The GiveWell Blog

Mid-year update on GiveWell’s progress

This post will provide a brief overview of GiveWell’s progress in a number of areas so far this year. In summary,

  1. Research: We are making progress on reaching charities that might be a good fit for a GiveWell recommendation and asking them to apply. We are also moving forward with GiveWell’s intervention prioritization goals.
  2. Operations: The separation of GiveWell and the Open Philanthropy Project was a major organizational priority in the first half of the year and was finalized on June 1. We’ve also increased the specialization on the operations team and outsourced some of GiveWell’s operations work.
  3. Outreach: Outreach is now a major organizational priority. We hope to develop a strategy for significantly increasing money moved to our recommended charities by September.

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Deciding whether to recommend fistula management charities

We’ve long been interested in fistula surgery as a potential GiveWell priority program. However, as with other surgery charities, we have struggled to identify an organization that meets GiveWell’s criteria. Now, we’re working with a group called IDinsight and are excited that we may be able to consider a fistula surgery organization as a potential GiveWell top charity.

Our longstanding interest in interventions to treat fistula can be attributed in part to the popular narrative presented about fistula–the condition, which is often associated with social ostracization–appears to cause a significant amount of suffering, and seems to be treatable. We’re not sure how representative the popular narrative is, but as donors, it has contributed to our continued interest in better understanding this intervention, along with the feeling that surgery charities in general may offer low-cost, life-changing impacts.


This post will discuss:

  • Fistula management, including surgery, as an intervention.
  • Our open questions and uncertainty around fistula management programs, particularly their costs.
  • Our plans to partner with IDinsight to help answer some of our questions about fistula management.

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