color, and insecticide.[5]
Producing, shipping, and transporting nets: Nets are manufactured and shipped to regional warehouses.[6]
Visiting households: AMF’s partners visit households to determine how many nets are needed.[7]

Some of these steps are practical requirements for conducting a distribution, such as ordering and shipping nets to the relevant location. Other steps increase the impact of the distribution. Though 23 months may seem like a long lead time, it enables AMF to coordinate with in-country groups, identify the highest-need areas, order the quantities and types of nets that are most suitable for those areas, and select partners that can conduct high-quality distributions and monitoring. We believe that the overall impact of donations is much greater than they would be if

Givewell Blog | http://feeds.feedburner.com/TheGivewellBlog

Goto full post >>