TLDR: This 6 million dollar Technical Support Unit grant doesn’t seem to fit GiveWell’s ethos and mission, and I don’t think the grant has high expected value.
Disclaimer: Despite my concerns I still think this grant is likely better than 80% of Global Health grants out there. GiveWell are my favourite donor, and given how much thought, research, and passion goes into every grant they give, I’m quite likely to be wrong here!
What makes GiveWell Special?
I love to tell people what makes GiveWell special. I giddily share how they rigorously select the most cost-effective charities with the best evidence-base. GiveWell charities almost certainly save lives at low cost – you can bank on it. There’s almost no other org in the world where you can be pretty sure every few thousand dollars donated be savin’ dem lives.
So GiveWell Gives you certainty – at least as much as possible.
However this grant supports a high-risk intervention with a poor evidence base. There are decent arguments for moonshot grants which try and shift the needle high up in a health system, but this “meta-level”, “weak evidence”, “hits-based” approach feels more Open-Phil than GiveWell[1]. If a friend asks me to justify the last 10 grants GiveWell made based on their mission and process, I’ll grin and gladly explain. I couldn’t explain this one.
Although I prefer GiveWell’s “nearly sure” approach[2], it could be healthy to have two organisations with different roles in the EA global Health ecosystem. GiveWell backing sure things, and OpenPhil making bets.
GiveWell vs. OpenPhil Funding Approach
What is the grant?
The grant is a joint venture with OpenPhil[3] which gives 6 million dollars to two generalist “BINGOs”[4] (CHAI and PATH), to provide technical support to low-income African countries. This might help them shift their health budgets from less effective causes to more effective causes, and find efficient ways to cut costs without losing impact in these leaner times. Teams of 3-5