The GiveWell Blog

How did we do in 2019? A preliminary look at our growth.

We see an early indication that GiveWell continued its trajectory of robust donor growth last year. The total value of donations processed by GiveWell increased 30% in 2019.[1]

We’re sharing this data now because we believe it is an informative early update about our growth last year. However, GiveWell-processed donations don’t tell the full story of our impact. Many donors who rely on our research give via our partner organizations or directly to our top charities. Their gifts account for the majority of donations due to our work and are not processed by GiveWell. Information about these gifts is time-consuming to gather and has usually led us to release our metrics data many months after the end of the year. We plan to release a complete 2019 metrics report and assessment of our impact, including donations not processed by GiveWell, later this year.

Here’s what we know so far, based on the nearly complete information we have about donations we processed:

  • We processed $54.1 million in donations in 2019. Sixty-five percent of this amount was restricted to our recommended charities and 35% was unrestricted, which we may use to support GiveWell’s operations.
  • Support from donors giving $10,000 to $100,000 comprised the largest proportion of our growth (35%).[2]
  • Returning donors who gave more than last year made up 75% of our growth in funds donated (excluding anonymous donations).[3]
  • We believe that the majority of our growth was organic and would have occurred without any outreach and marketing efforts from GiveWell, although we can attribute some to specific outreach and marketing initiatives.[4]

We’re encouraged by this growth and excited to write about it. We also discuss below some ways that GiveWell-processed donations could be a misleading indicator of our overall impact.

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Introducing our new Managing Director: Dr. Neil Buddy Shah

I’m very excited to announce that Dr. Neil Buddy Shah is joining GiveWell as Managing Director starting this summer.

We’re beyond thrilled that Buddy, a leader in the global health and development space, has chosen to be part of our team at this exciting time. We have significantly expanded our research focus over the past few years to identify high-impact giving opportunities beyond our current top charities list. In addition to working with me to set our strategy generally, a core component of Buddy’s work will be pushing our research and funding expansion forward by leading GiveWell’s efforts to learn from and contribute to the broader international development community.

He is exceptionally qualified to do so. Buddy has spent the last eight years as Founding Partner and CEO of IDinsight, a group GiveWell has worked closely with and supported through our Incubation Grants program. We’re confident that IDinsight will continue to do great work over the coming years.

Buddy is now heading the leadership transition process at IDinsight. He expects to join GiveWell around July. Welcome to the team!

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Why it’s important to think through all of the factors that influence a charity’s impact

Charity evaluation is rarely straightforward. Many factors, within a charity’s control or outside of it, can influence the impact a charity has.

This blog post will highlight a case that illustrates how thinking through these factors can lead to surprising information that changes our understanding of a charity’s impact.

Summary

GiveWell recommended a grant to Results for Development (R4D) in May 2016 for its recently-launched program to increase access to pneumonia treatments for children in Tanzania. We thought this program was promising enough to potentially join our short list of GiveWell top charities once we had more information on its impact.

Expanded access to treatments is a factor in reducing child mortality from pneumonia, but not the only factor. We ultimately want to know not just whether more pneumonia treatments are available in Tanzania, but whether fewer children die of pneumonia as a result of R4D’s work. We expect the program to best achieve this impact if pneumonia patients visit health clinics with treatments in stock and are diagnosed and treated correctly.

We learned as we followed R4D’s work that there was limited information available on the accuracy of clinicians’ pneumonia diagnoses. We initially guessed that clinicians were diagnosing pneumonia accurately around 80 percent of the time. R4D collected data on diagnostic accuracy and we learned that the rate of accurate pneumonia diagnosis was actually 18 percent. This caused our estimate of the program’s impact to fall, though it remains in the range that we look for in potential top charities.

This finding highlights why it’s important to think through all of the factors along the path from a charity’s activities to its ultimate impact; if we had just considered whether more treatments were available, we would have missed this part of the story. We’re excited to continue following R4D’s work because of the role it has played in collecting this information to date and our expectation that it will continue collecting information that allows us to estimate its impact on the availability of pneumonia treatments across Tanzania. We expect to consider R4D as a potential future top charity.

In this post, we discuss:

  • The background for GiveWell’s grant to R4D (More)
  • Our plans for assessing the impact of R4D’s program (More)
  • Approaches to measuring R4D’s impact (More)
  • Lessons from this work (More)

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Update on our work on Fistula Foundation

Although our list of top charities is short (just eight excellent organizations), we’re always on the lookout for other groups to add. Fistula Foundation is one of the charities we’re planning to prioritize highly for further evaluation. Donating to Fistula Foundation is not yet one of our recommendations—as it’s still under active investigation—but we’re excited to share an update on our work so far and next steps.

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Allocation of discretionary funds from Q3 2019

In the third quarter of 2019, donors gave a combined $2.6 million to GiveWell for granting to recommended charities at our discretion. We greatly appreciate this support, which enables us to direct funding where we believe it can be used most impactfully. We grant this funding to one or more of our top charities each quarter.

We decided to allocate all $2.6 million to Helen Keller International’s (HKI) vitamin A supplementation (VAS) program. HKI is a GiveWell top charity that supports provision of vitamin A supplements to young children, reducing their likelihood of dying from infectious disease. It does so by providing technical assistance, engaging in advocacy, and contributing funding to government-run VAS programs in sub-Saharan Africa. We based our decision on our estimate of the high cost-effectiveness of the work HKI expects to conduct with this funding.

We provide an updated recommendation for donors below.

Summary

In this post, we discuss:

  • what HKI will do with this funding. (More)
  • our process for deciding where to allocate funds. (More)
  • our bottom line for donors giving today. (More)

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We’re glad to answer your questions

We know that many individuals make their charitable donations at this time of year. We’re here to help!

If you would like to discuss your 2019 giving decision with a GiveWell staff member, please email us at info@givewell.org or schedule a call here.

For example, we’re glad to:

  • Provide a brief overview of our 2019 top charity recommendations.
  • Assist with the logistics of making a donation and discuss options for donating, such as appreciated securities, checks, and wire transfers.
  • Answer any questions about our research or recommendations.

We look forward to hearing from you!

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