The GiveWell Blog

Finding and Vaccinating More Children

We’re crossposting the first part of a blog post by New Incentives, one of our grantee organizations and Top Charities. New Incentives aims to increase vaccination coverage in Northern Nigeria by providing cash incentives to parents and caregivers.

We recognize that individual stories about a program can be misleading, as they can often highlight the best examples rather than typical cases. However, we hope that this post, about New Incentives’ efforts to reach zero-dose children, can provide another angle for understanding the efforts of our Top Charities.

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GiveWell as Moneyball

If there’s one group of people who are as obsessed as we are with rigorously analyzing a complicated domain and figuring out where to prioritize scarce resources, it’s Major League Baseball front offices. With that in mind, we wanted to write this guide comparing some baseball statistics with the metrics we take into consideration when evaluating programs to save and improve lives.

Batting Average: Batting average is simple to calculate and easy to explain, and it was historically considered one of the most important ways of evaluating how good a player was. It remains one of the primary baseball stats you’ll find in the newspaper.

But as a measure of a player’s value, batting average isn’t actually all that helpful—and at times can be actively misleading. One of the two primary shortcomings of batting average is that it ignores plate appearances that end in a walk. But walks are really valuable! The Little League wisdom that “a walk is as good as a hit” is an oversimplification, but it also points us toward a statistic that’s more valuable than batting average. It turns out that on-base percentage, which considers walks (as well as the less common hit-by-pitch method of reaching base) as a successful outcome, is a better predictor of a player’s offensive value.

As an example, Juan Pierre and Adam Dunn, who both played in about 2,000 games over their careers, had lifetime batting averages of .295 and .237 respectively. At first glance this might give the impression that Pierre was the more productive hitter. Looking at on-base percentage though, we see that Dunn actually reached base more frequently than Pierre (.364 versus .343), which, combined with his propensity for hitting home runs (another indicator of offensive value that batting average ignores), made him the much more valuable career hitter. (Dunn’s negative defensive contributions are another story.)

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September 2024 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 previous open threads here.

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More than a Spoonful of Medicine

What does it take to prevent malaria? Some of the programs GiveWell recommends might sound straightforward—for example, seasonal malaria chemoprevention (SMC) programs provide antimalarial drugs to young children—but the process of accomplishing this is not simple at all.

Below, we offer a post from Malaria Consortium that describes the many complex steps required to carry out an SMC campaign. See our reports for more information about the evidence for SMC and about Malaria Consortium’s SMC program.

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Some Things We’re Reading

Today we’re sharing a few quotes from pieces we’ve come across recently in our work—claims have not been vetted, and (of course) interest is not endorsement.

  • The story of Ethiopian manufacturing—its rise, its faltering, and its potential for renewal—is an example, I believe, of where a little more empathy can lead to better economics.” (Oliver Kim, Global Developments)
  • “Every year, tuberculosis kills over a million people. Can a new vaccine turn the tide? For the last 100 years, we’ve only had one TB vaccine—and it leaves a lot to be desired.” (Jess Craig, Future Perfect)

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100 Miles of Monitoring

We’re crossposting a blog post by New Incentives, one of our grantee organizations and Top Charities. New Incentives promotes vaccination in Northern Nigeria by providing cash incentives to parents and caregivers. Recently, one of New Incentives’ field officers wrote about his experience collecting program data.

GiveWell asks all of our Top Charities to share detailed monitoring information, which we review to assess the quality of program implementation and the number of children reached. We also use this data as part of our cost-effectiveness analyses, which are the basis of our funding decisions.

We’re sharing this post to provide a firsthand account of how that monitoring data is collected. We recognize that individual stories about a program can be misleading, as they can often highlight the best examples rather than typical cases. Still, we hope Sanusi’s experience opens one small window into the efforts our Top Charities take to ensure high-quality implementation.

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