The GiveWell Blog

All posts by GiveWell Staff

Podcast Episode 11: A Frontline View of Foreign Aid Cuts with CHAI’s CEO

| by GiveWell Staff

Foreign aid funding cuts are reshaping the global health landscape, creating urgent funding gaps and forcing difficult prioritization decisions across health systems worldwide. To understand the real-world effects, it’s essential to hear from the organizations working on the front lines with government partners to navigate the funding crisis. The Clinton Health Access Initiative (CHAI) is a large global health nonprofit and an important GiveWell partner in this work.

In this episode, GiveWell CEO and co-founder Elie Hassenfeld speaks with CHAI CEO Buddy Shah about how the aid cuts are affecting health programs and what it takes to build a strategic response. They discuss the hidden complexities of the funding landscape, the difficult choices governments are being forced to make, and what this pivotal moment could mean for the future of global health.

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Podcast Episode 10: The Fragile Foundations of Global Health Data

(updated on: ) | by GiveWell Staff

GiveWell’s ability to find and fund highly cost-effective health programs relies on a foundation of credible data. A key source of that data, the Demographic and Health Surveys (DHS), recently had its primary funding from USAID discontinued. This creates the potential of a significant challenge for GiveWell’s research—and for evidence-based grantmaking across the global health sector.

In this episode, GiveWell CEO and co-founder Elie Hassenfeld speaks with Senior Researcher Adam Salisbury to explore the implications of this funding gap. They discuss how the DHS program works, why it’s essential for informed decision-making, and how GiveWell is responding to the growing limitations of public health data.

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GiveWell’s 2024 Metrics and Impact

(updated on: ) | by GiveWell Staff

Thanks to the generosity of more than 30,000 donors, GiveWell raised $415 million and directed $397 million to cost-effective programs in metrics year 2024 (February 2024 to January 2025). We approved 55 grants to 34 organizations working in 22 countries. We estimate that the programs supported by these grants will help around 34 million people who would not otherwise have been reached and will save an additional 74,000 lives.

We’re incredibly grateful to our donors for the trust they place in our research and for their partnership in trying to do the most good we can together. See this blog post and our full 2024 metrics report for more details behind the money we raised, the funds we directed, operational expenses, donor metrics, and the impact we had last year.

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Podcast Episode 9: Advancing GiveWell’s Work on Family Planning

(updated on: ) | by GiveWell Staff

As GiveWell’s research team grows, our goal is to compare as wide a range of programs as we can to find the most cost-effective opportunities to help people. Over the past year and a half, we’ve been investigating family planning services that help people decide whether and when to have children as a new area of research.

Family planning programs have particularly complex challenges around targeting, logistics, and ensuring informed and voluntary choice. However, GiveWell’s increasing research capacity positions us to now take on new and complex investigations like this. Over the past year, we’ve been  reviewing evidence, consulting with experts, modeling the benefits of contraception, and conducting initial grant investigations, focusing on programs that aim to increase access to and use of modern contraception. This work is especially timely as anticipated cuts to foreign assistance could reduce existing family planning support by around 50%, creating significant new funding gaps.

In this episode, GiveWell CEO and co-founder Elie Hassenfeld speaks with researcher Dilhan Perera about the complexity of evaluating family planning programs. They explore the types of programs GiveWell is considering, the unique challenges this area presents, and key questions we’re working to answer.

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Podcast Episode 8: Malaria Funding at a Crossroads

(updated on: ) | by GiveWell Staff

Malaria is the cause area where GiveWell has directed the most funding over our 18-year history. We’ve recommended over $1 billion to malaria programs, which we estimate will avert over 200,000 deaths, mostly in young children, through support for programs like Against Malaria Foundation’s insecticide-treated nets and Malaria Consortium’s seasonal malaria chemoprevention.

Despite significant progress against malaria in the past 25 years (reducing annual deaths from 900,000 to 600,000), malaria is still a leading cause of death globally for children under five. The current status of malaria prevention—and all the progress that’s been made—is now in a precarious position. Significant reductions in funding from key donors like the US President’s Malaria Initiative and the Global Fund are anticipated and threaten to create substantial new gaps in life-saving malaria programs.

In this episode, GiveWell CEO and co-founder Elie Hassenfeld speaks with Program Officer Alex Bowles and Senior Researcher Rosie Bettle about the impacts these funding cuts could have. They offer a timely look at the uncertainty of the funding landscape, the life-saving malaria programs that are most at risk, and how GiveWell is leveraging its expertise to respond to emerging needs.

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Apples, Oranges, and Outcomes

(updated on: ) | by GiveWell Staff

Imagine you are planning to make a charitable donation and want your gift to make a real difference. You’ve done your research and found three very effective programs: one provides cash transfers to increase the incomes of very poor households; one provides treatment to correct clubfoot, a congenital condition that causes pain and mobility loss; and one provides children with medication to prevent illness and death from malaria. How do you decide?

Like GiveWell, you may aim to maximize the amount of “good” your donation does. But how can you compare giving opportunities when the good that programs do often looks very different?

Let’s go back to the three options you found. We very roughly estimate that a $10,000 donation might do one of the following:

  • Double the consumption of around 15 very poor people for one year
  • Correct clubfoot for eight children
  • Prevent the death of two children from malaria

Estimating the impact of your donation in this way doesn’t resolve the dilemma of where to give—it just raises other important questions. Which of those outcomes has the greatest impact? Is preventing a child’s death more or less valuable than doubling a household’s income? How much more or less valuable? In order to make a decision about where to donate, you’ll need a way to compare very different outcomes.

GiveWell faces the same set of questions. Because our funding is limited, we have to make choices about which programs to support, but those programs don’t all have the same outcomes. We need a way to compare programs to each other.

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