Issues at the district, block, and school levels were shared with the state government to ensure that the government was able to take corrective action to address the gaps in real time as necessary. Our most recent analysis finds that Deworm the World currently has $6.4 million in room for more fundingprior to receiving any grants that GiveWell specifically makes or recommendsto support its deworming portfolio in 2022-24. 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. Speak to one child at a time at a place where they are comfortable. [interview questions]END, MOVE TO THE NEXT SAMPLED CLASS". Note that community-based treatment, such as is typically used for LF, involves enlisting several people to travel from house to house to administer treatment, making it much more time-consuming and costly than school-based programs. Want to see how you can enhance your nonprofit research and unlock more insights? We have big ambitions. ", "Following three rounds of school-based deworming, Evidence Action - Deworm the World Initiative recommended a second prevalence survey to the Bihar government, in order to understand the effect of deworming in Bihar on STH infection levels. This includes donations made to charities on our checkout page, donations made directly to the organizations, and donations through other third-party organizations that share GiveWells recommendations (e.g., One for the World). It is expected that a clear articulation of need will be an important factor in building a strong case to the government in favor of deworming programs, and it may be best to wait until the results of the surveys are available in the second quarter of 2016 before beginning discussions with the government on a scaled school-based program. What are the organization's current programs, how do they measure success, Deworm the World was founded in 2007.9 Ipaye in a statement made available to the Nigerian Tribune in Abeokuta, said that no pupil or student to the best of his knowledge had reacted to the drug in the state. Email contact available with a Pro subscription, Legal name of organization: Evidence Action INC. How can we help people find and keep work, particularly young people entering the workforce? 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. Deworm the World's track record in Kenya and India is strong. They set their own research agendas, raise funds to support their evaluations, and work with J-PAL staff on research, policy outreach, and training. "Kenya's National School Based Deworming program is supported by GiveWell directed/general program restricted funds and program restricted grants (The END Fund and Epic). This is because almost all children eat at home before coming to school and anything after long break, they won't have enough food left in their bellies." As a result, we tested periodic refresher training programs with small incentives, like program-branded t-shirts. "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, Kenya Narrative Report - Year 3, Quarter 3, p. 17, Deworm the World, Telangana 2016 IMCV report, p. 19, Table 3. 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). @Grace Hollister Conversation June 19th 2013@, Pg 1-4. Further, one student was selected from each class randomly considering their presence either on the NDD or mop-up day (attendance is verified through attendance register) using random table."
"Supported ~3M treatments over 4 rounds (2016 - 2018). S/he should be a proven self-starter and manager. Nigerian Tribune gathered that some students reportedly collapsed in the cause of administering the tablets on them. The cascade model helps to manage the national scale of the NSBDP, and therefore, builds capacity for successful implementation at various levels. Anchored by a network of 262 affiliated professors at universities around the world, J-PAL conducts randomized impact evaluations to answer critical questions in the fight against poverty. From feedback received, we learned that over the years many of them forget their training and get demotivated. This was a time-bound activity with tight timelines, but was critical to the program implementation. "Together, we suggested to the Federal Ministry of Health that they expand this initial work. Details of this adjustment are in. Dont rush responses. ", "The State Health Society Bihar and Evidence Action rolled out a media mix to generate community awareness and increase program visibility to improve coverage in the state (Annexure E.1). 5. Ideally, prevalence surveys would be carried out after every third round of treatment immediately prior to the following round. Deworm the World has told us that in both countries (Kenya and India), LF programs have generally been either unfunded or underfunded, resulting in sporadic treatment. "The global STH community has changed significantly in the last couple of years, especially due to the formation of the STH Coalition. It is because DtWI wants to avoid people (and potentially the media) blaming the deworming pill for a childs illness.". "Kenyas National School-Based Deworming (NSBD) program carried out only one wave of treatment in its eighth year of deworming (2019-2020) due to the Ministry of Educations decision to close schools as a result of COVID-19." ", "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. They played a key role in ensuring that drugs in adequate quantities were available with the district-level dispensaries and nodal offices for further distribution. ebp evidence practice hopkins john nursing based question translating searching steps pet The National Institute of Epidemiology Chennai (NIE) designed the survey, and analyzed the dataset to produce epidemiological findings. Consequently the small number of non-enrolled children interviewed makes it difficult to make any deductions about this population type." "[The Nodal Headmaster said] that most aspects of the program are excellent, but he had 2 suggestions: According to Deworm the World, Cross River State, Nigeria, Year 2 Round 1 PMCV report, June 2017, Figure 14, children were observed fainting in approximately 70% of schools. It is difficult to get honest feedback from the people we serve. Where there are not prevalence survey costs each year, we amortize the costs over rounds. one program in the Beta portfolio was No Lean Season, which GiveWell also recommended as a top charity in 2017. ", For examples, see this spreadsheet, sheets "Methods (Nigeria 2019 CV)" and "Methods (Pakistan 2019 CV).". Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Develop high-impact relationships with key WASH stakeholders, including implementers, donors, bi/multilaterals, and researchers. Additionally, Deworm the World noted that the surveys in India are looking at a much larger population than the Miguel and Kremer 2004 and Croke 2014 studies examined and there may be substantial variation in prevalence across a given area. Because of this, the benefits (and therefore the cost-effectiveness) of a program are highly dependent on the baseline prevalence of worm infections. Henceforth, we advised the teachers and LGA teams not to deworm children with PZQ later than 11 am.
", See the most recent version of the model here. Note that if the chosen school is closed on the day of the deworming, they are generally instructed to go to an assigned backup school instead. Deworm the World, comments on a draft of this page, October 2020. Unfortunately, the damage to the SBD which coincided with the period had been done." "In Nigeria there are two rounds of treatment based on LGA prevalence and intensity. Conversation with Deworm the World, January 7, 2020 (unpublished). Deworm the World told us that the cost per treatment in India is unusually low.111
In all, about 80,000 text messages were sent to school teachers and headmasters three times a total of 2,40,000 [sic] messages. Over 95% coverage in each round. (Don't see an email in your inbox? Grace Hollister, edits to GiveWell's review, November 7, 2016. darwins 9th fittest lessonplanet Manage program budget and expenditure for country expansion and new initiatives, and provider budget support, as needed, to relevant country/regional teams. See this spreadsheet for descriptions of the monitoring processes we have seen in Deworm the World's monitoring reports. Paul Byatta, attachments to email to GiveWell, September 23, 2016, p. 3, In comments on a draft of this review on September 12, 2018, Deworm the World noted: "We have begun to address this issue through methodology changes in our coverage validation surveys. Evidence Action was part of the committee formed by the state government for contextualization of the radio jingle. All of these were adapted and contextualized by Evidence Action.". Given the tremendous benefits of safe water, Evidence Action is rapidly innovating to build the next generation of water treatment interventions. Evidence from prevalence surveys over time. Learn More Brett Sedgewick, comments on a draft of this review, October 31, 2019. Investigation surrounding the likely cause of their death was conducted at a teaching hospital in a nearby LGA, and it was confirmed that the kids died of food poisoning resulting from consumption of fruits sprayed with herbicides. In that analysis, we estimate that Deworm the World has $6.4 million in room for more fundingprior to receiving any grants that GiveWell specifically makes or recommendsto support its deworming portfolio in 2022-24. 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. Dispensers for Safe Waterprovides sustained safe water access to over 4 million people in rural Africa, preventing childhood illness and deaths. Deworm the World, conversation with GiveWell, April 6, 2020 (unpublished). He explained that the exercise was done by his Ministry in collaboration with Evidence Action." The Kenya program has more surveying (including pre and post MDA testing annually) than does the India program (where we undertake baseline surveys and follow-up surveys). More information: What is our evaluation process? 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. Meanwhile, the Ogun State Government through the State Commissioner for Health, Dr Babatunde Ipaye, has denied any case as a result of the anti-worm drug. in nonprofit board leadership and governance, to create this section. Similarly, five rounds of around 2400 text messages were sent to block level officials to expedite coverage reporting. (More), What do you get for your dollar? 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? evidence This page lists all grants made or recommended by GiveWell. "Overall, Deworm the World plans to continue to focus on STH rather than, e.g., schistosomiasis, though it will continue to support schistosomiasis treatment in those places where it overlaps with STH, and to coordinate with the Global Schistosomiasis Alliance to adopt complementary strategies. Kenya, Nigeria, and Pakistan accounted for around 20% of Deworm the World's program spending each. 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. research evaluation income hierarchy management evidence framework examples The difference between a charity's three-year budget and the funding we project that it will have available to support that budget is the charity's "room for more funding.". In general, we assess top charities' funding needs over a three-year period.117 We continued serving Ethiopia's TAG into 2020." Our most recent analysis of Deworm the World's room for more funding can be found in this spreadsheet. The information we have seen from monitors hired and trained by Deworm the World in India, Kenya, Nigeria, and Pakistan suggests that the programs successfully deliver pills to children, who then swallow them. Furthermore most districts reported that MDA occurred after standard 8 students had finished exams and left school, and due to having inadequate resources for drug distributionThe side-effects incident in Blantyre and death in Rumphi had a large effect on districts and with many district reports stating that after the incidence many families refused to participate. While Evidence Action has strict criteria around cost-effectiveness, evidence and scale which guide our work, the Program Director will have latitude to explore a range of possible interventions, with the aim of scaling additional highly cost-effective interventions that will join DSW and ILC as a portfolio of safe water interventions. and how much we expect that charity's funding and budgets to have changed since our most recent funding decision.121 A few examples of Deworm the World assisting with prevalence surveys include: "Six districts were identified within [Andhra Pradesh] where deworming would be piloted. Specifically, 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. 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." Deworm the World is one of the only organizations focused on STH (while there are other programs that focus on schistosomiasis), and there is significant room to scale-up [sic] STH programs. Over 868 million children globally are at risk of contracting parasitic worm infections. 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. Deworm the World, email to GiveWell, May 30, 2018. 
Evidence Action was founded to address a big gap in the fight against global poverty, where many of the most promising evidence-based and cost-effective interventions are either implemented at a very small scale, or not at all. On Deworming Day, monitors held interviews with 114 and 57 parents of enrolled and non-enrolled children. 
In Kenya, Evidence Action (Deworm the World's parent organization) maintains a monitoring team year-round that Deworm the World makes use of; this team conducts some data collection, and trains and manages third-party firms that conduct the majority of the data collection.43 In 2017, Deworm the World conducted both observations of the deworming process and coverage validation in Jharkhand. evaluation law We have typically updated our analysis of Deworm the World's room for more funding on an annual basis. "When the monitor is unable to monitor the assigned school (because of closure, etc) we ask the monitor to i) to communicate the same with his supervisor and, ii) to visit the nearest school if the nearest school was not part of the randomly picked school. Brett Sedgewick, comments on a draft of this review, October 31, 2019.
Our understanding is that the most likely cause of this decrease was the national deworming program, which Deworm the World supports; alternative explanations for the decrease, such as the existence of other large-scale deworming programs or widespread changes in water and sanitation facilities or practices, seem to us to be unlikely. In addition, children are asked about unprogrammed deworming during CV in [Kenya], [Nigeria], [Pakistan]." (, In October 2013, we visited Deworm the World's operations in Rajasthan, India, where we met with its local staff and with government officials who had worked with Deworm the World. Has the board conducted a formal, written assessment of the chief executive within the past year ? evidence 
Coverage: Coverage is defined as the number of children dewormed according to the school/class register. GiveWell, aka The Clear Fund (a tax-exempt 501(c)(3) public charity), was founded in 2007. ), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive. In general, mass deworming programs treat everyone in a targeted demographic, regardless of whether each individual is infected (more). "Surveyors in India are assigned to multiple schools on NDD and Mop-Up Day, so it is often the case that a school may have already completed deworming by the time the surveyor finishes one site and moves to the next." Our program helps governments deliver free deworming treatments to children at schools instead of placing the burden on families to obtain it. Evidence Action website, Deworm the World Initiative (March 2016). This section was last updated in November 2020. S/he will bring superb interpersonal and people management capabilities. At the national level, the Programme trains a team of MoEST and MoH officials as master trainers, requisitions deworming tablets through the MoH, and develops treatment and implementation strategies, training materials and monitoring tools. Our best guess is that deworming is generally highly cost-effective. 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. We have not prioritized reviewing results from the process monitoring Deworm the World conducts before Deworming Day, although we think it could also provide insight as to the quality of Deworm the World's program. Adding diluted chlorine to water is a WHO-endorsed approach to improving water quality.
(Note that a charity's total room for more funding figure includes funding gaps at all levels of cost-effectiveness.). In close collaboration with the Africa team, manage engagement with global carbon partners to drive consistent revenue streams. In one state in India, Jharkhand, Deworm the World explored a program, but did not build a strong working relationship with the government, so Deworm the World pulled out of discussions before discussing an MoU or investing much money. Dispensers for Safe Water delivers free and reliable access to safe water for more than 4 million people in rural Kenya, Uganda, and Malawi.In rural parts of low-income countries, most water sources are untreated, meaning that water is not safe to drink directly from the source. We believe the evidence from Deworm the World's monitoring makes a relatively strong case that the programs it has supported have successfully dewormed children. ", "There's limited data available on current access to deworming in India because very few prevalence surveys have been done and because the deworming that does occur is not always reported, or, if it is, state-wide data is difficult to access. Historically, Deworm the World's role has included the following:14, Typically, Deworm the World hires and trains third-party monitors to collect process monitoring and coverage validation data; the following footnote includes Deworm the Worlds descriptions of the monitor selection process used in four states in India in 2015.42 States/UTs implemented the program with a modified strategy through a community- based door-to-door approach as per the guidelines from the MoHFW. In our projections of future funding, we typically count only one year of funding that an organization receives as a result of being on our list of top charities in order to retain the flexibility to change our recommendations in future years.
If Deworm the World discovered from its advocacy discussions that there were high rates of teacher or student absenteeism, then it might conclude that a school-based deworming program may not work in the country. Two IPA initiatives, Deworm the World and Dispensers for Safe Water, were spun off from IPA to be managed by Evidence Action.52
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. A GuideStar Pro report containing the following information is available for this organization: This information is only available for subscribers and in Premium reports. While we believe that Deworm the World's monitoring is overall of high quality, we note a few ways in which its methodology may produce bias in the results: We believe that results from Deworm the World's coverage validation, and to a lesser extent its process monitoring, provide relatively strong evidence that a high proportion of the target population has been reached with deworming treatment in past MDAs. In 2020, about 35% of its spending was from funding sources that are restricted to a particular project. 
These calls were made to 534 blocks across 38 districts to assess preparedness on all program areas. See this spreadsheet, sheet "Monitoring methods and results.". See this spreadsheet, sheet "[2020] Summary by country.". In this section, we discuss how the disease burden in the areas Deworm the World works in compares to the places where the independent studies that form the evidence base for the impact of deworming were conducted. At that point, the districts began to pick up their share of the drugs from the depot. "We train monitors to interview children in private by taking them aside for interviews. In addition, some of the programs Deworm the World supports do not treat schistosomiasis because it is not endemic in the areas the programs support.55.
We take a data-driven approach to identifying, scaling, and continuously improving programs which deliver immense impact, ensuring these solutions measurably improve the lives of millions. This understanding is from many conversations with Deworm the World and following Deworm the World's progress over time. 98.7% of them stored the drugs in a clean location, 91.1% of them were stored away from direct sunlight and 97.4% of them were stored away from the direct reach of children. In sheet "RFMF projections," we present this figure broken down by funding gap. Design effective delivery models to roll out the interventions. whether additional funding would support undertaking additional program activities versus building or maintaining reserves). We believe in bold and urgent action - because poverty doesnt wait, and neither should we. For example, see Deworming Day monitoring data from Rajasthan in 2015: Deworming occurs within 1 week before [sic] teacher training, The school would have the correct materials (including sufficient drugs) in place before commencement, Children of the appropriate ages are treated (ages 2-14 years), Non-enrolled and ECD aged children are prioritized for treatment within the schools, The correct dosage of drugs is given to all children", "A competitive RFP [request for proposal] process is now used to identify a professional survey organization to provide independent monitors. Teachers were reported to correctly observe children swallowing PZQ in 99% of schools and ALB in 96% of schools. For example, if a charity proposes spending $50 million over the next three years and holds $10 million in uncommitted funding, and we project that it will receive an additional $15 million in revenue over the next three years, that charity's room for more funding is $25 million. See, "The majority of direct program costs in India are government funded. It's a hard question but an important one. The kits included drugs, IEC materials, and reporting forms. We deliver high impact for every dollar spent, as recognized byGiveWell,The Life You Can Save, andCharity Navigator. "Activities designed to enhance community awareness on deworming were rolled out to improve overall program coverage. In these surveys, coverage of non-enrolled children ranged from 12%-65%, compared to 65%-95% of enrolled children. We attempt to learn if there was a possibility that the program would have been funded by other donors. ", Deworm the World has also noted that treating schistosomiasis in Kenya increases the costs: "The extra costs of treating schistosomiasis in addition to STH. The people, governance practices, and partners that make the organization tick. 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." The WHO states that the cost of screening is four to ten times that of the treatment itself. While Pakistan does not, Deworm the World supported two rounds of treatment in 2019 in order to reach more children. We do development differently. about GuideStar Pro. This restricted funding supported programs in India, Kenya, and Pakistan, which were funded by CIFF, the END Fund, EPIC Foundation UK and EPIC Foundation France, and Dubai Cares. Deworm the World also claims that it generally knows where there is overlap between areas that are endemic for STH or schistosomiasis and areas that are endemic for LF. Treatment may not begin until 2017.". We also conduct independent monitoring to validate program results, and evaluate the impact of programs in reducing worm prevalence and intensity." For Kenya, Nigeria, Pakistan, and Vietnam we have included an estimate of in-kind contributions from governments. Since 2021, we have helped the government of Liberia improve the quality of prenatal care for women at risk for maternal syphilis. See this spreadsheet, sheet "Cross River, Nigeria 2016," cell C11, and Deworm the World External Kenya 2016 Costing Model, sheet "Costing model," cell E9. Note: We have not seen this type of monitoring from Jharkhand for 2016, and are uncertain whether Deworm the World did monitoring on Deworming Day or just coverage validation (described below). Click on the link in that email Our most recent analysis of Deworm the World's room for more funding can be found in this spreadsheet. Superb fundraising and communication skills including strong communications both written and oral. Other community awareness activities include creating posters to display at schools or advertising the deworming day in the newspaper. Subsequently, we started to select replacement schools based on proximity to the sampled school that couldn't be monitored to reduce travel time. We update a top charity's room for more funding analysis more frequently if we have reason to believe that its funding and budgets have changed substantially. We have also reviewed coverage validation results from 2018-19 in Nigeria and 2019 in Pakistan, which was the first year that Deworm the World supported a program in that location. Together with the Federal Ministry of Health, we were able to think and act boldly. Evidence Action's Deworm the World Initiative (evidenceaction.org/#deworm-the-world) advocates for, supports, and evaluates government-run school-based deworming programs.
