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. Read More # 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. Read More # GiveWell donors supported more than direct delivery: AMF and new net research Supporters of the Against Malaria Foundation in recent years may have had even more impact than they expected. The Against Malaria Foundation (AMF) is a GiveWell top charity because we believe its program to distribute insecticide-treated nets prevents people from dying of malaria. AMF-supported net distributions are incredibly cost-effective; we estimate that a$2,000-3,000 donation averts one death.[1] AMF’s work is important in and of itself to fund.

Not all AMF donations, however, just support typical net distributions. In recent years, AMF supported research on a new type of insecticide-treated net, the piperonyl butoxide (PBO) net. This research itself (i.e., researcher time, equipment, and administrative costs) was funded by a small number of AMF donors who explicitly agreed to support it. The research was conducted on nets that were contributed by a broad group of AMF donors.

Preliminary data suggest that PBO nets are more effective at preventing malaria than standard insecticide-treated nets in areas where mosquitoes have developed insecticide resistance. We think it is likely that AMF sped up the completion of a large-scale, high-quality study of these new nets.

We’re thrilled to recommend charities that contribute research in the fields in which they operate. AMF doesn’t just prevent deaths from malaria by distributing nets—it has improved our and others’ understanding of which nets can work best in the future. This post is to share this story with our donors, whose contributions make this work possible.

## Summary

In this post, we’ll discuss:

• Insecticide resistance and the potential of PBO nets. (More)
• AMF’s role in PBO net research. (More)

# Announcing our 2019 top charities

We’re excited to announce our top charities for 2019. After thousands of hours of vetting and review, eight charities stood out as excellent.

We decided to allocate all $2.3 million to the Against Malaria Foundation (AMF). AMF is a GiveWell top charity that provides support for the distribution of long-lasting insecticide-treated nets to prevent malaria. AMF has been named a GiveWell top charity seven times. We chose to allocate the second-quarter funding to AMF because we believe AMF has a highly cost-effective and time-sensitive opportunity to spend it. ## Our bottom line We continue to recommend that donors giving to GiveWell choose the option on our donation form for “grants to recommended charities at GiveWell’s discretion” so that we can direct the funding to the top charity or charities with the most pressing funding needs. For donors who prefer to give to a specific charity, we note that if we had additional funds to allocate at this time, we would very likely allocate them to AMF, which we believe could use additional funding for highly cost-effective work, even after receiving the$2.3 million in funding mentioned above.

In the first quarter of 2019, donors gave a combined $4.7 million for granting to recommended charities at our discretion. We really appreciate the generosity of our supporters in making it possible for us to regularly allocate funding to the top charity or charities that we believe can best use additional funding. Thank you! In this post, we discuss our decision to allocate this$4.7 million to the Against Malaria Foundation (AMF), as well as the process we followed to arrive at this decision.