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GiveWell Grant: AMF LLIN Campaign in South Sudan (May 2022)

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This is a GiveWell grant page about malaria net distribution in South Sudan, unrelated to AI safety. It documents cost-effectiveness analysis of a public health intervention, not relevant to AI alignment, governance, or technical safety research.

Metadata

Importance: 2/100organizational reportanalysis

Summary

This GiveWell page documents a grant to the Against Malaria Foundation (AMF) for a long-lasting insecticidal net (LLIN) campaign in South Sudan. It includes an addendum noting that the grant's cost-effectiveness estimate dropped from 10.2x to 6.7x cash transfers, falling below GiveWell's funding bar, and explains how AMF reallocated funds accordingly.

Key Points

  • GiveWell's cost-effectiveness estimate for the South Sudan net campaign dropped from 10.2x to 6.7x cash transfers after new information emerged.
  • The grant no longer met GiveWell's funding bar of 10x cash or higher, prompting AMF to use alternative funding sources.
  • AMF did not follow the agreed process before committing to South Sudan campaigns, providing information only after signing agreements.
  • South Sudan's net campaigns occur on a rolling state-by-state basis due to limited Global Fund coverage across all ten states.
  • AMF covered net purchase costs while the Global Fund covered household delivery costs for seven states scheduled in 2023.

Cached Content Preview

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Note: This page describes our reasoning and the status of AMF's decision-making as of May 2022, when we made this grant. As of August 2022, AMF has now formally committed to supporting the campaign in South Sudan. AMF staff reviewed this page prior to publication. 

 

 
 
 

 Addendum to this grant page

 Since we published this page, there have been updates to this grant. AMF did not follow the process outlined below before formally committing to support net campaigns in South Sudan in 2023. Instead, AMF provided us with the agreed-upon information after it had signed an agreement with South Sudan's national malaria program. 

 Our initial estimate was that this grant would be 10.2 times as cost-effective as unconditional cash transfers (10.2x cash); after incorporating updates based on the information AMF shared with us and conversations we had with other stakeholders, our estimate has decreased to 6.7x cash . Therefore, this opportunity no longer meets our bar for funding (we are currently funding opportunities that we estimate are 10x cash or higher). Given this update, AMF told us that it will use funds from other sources to support the campaigns in South Sudan and apply the amount that we granted to a future net campaign (or campaigns) that meets our bar for funding. (Since we made this grant, AMF has raised and reallocated sufficient funds from sources other than grants made or recommended by GiveWell to fully cover the costs of its contribution to these campaigns. GiveWell funding served to backstop AMF's discussions for this grant. If it didn't have this grant, it likely would have had to delay its discussions with partners until it raised the funding from other donors. At the time we made the grant we believed it would take AMF longer to have other funding sources available for South Sudan—it had funds available sooner than expected in large part because it had set aside funding roughly the size of this grant for another campaign that it ultimately decided not to fund. When those discussions ended, the funding was freed up to support South Sudan.)

 What we learned about net campaigns in South Sudan 

 Since we made this grant, we have learned more about net campaigns in South Sudan. Our understanding is that the Global Fund is the only major external funding source for malaria prevention in South Sudan but hasn't funded net campaigns in all of the country's ten states during any given three-year grant cycle. As a result, net campaigns have been occurring on a rolling basis at the state level, often delayed past the three-year interval that most countries aim to achieve. 1 
 In the 2018-20 grant cycle, six of ten states received net campaigns; the remaining four states were prioritized to receive net campaigns in the 2021-23 cycle. 2 

 Seven states are now scheduled to receive nets in 2023. 3 
 AMF will pay the costs of purchasing nets for these states, while the Global Fund will pay the costs of delivering the nets to households. 4 


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Resource ID: 46c826129b77deea