The GiveWell Blog

Update on No Lean Season’s top charity status

At the end of 2017, we named Evidence Action’s No Lean Season one of GiveWell’s nine top charities. Now, GiveWell and Evidence Action agree that No Lean Season should not be a GiveWell top charity this year, and Evidence Action is not seeking additional funding to support No Lean Season’s work at this time.

This post will discuss this decision in detail. In brief, we updated our assessment of No Lean Season, a program that provides loans to support seasonal migration, based on preliminary results Evidence Action began discussing with us in July from a study of the 2017 implementation of the program (hereinafter referred to as “2017 RCT”). These results suggested the program, as implemented in 2017, did not successfully induce migration. Taking this new information into account alongside previous studies of the program, we and Evidence Action do not believe No Lean Season meets our top charity criteria at this time.

Evidence Action’s post on this decision is here.

GiveWell’s mission is to identify and recommend charities that can most effectively use additional donations. While it may be disappointing for a top charity to be removed from our list of recommendations, we believe that adding and removing top charities from our list is an important part of our process. If our top charities list never changed, we would guess we were (a) acting too conservatively (i.e. not being open enough to adding new top charities), or (b) not being critical enough of groups once they’ve been added to our list (i.e. not being open enough to removing existing top charities).

We believe this decision speaks positively of Evidence Action and demonstrates our mutual commitment to updating our views based on new evidence. GiveWell has interacted with hundreds of organizations in our history, and very few have subjected their programs to a rigorous study in the way that Evidence Action did last year and, at smaller scale, in 2014. We’re excited to work with a group like Evidence Action that is committed to rigorous study and openness about results.

Summary

In this post, we will discuss:

  • The history of GiveWell and No Lean Season. (More)
  • How the 2017 RCT updated our views of No Lean Season. (More)
    • What did the 2017 RCT find? (More)
    • How did we interpret the RCT results? (More)
    • What does the future of No Lean Season look like? (More)
  • Conclusion

Read More

A grant to Evidence Action Beta to prototype, test, and scale promising programs

In July 2018, we recommended a $5.1 million grant to Evidence Action Beta to create a program dedicated to developing potential GiveWell top charities by prototyping, testing, and scaling programs which have the potential to be highly impactful and cost-effective.

This grant was made as part of GiveWell’s Incubation Grants program, which aims to support potential future GiveWell top charities and to help grow the pipeline of organizations we can consider for a recommendation. Funding for Incubation Grants comes from Good Ventures, a large foundation with which we work closely.

Summary

This post will discuss the following:

  • Why Evidence Action Beta is promising. (More)
  • Risks we see with this Incubation Grant. (More)
  • Our plans for following Evidence Action Beta’s work going forward. (More)

Read More

Announcing Zusha! as a standout charity

We’ve added the Georgetown University Initiative on Innovation, Development, and Evaluation (gui2de)’s Zusha! Road Safety Campaign (from here on, “Zusha!”) as a standout charity; see our full review here. Standout charities do not meet all of our criteria to be a GiveWell top charity, but we believe they stand out from the vast majority of organizations we have considered. See more information about our standout charities here.

Read More

Considering policy advocacy organizations: Why GiveWell made a grant to the Centre for Pesticide Suicide Prevention

In August 2017, GiveWell recommended a grant of $1.3 million to the Centre for Pesticide Suicide Prevention (CPSP). This grant was made as part of GiveWell’s Incubation Grants program to seed the development of potential future GiveWell top charities and to grow the pipeline of organizations we can consider for a recommendation. CPSP implements a different type of program from work GiveWell has funded in the past. Namely, CPSP identifies the pesticides which are most commonly used in suicides and advocates for governments to ban the most lethal pesticides.

Because CPSP’s goal is to encourage governments to enact bans, its work falls into the broader category of policy advocacy, an area we are newly focused on. We plan to investigate or are in the process of investigating several other policy causes, including tobacco control, lead paint regulation, and measures to improve road traffic safety.

Summary

This post will discuss:

  • GiveWell’s interest in researching policy advocacy interventions as possible priority programs. (More)
  • Why CPSP is promising as a policy advocacy organization and Incubation Grant recipient. (More)
  • Our plans for following CPSP’s work going forward. (More)

Read More

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.

Summary

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.

Read More

Update on our views on cataract surgery

We’re often asked why GiveWell doesn’t recommend any organizations that focus on providing surgeries. This post will describe:

  • Work we did previously to try to find surgery charities to recommend. In brief, our inability to identify organizations with room for more funding and high-quality monitoring data prevented us from recommending surgery charities in general.
  • Our current (rough, preliminary) view that cataract surgery’s cost-effectiveness may be competitive with that of our priority programs, and some of the major open questions we have about our estimate.
  • Organizations implementing cataract surgery programs that we’ve spoken with. They run a variety of programs, and our impression is that they do not yet have the type of high-quality monitoring information we’re interested in.
  • Our plans to move forward with IDinsight to improve our understanding of cataract surgery as an intervention.

Read More