The GiveWell Blog

Raffles, Deworming, and Statistics

Sometimes statistics can help when it’s hard to decide what to do.

You’re at a local art fair, and they’re raffling off a car worth $10,000. Five hundred tickets are being sold, each for $10. Does it make financial sense to buy a ticket? (For the moment, let’s set aside other questions about raffles and just focus on the benefit for you, the potential ticket-buyer.)

You can use a statistical concept called “expected value” to help you decide. Expected value is calculated by multiplying the probability of each potential outcome by its value, then adding these results together to get the average result of an action.

Let’s figure this out—a car is on the line. First, we multiply the probability of each potential outcome by its value.

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Bringing the Economic Benefits of Reading Glasses into Focus

It started in my early forties, and it’s only gotten worse since then. At first, it was a mild annoyance, but now it affects my quality of life and makes it harder to get things done. I’m definitely not alone—almost every middle-aged person I know has the same problem—and maybe you do too: a condition called presbyopia, a type of age-related vision loss that makes it difficult to see things clearly at close distances.

Luckily, the condition is easily and inexpensively treated with reading glasses, widely available at nearly every corner drug store in the United States. Reading glasses work well, and they’re cheap enough that I have them stashed around my house so a pair is always in reach. But an estimated 510 to 826 million people around the world have presbyopia but do not have corrective glasses.

What we know and what we don’t know

We think that providing reading glasses to people who need them is a promising way to improve their employment opportunities and increase their economic well-being. It makes intuitive sense that being able to see better would improve people’s ability to work, particularly for vision-intensive jobs such as crop cultivation and inspection, manufacturing, or retail work.

Since we’re not as confident as we’d like to be in the effect of distributing reading glasses, we’re co-funding a study to find out more before we allocate significant funding to direct delivery of glasses. We’re recommending a $4.8 million grant for the study.

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What If We Have Extra?

What do you do if you’re in the very fortunate position of having more money than you need to meet your own immediate needs? You might find new things to buy. You might stockpile it for a rainy day. You might donate it to cost-effective global health programs. Or you might do some combination of the three.

GiveWell thinks about that same question.

First, a bit of context: All donations made to GiveWell’s Top Charities Fund, All Grants Fund, and recommended organizations go to the programs we recommend. (We do not take a percentage of donations made to recommended organizations through GiveWell’s website, nor do we receive any fees from organizations for being featured on our site.)

Our own organizational needs are met by donors who choose to direct funding to GiveWell’s operations (by giving to our Unrestricted Fund). In other words, we are supported only by donors who explicitly choose to support GiveWell itself through unrestricted donations.

But what happens when we receive more unrestricted donations than we need? We could choose to spend the funds on something new for the organization. We could squirrel those funds away, building an endowment to cover future needs. Or, like you, we could donate to cost-effective global health programs.

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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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