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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Research Strategy: Vaccines

GiveWell started supporting vaccines in 2015 and has made over $160 million in grants to date. With strong results from past work in this space, we’re now exploring how to reach more people with vaccines in low- and middle-income countries. This post discusses our current thinking on vaccines grantmaking and our key hypotheses about where to focus our efforts going forward.

Where are we now?

Before this year, our grants for vaccine programs focused on (a) increasing uptake of the vaccines given to children in the first two years of life, and (b) speeding up the rollout of malaria vaccines.

Relative to other global health approaches, vaccines garner a lot of attention. Governments in high-income countries contribute to Gavi, the Vaccine Alliance, which heavily subsidizes the purchasing of vaccines in the world’s poorest countries and provides cash assistance to help these countries deliver them. The Gates Foundation is also a major contributor to vaccine programs. These efforts have been fairly successful—in 2022, 81% of children in the 57 low-income countries supported by Gavi had received the DTP3 vaccine, which protects against diphtheria, tetanus, and pertussis. DTP3 coverage is often used as a benchmark for progress on vaccination.

This provides both a challenge and an opportunity for finding cost-effective giving opportunities. On the one hand, thankfully, the people who are easiest to reach with vaccines are already being reached, which means more expensive or innovative methods are needed to expand coverage. On the other hand, we can build on the extensive knowledge and infrastructure that already exists.

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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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Mobile vaccination with New Incentives

In this blog post, we’re crossposting the work of one of our grantee organizations and top charities: New Incentives, which gives cash incentives for parents and caregivers in Northern Nigeria to take advantage of standard childhood vaccines that are freely available from government clinics. Recently, New Incentives wrote about the experiences of their staff member Idris and a mobile vaccination team on one particular Saturday morning in Kano State, Nigeria.

We wanted to share the stories of Idris, Alawiyya, and this particular mobile vaccination team on this particular Saturday morning, even while flagging that it’s just one of the 5,900 clinics and 11,130 mobile vaccination sessions that New Incentives staff participated in during January 2024. The plural of “story” is not data, but the stories do combine into a whole lot of impact for babies and their families.

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Trying (and failing) to find more funding gaps for delivering proven cost-effective interventions

There are interventions that we believe are – or may be (pending a literature review) – very well supported by evidence, that we’ve been unable to find charities focused on. In 2012, we put a significant amount of effort into trying to find ways donors could pay for further delivery of these interventions, even if…

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Some thoughts on the yellow fever vaccine

There’s news today that the Yellow Fever Initiative is facing a budget shortfall and may be unable to purchase needed vaccines in the near future (h/t Christine Gorman): Emergency supplies of yellow fever vaccines are set to run out next year, and there is no funding to continue immunisation campaigns after that, World Health Organisation…

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