evidence action address

We drive innovation. The proportion of Deworm the World's spending that has gone to its newest program, in Pakistan, has increased in the last three years from just 1% in 2017. Our global office is based at the Department of Economics at the Massachusetts Institute of Technology. Deworm the World assesses risks like this through a diagnostic survey of the countrys capacity, including school attendance rates, which must be sufficiently high if a school-based deworming program is to succeed. These calls were made to 534 blocks across 38 districts to assess preparedness on all program areas. Our cost per treatment analyses rely heavily on analyses Deworm the World has done to allocate its own costs across programs, collect data on costs paid by other partners and governments, and estimate costs when data is not available. In mapping surveys, schools are selected to be representative of a larger geographic area (e.g., they may be selected in part based on which agro-climatic region they are in). The cascade model helps to manage the national scale of the NSBDP, and therefore, builds capacity for successful implementation at various levels. This estimate is very rough and uses the same approach that we use in estimating the total cost per treatment for, We adjust the number of treatments reported by Deworm the World-supported programs by the attendance and coverage rates found in Deworm the World's monitoring. In short, we believe that there is strong evidence that administration of the drugs reduces worm loads but weaker evidence on the causal relationship between reducing worm loads and improved life outcomes; we consider deworming a priority program given the possibility of strong benefits at low cost. GiveWells non-verbatim summary of a conversation with Grace Hollister on July 22, 2015, Pg 6. and how much we expect that charity's funding and budgets to have changed since our most recent funding decision.121 "We work with epidemiologists and local partners to assess worm prevalence and intensity, obtaining data to develop a targeted treatment strategy and to determine parasitological impact once programs are in place.". Grace Hollister, edits to GiveWell's review, November 7, 2016. Identify geographies in which the interventions are cost-effective and scalable. Lead fundraising and proposal development, and develop compelling, external-facing program materials, in collaboration with the External Relations team. A team of health workers and the LGA coordinator rushed to the school and discovered that the pupils fainted because they were dewormed too late (1:00 pm), six hours after their meal in the morning 8:00am) before coming to school. Ideally, prevalence surveys would be carried out after every third round of treatment immediately prior to the following round. [] Given the pre-existing deworming treatments described above, this prevalence survey cannot be considered a baseline survey of an untreated population, but is rather a survey to assess STH infection rates in a treated population, to determine an optimal treatment strategy.". Has the board conducted a formal, written assessment of the chief executive within the past year ? ", For examples, see this spreadsheet, sheets "Methods (Nigeria 2019 CV)" and "Methods (Pakistan 2019 CV).". CIFF notes that many parts of India are extremely poor with high percentages (60%) of the population practicing open defecation; limited access to sanitation services makes it likely that deworming is needed.". Our organization aims to be a world leader in identifying and scaling evidence-based and cost-effective programs to reduce the burden of poverty. The STH community is developing plans to scale-up [sic] treatment, especially in high burden countries such as: As part of the STH Coalition, Evidence Action is chairing a working group on school-age children. J-PAL Southeast Asia is based at the Faculty of Economics and Business at the University of Indonesia (FEB UI). On pages 1-3 there are three spaces for randomly selected classes. "Due to the COVID-19 pandemic, only one round of deworming took place in 2020, rather than the two that were initially plannedin Ogun." We feed this quantitative data back into our decision making processes, allowing us to make evidence-informed decisions in real time. S/he will be comfortable with data for decision-making - using imperfect data to make well-informed, thoughtful decisions. We estimate that in India children are dewormed for a total of about $0.35 per child, or $0.10 per child excluding the value of teachers and principals time spent on the program. Evidence from prevalence surveys over time. These procedures were observed to be followed correctly by 86% of teachers observed by field officers. As of this writing, we have typically funded opportunities that meet or exceed a relatively high bar: 8x cash, or eight (or more) times as cost-effective as GiveDirectly's unconditional cash transfers. This understanding is from many conversations with Deworm the World and following Deworm the World's progress over time. Approximately 8,504 successful[12] calls were made to the education, health, and WCD departments during this period. Deworm the World, comments on a draft of this review, September 12, 2018. Excellent problem-solving and analytical skills, and an understanding of evidence and cost effectiveness. We also conduct independent monitoring to validate program results, and evaluate the impact of programs in reducing worm prevalence and intensity." We adjust our cost-effectiveness estimate accordingly (more below). While it is our understanding that Deworm the World programs generally target areas that require mass treatment according to WHO guidelines,56 We believe that there is strong evidence that administration of deworming drugs reduces worm loads but weaker evidence on the causal relationship between reducing worm loads and improved life outcomes; we consider deworming a priority program given the possibility of strong benefits at low cost. "Our recommendation is explained in the prevalence survey report. We shared information about our current feedback practices. We are strong because of our diversity of experience, geography, and background - with over 90% of our people in the countries where our impact is focused. Dispensers for Safe Water is a cost-effective solution - just under $1.50 delivers safe water access to one person for an entire year. Our programs are dedicated to improving the lives of millions of vulnerable people across Africa and Asia. evidence action poverty deworm water innovations website elbow grease meet dispensers login safe nextbillion programs "There were statewide rumors about children reacting badly to the medicines and other rumors about children dying after administration of medicine; this may have had an impact in that 90 (94%) of the 95 monitored schools administering the medicines on deworming day On the deworming day, rumors broke out state-wide, originating from Saki LGA about children reacting to PZQ, unfortunately, in Surulere LGA, 2 out of 3 children from the same family who were all dewormed died on the deworming day, the death of these kids further worsened the situation as the news spread to neighboring LGAs. Deworm the World has committed unrestricted funding to fund prevalence surveys in two large provinces, Punjab and Sindh. The Delhi state government also used an e-portal to disseminate key information, including dates for deworming and mop up [sic] days, benefits of deworming, and details of the launch event.". What challenges does the organization face when collecting feedback? Other factors include the cost of additional supplies, higher operational costs, teacher allowances, and working on a smaller scale, which is less cost-effective. Learn more Test the interventions at scale, to ensure the intended outcomes are achieved and to further refine the delivery model. This is in part because in Kenya Deworm the World is treating for schistosomiasis in addition to STH, and schistosomiasis treatments incur greater costs, including a higher drug cost and more extensive mapping. ", "From these reports a number of problems with the MDA were raised which included fear of side effects from the tablets, particularly following the mass hysteria and death in Blantyre and Rumphi respectively and may explain some of the geographic heterogeneity seen. ", "51 district coordinators were hired to support on-the-ground program coordination for a three month period around the Deworming round. We use coverage validation results about the proportion of targeted children reached, along with data on program spending, to estimate the cost of reaching a child with deworming. How can students receive high-quality schooling that will help them, their families, and their communities truly realize the promise of education? After these trainings and community mobilization, the critical day of implementation occurs Deworming Day where teachers administer deworming tablets to millions of children in over 11,000 schools across Kenya and fill in monitoring forms to capture treatment data. It has used some of its unrestricted funding to hire consultants to create snapshots of each country, including obstacles, gaps, potential strategies, and financial needs. It expects to support program costs in Pakistan, and possibly Indonesia. In all cases there are mass campaigns, but the structure varies by country." Our Board of Directors, which is composed of J-PAL affiliated professors and senior management, provides overall strategic guidance to J-PAL, our sector programs, and regional offices. How does Deworm the World affect program outcomes? Coverage: Coverage is defined as the number of children dewormed according to the school/class register. Browse news articles about J-PAL and our affiliated professors, read our press releases and monthly global and research newsletters, and connect with us for media inquiries. Develop high-impact relationships with key WASH stakeholders, including implementers, donors, bi/multilaterals, and researchers. Albendazole dosage is the same for all children aged 2 and above; it is only children aged 1-2 that require a different (half) dose. Additionally, prevalence surveys in Kenya, and to a lesser degree Bihar, India, show that the prevalence rates of STH and schistosomiasis have declined substantially since Deworm the World started supporting MDAs in those areas, providing additional evidence that the treatments are reaching recipients.63. District Coordinators hired and managed by non-governmental organizations are more likely to report problems. As a result, these deworming efforts have likely had an impact on STH prevalence and MP could not be considered an untreated baseline population. Radio jingles, customized into three local dialects, were aired from 15 to 26 February on the All India Radio to maximize outreach to the community. GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center. Delhi 2015: In 2.5% of schools and 6.0% of anganwadis, monitors observed children given less than the prescribed dose of albendazole; in 0.8% of schools and 10.6% of anganwadis, monitors observed children given more than the prescribed dose of albendazole. Deworm the World told us that the cost per treatment in India is unusually low.111 Bihars 2014: 8% of schools observed gave children less than one tablet and 2% gave more than one tablet. We have assumed 3.5% in our analysis. They may also be at risk of social desirability bias: it is possible that children may overreport coverage if they feel pressure from teachers to report positively on their administration of deworming treatment, or if children believe that this is the preferred response of data collectors. Since then, it has supported deworming programs in India, Kenya, Ethiopia, Nigeria, Vietnam, and Pakistan. The poorest states are unlikely (in CIFF's view) to have the capacity to implement evidence-based statewide deworming programs on their own. ", An example of Deworm the World supporting a program with funding: "Deworm the World is working in partnership with Thrive Networks in Vietnam on an integrated program of both deworming and water, sanitation, and hygiene (WASH) education, and this includes an RCT to explore the impact of hygiene education in combination with deworming. Approximately 4,840 successful[13] calls were made from February 1 to 14, including 1,097 calls to schools across 313 blocks and 51 districts, and another 3,586 calls to block and district officials. For information on spending in previous periods, see the previous versions of our review of Deworm the World. NDD or mop-up day. It may improve the quality of a deworming program that would have been implemented without Deworm the World (leading to more children dewormed effectively or improved cost-effectiveness). ", From its monitoring results: "Drug storage conditions were satisfactory in almost all schools and anganwadis. Bihar 2015: "Telephone Monitoring and Cross Verification for Process Monitoring: Our tele-callers made approximately 19,567 successful calls[20] made during the period of January to March 2015. In general, prevalence and intensity of the parasites decreased over this time period. Rajasthan 2015: Deworming Day and Mop-up Day ( N = 250). ", "Is mass treatment justified? Evidence Action, blog post, July 5, 2016. "Deworm the World will likely wait to expand its Vietnam activities until further mapping and impact evaluation have been completed. Kenya, Nigeria, and Pakistan accounted for around 20% of Deworm the World's program spending each. As of this writing, we expect to have sufficient funding at our discretion to fill all funding gaps we identify among our top charities that meet our current cost-effectiveness bar of 8x cash or better; we also expect to fill some funding gaps in the 5-8x cash range (for more details, see this blog post). The deworming programs that Deworm the World supports are implemented by the governments with which it works.11 What do they do? "Together, we suggested to the Federal Ministry of Health that they expand this initial work. Three classes were selected randomly from each school by using random number tables. However, these officers often fix any problems that they see and then do not report them to the state government because they are worried that the existence of problems will reflect negatively on them. Observing children swallowing is most important when treating for SCH as the tablet does not taste pleasant and there are high chances of children spitting if not observed." See our review process. makes a grant. Conversation with Deworm the World, January 7, 2020 (unpublished). However, given that there is a global funding gap for deworming treatments (more), we suspect that in most cases where Deworm the World pays for a new deworming program, it is increasing the number of children dewormed. Similarly, Rajasthan Medical Services Corporation sample tested the syrups they procured.". For example, Deworm the World has assisted in a number of areas in India: Helped government develop operational plans and budgets, Coordinated cross-sectoral partners through the establishment of a State School Health Coordination Committee, bringing together health and education departments and other stakeholders (such as the microfinance partner SKS), Coordinated drug donation made by Feed the Children, Designed a monitoring and evaluation (M&E) system, Created government tableau for community awareness, Conducted a master training session for program, Designed training cascade for the master trainees to train the rest of the implementers, Developed materials and campaigns for community sensitization, "As such, the states themselves have to make the decision to conduct a deworming campaign; DtW can only encourage that decision by showing that it can be done and offering assistance to help implement the program in a robust fashion that involves intensive monitoring of the program. Deworm the World, comments on a draft of this page, October 2020. In particular, Deworm the World primarily provides support to mass drug administrations (MDAs) that treat populations in which fewer children are infected with soil-transmitted helminths and where the severity of infections tends to be lower (as compared to populations in the key studies we refer to above). On Deworming Day, monitors held interviews with 114 and 57 parents of enrolled and non-enrolled children. Our uniquely-engineered chlorine dispensers are installed next to commonly-used water sources, enabling people to treat their water using a safe and pre-measured dose of chlorine. If left untreated, infections can lead to anemia, malnourishment, and impaired developmentultimately affecting childrens educational outcomes and income as adults. ), Monitors in Delhi in 2013 did not report on either of these observations. We ask top charities to report their ideal budgets over the next three years, along with information about their current available funding and funding pipeline. ", "DtWI would like to do prevalence surveys after every 3 years or so. In 2017, Deworm the World conducted both observations of the deworming process and coverage validation in Jharkhand. Of the states DtW has worked with in the past, none of them had school-based deworming programs before DtW's involvementIn 2009, DtW and the World Bank had conversations with the Chief Minister of Andhra Pradesh, in which they advocated for a broad school-based deworming program, which hadn't happened before in the state. Daily tracking sheets outlining issues arising at districts, blocks, and schools were identified during the process and were shared with the state to assist the government to take real-time corrective action." For a list of grants we have made from our Maximum Impact Fund, see this page, section "Past recipients of the Maximum Impact Fund.". This section was last updated in November 2020. These forms and any unused deworming tablets are moved up through a Reverse Cascade as described below. We have also had several additional conversations with CIFF about its work with Deworm the World. ", "Please also note that our cost per child estimates include the costs of prevalence surveying (in Kenya and in India). Specifically, we focus on results from India, Kenya, Nigeria, and Pakistan because those are Deworm the World's largest programs.64 In some ways, schistosomiasis has an even larger gap to fill than STH. Deworm the World has also shared prevalence surveys conducted in Kenya and in two states in India in 2018. All of these were adapted and contextualized by Evidence Action.". Learn about the organization's key goals, strategies, capabilities, and progress. J-PAL South Asia is based at the Institute for Financial Management and Research (IFMR) in India. We focus this review specifically on the Deworm the World program. This organization is required to file an IRS Form 990 or 990-EZ. ", "The quality of drug storage was satisfactory in most schools that were monitored. Pg. In 2019, monitors observed the deworming process in a lower proportion of schools in the first and second rounds of deworming in Ogun State, Nigeria (83% and 70%, respectively), the second round in Cross River State, Nigeria (77%), and the second round in Islamabad Capital Territory, Pakistan (63%). Appropriately valuing that time spent, and estimating how much time is spent by teachers and others due to the deworming program, is likely the largest source of uncertainty in the cost-per-child-treated calculation for India. The District Coordinators and Deworm the World's tele-callers were valuable because they were able to confirm that schools received the appropriate amount of drugs and that teachers had been trained. We use GiveDirectly's unconditional cash transfers as a benchmark for comparing the cost-effectiveness of different funding gaps, which we describe in multiples of "cash." In all, about 80,000 text messages were sent to school teachers and headmasters three times a total of 2,40,000 [sic] messages. We have matched our descriptions to Deworm the World's standard categorization, albeit in a slightly different order. In India, on Deworming Day and Mop-Up Day, Deworm the World commissions independent monitors who go to schools to gather data on whether principals and teachers are prepared for Deworming Day, the availability of drugs and supplementary materials, whether students are being dewormed, whether proper procedures are being followed, and more. Deworm the World, Jharkhand NDD PMCV Report, February 2017 and Deworm the World, Jharkhand PMCV report, August 2017. (Don't see an email in your inbox? To achieve our ambitious goals, we are looking for people who share our passion for evidence, cost-effectiveness, and scale. From feedback received, we learned that over the years many of them forget their training and get demotivated. Teachers were reported to correctly observe children swallowing PZQ in 99% of schools and ALB in 96% of schools. "As of 2019 DtWI no longer has a formal technical assistance role in Ethiopia. Together with the Federal Ministry of Health, we were able to think and act boldly. SCH tablet (PZQ) coverage was 99% across schools treating for SCH. Training about health education on types of STH, need for deworming, transmission of worms through open defecation and other practices and how to safely administer deworming drug was conducted through a cascade model. For example: "As part of their training, school headmasters/teachers were instructed to share information on the deworming program in the morning prayer sessions at their respective schools on a daily basis from October 6, 2013 onwards. We published. J-PAL North America is based at the Massachusetts Institute of Technology in the United States. Sign in. Reviewing documents Deworm the World sent in response to our queries. Our Iron and Folic Acid (IFA) supplementation program helps the government of India deliver a treatment to prevent iron deficiency anemia to over 13 million children and adolescents since 2019. Starting in 2016, we deprioritized publishing notes from our conversations with Deworm the World. We have recently raised some concerns about the need to standardize the testing that is taking place, and are currently working with the MoHFW to build out the NDD operational guidelines with more detailed guidance on this point." ", "DtWI provided technical expertise across all program components, and served as the primary coordinating body among implementing agencies. p. 11. Deworm the World, comments on a draft of this page, October 2020. Grace Hollister, email to GiveWell, June 9, 2016. The ideal candidate will have a strong commitment to the organizations mission and thrive in an entrepreneurial environment. We are strengthening and expanding our existing programs, and working through our Accelerator to identify a new generation of evidence-based and cost-effective interventions that we can scale to reach millions more. i.e. Typically, when GiveWell donors make a donation to a top charity,124 With whom is the organization sharing feedback? ", For example, a description of the training cascade in Kenya: "The National School-Based Deworming Programme uses a cascade implementation model that efficiently and cost-effectively delivers training materials, deworming tablets, monitoring forms, funds, trainings other programme materials and resources from the national level to schools. Deworm the World, comments on a draft of this page, October 2020. Of this discrepancy, the report states: "The true net enrollment rate may have been much higher than the quoted 54% used to generate the sample for community interviews. Because the drugs are very safe and has [sic] no side effects for the uninfected, the WHO does not recommend individual screening. How has asking for feedback from the people you serve changed your relationship? Of classes where monitors observed deworming activities in India, there were low numbers of adverse events (see table below). We do this both to ensure consistency across top charities (as not all top charities hold reserves) and to understand the true effect of granting additional funding (i.e. The instructions read: "Thank the Head Teacher or designate and request to speak to pupils of the randomized classCHOOSE CHILD 5, 10 AND 15TH ON FORM E. IF LESS THAN 15 CHILDREN, SELECT THE LAST CHILD. Deworm the World, email to GiveWell, May 30, 2018. Strong interpersonal skills. We believe that there is strong evidence that administration of deworming drugs reduces worm loads but weaker evidence on the causal relationship between reducing worm loads and improved life outcomes; we consider deworming a priority program given the possibility of strong benefits at low cost. Sources for the information in the table: "RPs tend to have enough capacity that adding further school health programs would not take away from the work they do for other school-based health programs." Deworm the World's program and monitoring are generally done through schools, which may lead non-enrolled children to be missed by the program. Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. A GuideStar Pro report containing the following information is available for this organization: This information is only available for subscribers and in Premium reports. See our review process. Click on the link in that email School headmasters were also advised to carry out student rallies / processions (prabhat pheri) to create awareness in the communities." How can we identify effective policies and programs in low- and middle-income countries that provide financial assistance to low-income families, insuring against shocks and breaking poverty traps? In general, we assess top charities' funding needs over a three-year period.117 Help us get you more of the nonprofit information you need, including: An email has been sent to the address you provided. Deworm the World, conversation with GiveWell, April 6, 2020 (unpublished). This meeting is followed by two levels of trainings on how to successfully implement the Deworming Programme: Sub-County Training and Teacher Trainings. What is the likely impact per treatment in Deworm the World's programs compared with the independent studies on the impact of deworming? It is difficult to get honest feedback from the people we serve. Below, we expand on Deworm the World's role in the programs it supports. We note that Deworm the World's cost per child analysis from Cross River, Nigeria for 2016 was about 50% higher than its estimate for Kenya in 2015-2016.112. This could have led to a smaller proportion of children being found in the community than anticipated at the planning stage. ", The WHO factsheet on STH cites only a single recommended dosage (depending on which drug is used): "The recommended medicines albendazole (400 mg) and mebendazole (500 mg) are effective, inexpensive and easy to administer by non-medical personnel (e.g. Arcs of Influence: solidify Evidence Actions value proposition and identify opportunities to increase our thought leadership in the sectors we operate. Grace Hollister, email to GiveWell, March 6, 2016. Deworm the World notes, "In Kenya, some monitoring is conducted by Evidence Action staff." @Grace Hollister Conversation June 19th 2013@, Pg 1-4. We continued serving Ethiopia's TAG into 2020." Deworm the World notes that in Madhya Pradesh, Chhattisgarh, and Uttar Pradesh, prior treatment was either through lymphatic filariasis programs or non-standardized deworming, and that in Bihar, a baseline survey was done before school-based deworming took place. in nonprofit board leadership and governance, to create this section. "More specifically, Evidence Action advocates for school-based deworming to policymakers and provides technical assistance to launch, strengthen and sustain school-based deworming programs. Learn More In general, in locations in Nigeria and Pakistan where Deworm the World has supported two deworming rounds per year,65 This means that the schools selected in KEMRI's surveys are all from places where treatment is required or taking place. Where needed, these programs also include treatment for schistosomiasis.7

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