In 2020, CIFF and Dubai Cares provided restricted funding for Deworm the World's support of India's deworming program. Evidence from prevalence surveys over time. Deworm the World noted that the costs in Kenya are high, partly due to higher quality M&E: "In some ways, Deworm the Worlds program in Kenya has served as a proof of principle for the effectiveness of school-based deworming and is a "gold standard" that is unlikely to be exactly replicated elsewhere. In some of the countries where Deworm the World works, there are existing programs to treat lymphatic filariasis (LF).60 Cost Effectiveness: We estimate and measure the cost-effectiveness of our programs at all stages of their development. Even though school staff are not aware ahead of time that a monitor is coming to visit, once a monitor arrives, staff may be motivated to execute the program in a more rigorous fashion than they would have otherwise. If Deworm the World shifted its focus to include schistosomiasis, it might widen the existing STH gap. J-PAL MENA is based at the American University in Cairo, Egypt. We have matched our descriptions to Deworm the World's standard categorization, albeit in a slightly different order. 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. evaluation law We may then choose to either make or recommend grants to support those unfunded activities. Identify geographies in which the interventions are cost-effective and scalable. News, ideas, and analysis from J-PAL staff and affiliated professors. Some of our top charities have a policy of holding funding reserves. Our success to date is due to the collective work of our amazing staff. Strong alignment with core Evidence Action. There are many places that need treatment for STH but not schistosomiasis." 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. "Our recommendation is explained in the prevalence survey report. It had imputed those costs based on estimates of government employee salaries, for example, in Rajasthan it estimated 300,000 teacher- and principal-days were used in deworming day and mop-up day, and valued that time at 150 rupees per day (about $2.50). 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. Bihar already had a statewide albendazole treatment. Prior to 2020, Deworm the World supported deworming programs in Ethiopia and Vietnam: "The government is fully responsible for program implementation, and these programs leverage thousands of govt personnel from health and education to be able to run." ", 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. 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. Grace Hollister, edits to GiveWell's review, November 7, 2016. On a separate page with additional information about Deworm the World, we discuss more details of its work by country. We feed this quantitative data back into our decision making processes, allowing us to make evidence-informed decisions in real time. ", In the second round of treatment in Kenya, prevalence surveys were 11% of the total costs and other M&E was 6%. As of 2020, it was active in India, Kenya, Nigeria, and Pakistan.10 Three classes were selected randomly from each school by using random number tables. attendance data is collected separately in India to assess the rate of absenteeism on Deworming Day and Mop-up Day.81 SCH tablet (PZQ) coverage was 99% across schools treating for SCH. Our most recent analysis of Deworm the World's room for more funding can be found in this spreadsheet. For example, in India: When monitors visit schools on Deworming Day, they make observations and ask questions related to the process of deworming, to check whether or not it is being implemented correctly. Taken together, the data led DtW to recommend a mass treatment for the whole state once a year.". ", Deworm the World's support of Vietnam's deworming program ceased in early 2019. Deworm the World, comments on a draft of this page, October 2020. Deworm the World hopes to leverage partnerships with existing organizations in, e.g., Nigeria, Pakistan, Ethiopia, etc., to provide catalytic support (rather than opening its own offices in those places)." 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." See this spreadsheet for descriptions of the monitoring processes we have seen in Deworm the World's monitoring reports. The prevalences in the table may not be directly comparable to one another. the disease burden in Deworm the World areas is on average lower than in the study areas, so our expectation is that the impact per child treated is lower in Deworm the World areas. Madhya Pradesh 2015: Deworming Day and Mop-up Day (N = 250 schools), "Note that National Deworming Day operational guidelines state that only tablets should be used. We make recommendations to Open Philanthropy each year for how much funding to provide to our top charities and how to allocate that funding among them. Dont rush responses. We incorporate these into a cost-effectiveness model which is available here. Since 2014, our Deworm the World Initiative has helped governments deliver over 1.3 total deworming treatments to children at risk of intestinal worm infection in six countries. ", "The quality of drug storage was satisfactory in most schools that were monitored. "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. These discussions also provide opportunities for Deworm the World to assess how well a deworming program with the government might run. Deworm the World was founded in 2007.9 Conduct scoping activities, including pilots and water point surveys, to adapt the delivery model and prepare for launch. Below, we expand on Deworm the World's role in the programs it supports. Other community awareness activities include creating posters to display at schools or advertising the deworming day in the newspaper. 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. We seek individuals who take an entrepreneurial approach, enjoy tackling hard problems, and have a bias to action and results. J-PAL North America is based at the Massachusetts Institute of Technology in the United States. What do they do? "The WHO reports that Pakistan is endemic for STH, but there is not yet sufficient evidence of prevalence and intensity to develop an evidence-based treatment strategy. J-PAL Southeast Asia is based at the Faculty of Economics and Business at the University of Indonesia (FEB UI). evidence hierarchy veterinary levels medicine based elective equine surgery techniques stuart turner source missouri Grace Hollister, conversation with GiveWell, June 13, 2016 and Grace Hollister, edits to GiveWell's review, November 7, 2016. See our discussion of the rationale and limitations of this estimate here. Deworm the World notes that there are relevant methodological differences between the prevalence surveys, which makes them difficult to compare;59 With approvals from the State Government, in January and February 2015, Evidence Action - Deworm the World Initiative, conducted an STH prevalence survey among school-age children in government primary schools in Bihar. We are global. DtWI Rajasthan 2013 program report, Pgs 8-9. Similarly, we use "Mop-Up Day" to refer to the day that occurs several days after Deworming Day and is when students who were absent or sick on Deworming Day are given their deworming pills (although note that not all countries have just one Deworming Day or include a Mop-Up Day in their program).12, The assistance that Deworm the World provides in each country varies based on what each partnering government needs.13 Therefore in cases such as these, the monitors were trained to intervene and prevent the administration of an additional dose." ", "The field officers that collect the data in the field are short term hires who come from the counties in which the program is implemented". The Deworm the World Initiative is a program led by Evidence Action, an organization that focuses on scaling up interventions that it believes are cost-effective and evidence-based. ", Deworm the World was also involved in Chhattisgarh, but as it was engaged relatively late in the process, it did not conduct all of its standard monitoring activities in the state: "Although we place great emphasis on understanding the extent to which the school and health systems are ready to implement deworming, the extent to which deworming processes are being followed, and the extent to which coverage has occurred as planned, in Chhattisgarh we supported only with the coverage validation activity at schools due to time constraints. These calls were made to 534 blocks across 38 districts to assess preparedness on all program areas. Evidence Action was part of the committee formed by the state government for contextualization of the radio jingle. The main components of our room for more funding analyses are: A charity's room for more funding represents the total budget for the charity's spending opportunities, less its available and expected funding. Note that we make several adjustments to these figures to get our estimate of total cost per treatment (see sheet "Summary" in this spreadsheet). In general, mass deworming programs treat everyone in a targeted demographic, regardless of whether each individual is infected (more). 1, Deworm the World, Jharkhand PM report, September 2020. teachers).". How can we increase access to energy, reduce pollution, and mitigate and build resilience to climate change? Deworm the World Initiative helps governments launch, scale, and sustain school-based deworming programs. Our programs are dedicated to improving the lives of millions of vulnerable people across Africa and Asia. ebp evidence practice hopkins john nursing based question translating searching steps pet These totals exclude spending on Kenya's lymphatic filariasis program, which Deworm the World has supported with restricted funding from the END Fund since 2017.

Deworm the World, email to GiveWell, May 30, 2018. (More). it has only conducted coverage validation for one of the two rounds, but conducted process monitoring for all rounds.66 The School Health Scheme provided banners to the schools, the distribution of which was integrated in trainings for teachers. We use qualitative assessments of our top charities to inform our funding recommendations. This was a time-bound activity with tight timelines, but was critical to the program implementation. Here we focus on Deworm the World's monitoring from Kenya, India, Nigeria, and Pakistan because those are its largest programs.54 We published. (. A description of a training and distribution cascade: "Transportation of tablets to all districts was managed and supported by DtWI, in coordination with SHS and DHFW to the district level dispensary, from where they were collected by the respective teachers for their school. As a result, these deworming efforts have likely had an impact on STH prevalence and MP could not be considered an untreated baseline population. We host events around the world and online to share results and policy lessons from randomized evaluations, to build new partnerships between researchers and practitioners, and to train organizations on how to design and conduct randomized evaluations, and use evidence from impact evaluations. 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. In 2017, Deworm the World conducted both observations of the deworming process and coverage validation in Jharkhand. Since 2021, we have helped the government of Liberia improve the quality of prenatal care for women at risk for maternal syphilis. For example, drug quality was tested in each program that Deworm the World supported in India in 2013-2014. GiveWell maintains a list of all charities that meet our criteria, along with a recommendation to donate to our Maximum Impact Fund. At the end of the interviews, monitors also sought to determine what proportion of parents would be sending their children for deworming as a proxy for the effectiveness of the sensitization efforts.".

Our flagship Dispensers for Safe Water (DSW) provides over 4 million people across rural Uganda, Malawi, and Kenya. Deworm the World, Kenya Narrative Report - Year 3, Quarter 3, p. 17, Deworm the World, Telangana 2016 IMCV report, p. 19, Table 3. What are the causes and consequences of crime, violence, and conflict and how can policy responses improve outcomes for those affected? This also makes mapping schistosomiasis more expensive. Evidence Action subsequently built a department called Evidence Action Beta for investigating, testing, and considering new programs for scaling up;53 We get this from treatment forms that schools submit back via the reverse cascade. Each intervention considered by the Accelerator must undergo a multi-stage process of program development, taking it from an evidence-based concept to a fully-developed solution that can be replicated in multiple geographies. Our Dispensers for Safe Water program teams periodically collect feedback from the communities we serve to measure the performance of the program and to determine if we should conduct any corrective measures. In Kenya, the LF program is housed within the countrys neglected tropical disease (NTD) unit, which has asked Deworm the World if it might support its process monitoring and coverage validation (PMCV) operations for LF. He explained that the exercise was done by his Ministry in collaboration with Evidence Action." 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? 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. There are 6 million children in need of treatment in Kenya and the WHO estimates 241 million children at risk in India. We are also actively seeking to build a broader portfolio of safe water interventions. There was calmness in both schools as students in the Senior Secondary Classes were said to be preparing for their examinations. In a public announcement with health and education ministers following this interaction, the Chief Minister announced the plan to do so, and deworming became the flagship of the states school health program.". In this community- based approach, front line functionaries (Sahiyas, AWWs, and ANMs) administered albendazole to the targeted children in the community through door-to-door visits, ensuring COVID-19 precautionary measures." Additionally, the cascade brings together MoEST and MoH personnel through collaborative leadership responsibilities for the planning, implementation and monitoring of programme activities at all levels. Because of this, the benefits (and therefore the cost-effectiveness) of a program are highly dependent on the baseline prevalence of worm infections. Our most recent analysis of Deworm the World's room for more funding can be found in this spreadsheet. It became a significant national incident, and one of the consequences has been the delay in Tanzania adopting a fully integrated NTD programme, and the scaling back some existing drug distributions. The Directorate of Family Welfare also independently developed and printed handbills for the distribution at anganwadis to mobilize people on deworming day. In the sections below, we focus on the following questions to understand whether Deworm the Worlds activities are having the intended impact. 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). "Due to the COVID-19 pandemic, only one round of deworming took place in 2020, rather than the two that were initially plannedin Oyo." See, "The majority of direct program costs in India are government funded. (Note that a charity's total room for more funding figure includes funding gaps at all levels of cost-effectivenesssee below.)

GiveWells non-verbatim summary of a conversation with Grace Hollister on July 22, 2015, Pg 6. On pages 1-3 there are three spaces for randomly selected classes. "Children were interviewed only from those schools which conducted deworming on either day i.e. They also decided to opt for Albendazole 200mg dose suspension for 2-6 year children as it is a single dose for this age group which leads to lesser error in administration, while Albendazole 400mg tablets for older children. These trainers further trained 3032 headmasters and 3032 teachers and 10,500anganwadi workers in groups of 30 participants. Our programs have grown since our founding in 2013 to reach over 280 million people annually. Approximately 8,504 successful[12] calls were made to the education, health, and WCD departments during this period. How does this organization measure their results? 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. Deworm the World's biggest program in 2020 (and historically) was in India (accounting for 45% of its program spending). Note that the number of lives significantly improved is a function of a number of difficult-to-estimate factors. @DtWI Bihar 2015 program report@, Pg 16. Read about what actions we are taking to address this. Deworm the World spent a total of $8.7 million on deworming programs in 2020, down from $13.9 million in 2019. collective nonviolent action intergroup predictor nationals lebanese syrian refugees violent evidence Recent evidence highlights thatwater treatmentmay be among the mostcost-effective interventions available to save young children's lives, reducing all-cause child mortality by about 25%. OurAcceleratorbuilds the next generation of exceptional programs, taking an approach most similar to a venture capital model. See our review process. It's a hard question but an important one. Strong interpersonal skills. We seek to address poverty on the same mass scale at which it exists, by building programs that scale evidence-based interventions, measurably reducing the burden of poverty for hundreds of millions of people, and giving them a chance to reach their full potential. This may include support around target setting, monitoring and evaluation, work planning, technical issues related to ILC, and program optimization. Are deworming pills delivered to and ingested by recipients? For example, they ask if the child received a pill and if the child swallowed the pill under supervision.78 Thereafter, an initial planning meeting is held with county and sub-county leadership. 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. The candidate should be available for 15-25% international travel, contingent upon COVID restrictions. Evidence Action is seeking a dynamic and proven leader who will lead our global Safe Water team. actions evidence action corrective safetyculture iauditor support Thus, if we estimate that a funding gap is "10x cash," this means we estimate it to be ten times as cost-effective as unconditional cash transfers. Build, manage and mentor a high performing team. Experience engaging with government counterparts on at-scale programs. This program is funded primarily by Dubai Cares, with Deworm the World slated to provide unrestricted funding for certain program components. Deworm the World staff, conversations with GiveWell, October 3-4, 2016 Deworm the World thought that the costs of these activities were quite low (less than 5%). The awareness activities included newspaper advertisements a day prior to the deworming day; a 60-second radio jingle aired on 3 FM channels from April 7 to 15 by School Health Scheme, and banners displayed at schools. Typically, when GiveWell donors make a donation to a top charity,124 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." S/he will bring experience managing and growing at-scale programs, ideally in the WASH sector, including working in close partnership with donors, governments and partner organizations. The ideal candidate will have a strong commitment to the organizations mission and thrive in an entrepreneurial environment. S/he should be a proven self-starter and manager. The 2 Post Graduate Institute of Medical Education and Research Chandigarh (PGIMER) analyzed stool samples in field laboratories, which were set up in district and block health facilities, using the WHO recommended Kato-Katz method. Our affiliated professors are based at 91 universities and conduct randomized evaluations around the world to design, evaluate, and improve programs and policies aimed at reducing poverty. Over time, this responsiveness has helped us to improve adoption rates and also evolve the design of our dispensers for more intuitive and durable use. In Kenya, Nigeria, and Pakistan, coverage validation takes place at households as well as schools in order to evaluate coverage for both enrolled and non-enrolled children.75

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