or recommend that another fundertypically Open Philanthropy123 There are many places that need treatment for STH but not schistosomiasis." Deworm the World called a random sample of 8,000 schools. and how much we expect that charity's funding and budgets to have changed since our most recent funding decision.121 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.". We plan to dramatically scale up our safe water program first in Kenya, Malawi and Uganda, and subsequently in additional countries that present cost-effective impact opportunities while simultaneously identifying new technologies to add to the portfolio. Connect with us for all media inquiries and we'll help you find the right person to shed insight on your story. The correct dosage for albendazole is one tablet per child and the correct age is 2-14 years. In all cases there are mass campaigns, but the structure varies by country." These discussions also provide opportunities for Deworm the World to assess how well a deworming program with the government might run. ", "We hire master trainers, or train govt staff to be master trainers.". In the first step of the cascade, training of trainers was conducted at the state level where a total of 1040 participants attended (390 WCD + 650 education department) in 60 sessions. 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. How can students receive high-quality schooling that will help them, their families, and their communities truly realize the promise of education? The principles we follow in deciding whether or not to fill a funding gap are described on this page.

The cadence on which we conduct updates depends largely on how often we grant funding to a top charity120 We focus our review on coverage validation results, which we believe provide the best indication of program impact. Deworm the World, comments on a draft of this page, October 2020. mobility early research into practice translating trip safety patient barriers evidence presentation slide plan action gap analysis healthcare four facilitator Deworm the World plans to contract with a local organization to do these surveys, but does not yet have a signed agreement. The chlorine stays active for 2-3 days, ensuring water doesnt get recontaminated even when stored at home. To achieve this goal, we are pursuing three strategic objectives:Impact at Scale: Strengthen the cost-effectiveness and impact of our Deworm the World Initiative and Dispensers for Safe Water programs, and scope opportunities for expanding these programs within existing geographies and to new countries.Next-Generation Programming: Through our Accelerator, launch, scale-up, and scope potential expansion of our Maternal Syphilis program; increase coverage in India and scope new countries to scale our Iron and Folic Acid supplementation program; and identify two new programs through our New Program Development process that can be tested at scale. ", "In Tanzania matters came to a head in places around Morogoro in 2008. Deworm the World's track record in Nigeria and Pakistan is more limited, but what we have seen seems fairly strong. (Note that a charity's total room for more funding figure includes funding gaps at all levels of cost-effectivenesssee below.) Our programs are dedicated to improving the lives of millions of vulnerable people across Africa and Asia. Deworm the World advocates for and supports the implementation of government-run deworming programs for preschool- and school-age children.3 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 Thereafter, an initial planning meeting is held with county and sub-county leadership. This is a newly created role, and we are seeking a dynamic, highly entrepreneurial leader. 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 does not yet have an agreement with the government in Pakistan to conduct the surveys, but hopes to accomplish this in the next month, and anticipates that the prevalence surveys will be conducted beginning in January or February of 2016. 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. 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. Because its goal is to treat every person in a community, multiple trips to a single area may be required to ensure total coverage (e.g., if a household member is not at home during the first visit). Which of the following feedback practices does your organization routinely carry out? Lead fundraising and proposal development, and develop compelling, external-facing program materials, in collaboration with the External Relations team. We removed No Lean Season from our list of top charities in 2018; see this blog post for more detail. about GuideStar Pro. Adding diluted chlorine to water is a WHO-endorsed approach to improving water quality. Deworm the World supports mass school-based deworming programs, the independent evidence for which we discuss extensively in our intervention report on deworming programs. makes a grant. The cascade model helps to manage the national scale of the NSBDP, and therefore, builds capacity for successful implementation at various levels. 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. 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. "We include all partners expenditures in determining costs for the the deworming programs, but we do not consider spending that would be incurred even without deworming taking place. 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. 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. We have matched our descriptions to Deworm the World's standard categorization, albeit in a slightly different order. We demonstrated a willingness to learn more by reviewing resources about feedback practice. However, this statistic alone is not accounting for the fact that only 86% of children were in attendance on DD or MUD. There are some important differences between the type and severity of worm infections in the places Deworm the World works and the places where the key studies on improved life outcomes from deworming took place (which we discuss below). We may then choose to either make or recommend grants to support those unfunded activities. It is difficult to get honest feedback from the people we serve. 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. 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. We have typically updated our analysis of Deworm the World's room for more funding on an annual basis. 4. Deworm the World attributes fainting to taking praziquantel on an empty stomach: "We had an instance where as high as 5 pupils from one school were reported to have fainted after taking PZQ in Ogoja LGA. When we floated the idea of vastly increasing the scope of the originally proposed deworming rounds to be a truly national plan treating upwards of 75% of all children at-risk, Shafi didnt flinch." Our Dispensers for Safe Water program provides safe water access to over 4 million people in rural Kenya, Uganda, and Malawi who are often beyond the reach of existing infrastructure. Full discussion of the evidence we have reviewed on this question is on a. This organization is required to file an IRS Form 990 or 990-EZ. GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center. In short:95. 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). "We help governments evaluate appropriate drug treatment strategies and dosage, support drug procurement including through global pharmaceutical donation programs, and design robust serious adverse event protocols and drug tracking systems. An archived version of the link is here. ", "DtW did two stages of prevalence surveys between August 2010 and February 2011. These procedures were observed to be followed correctly by 86% of teachers observed by field officers. ". Led by affiliated professors, J-PAL sectors guide our research and policy work by conducting literature reviews; by managing research initiatives that promote the rigorous evaluation of innovative interventions by affiliates; and by summarizing findings and lessons from randomized evaluations and producing cost-effectiveness analyses to help inform relevant policy debates. This understanding is from many conversations with Deworm the World and following Deworm the World's progress over time. ", "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. Since then, it has supported deworming programs in India, Kenya, Ethiopia, Nigeria, Vietnam, and Pakistan.

"Process monitoring assesses the preparedness of the schools, anganwadis, and health systems to implement mass deworming and the extent to which they have followed correct processes to ensure a high quality deworming program." SCI helped Oumer Shafi, the committed and action-oriented Coordinator for Neglected Tropical Diseases in the Federal Ministry of Health, develop a detailed action plan. While Pakistan does not, Deworm the World supported two rounds of treatment in 2019 in order to reach more children. We shared information about our current feedback practices. ", "Evidence Action has a permanent Monitoring, Learning, and Information Systems team. Four powerful questions that require reflection about what really matters - results. Deworm the World's biggest program in 2020 (and historically) was in India (accounting for 45% of its program spending). 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. Another 4,598 calls were made to block and district-level education officials to track various program components. policy english randomized makers experiment evidence india poverty action J-PAL South Asia is based at the Institute for Financial Management and Research (IFMR) in India. The organization scales interventions based on rigorous evidence and crafts resilient business models for long run success. What would it take to treat at least 75% of all at-risk school-age children in the country and to launch a truly national program? In general, prevalence and intensity of the parasites decreased over this time period. Pakistan on the other hand does not have biannual treatment; there were two waves of treatment in 2019 in order to try and achieve higher coverage as a new program." To achieve our ambitious goals, we are looking for people who share our passion for evidence, cost-effectiveness, and scale. ", Focus on a program with a strong track record and excellent cost-effectiveness. His school has school health programs on 40 to 42 days each year. Rajasthan 2015: Deworming Day and Mop-up Day ( N = 250). J-PAL North America is based at the Massachusetts Institute of Technology in the United States. Conduct scoping activities, including pilots and water point surveys, to adapt the delivery model and prepare for launch. ", "Deworm the Worlds cost per treatment in Kenya is likely more reflective of the costs of future programs (e.g., in Nigeria and Ethiopia) than its cost per treatment in India.". p. 11. Learn about the organization's key goals, strategies, capabilities, and progress. In Kenya, Nigeria, and Vietnam, Deworm the World interviews a sample of all children, regardless of whether they were present on Deworming Day or Mop-up Day or whether they are enrolled or non-enrolled.82. See this spreadsheet for all process monitoring and coverage validation results we have seen from Deworm the World's programs in India, Kenya, Nigeria, Pakistan, Ethiopia, and Vietnam. ", "DtWs prevalence survey found that around 20% of the children were infected with at least one type of STH, particularly in the Western part of the state. 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 ", "DtWI would like to do prevalence surveys after every 3 years or so. Additionally, our understanding from a number of conversations with Deworm the World and others is that many countries are beginning to shut down their LF programs as they eliminate the disease. See this spreadsheet, sheet "Monitoring methods and results," column "% of schools where monitors observed Deworming Day activities.". The strength of MLE lies in the service-oriented, client-based approach to delivery; commitment to quality and innovation in delivery of all outcomes; strong technical and managerial competencies across delivery teams and leadership; and a high level of collaboration across the team. See this spreadsheet, sheets "Results (summary)" and "Monitoring methods and results. 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.

This was an example of ensuring last-mile communication at low cost of about 12 paisa per message (or roughly 1/5th of a cent). 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.

We partner with NGOs, governments, donors, multilateral organizations, businesses, and other research centers to conduct randomized evaluations, build research capacity, scale up what works, and promote the use of evidence in decision making. "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 periodically request the information described above from top charities and update our room for more funding analyses. "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.". 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. There are requirements placed on the experience of these monitors. Deworm the World Initiative helps governments launch, scale, and sustain school-based deworming programs. Deworm the World, comments on a draft of this review, September 12, 2018. ", For example, in Kenya, it is our understanding that monitors interview three randomly selected children from three separate classes, for a total of nine students, at each school they visit. "Deworm the World will likely wait to expand its Vietnam activities until further mapping and impact evaluation have been completed. Also executed was the use of tablet poles for the treatment of SCH in 74% of schools. Below, we expand on Deworm the World's role in the programs it supports. For India, about two thirds of the total cost comes from contributions of time from government employeeswhich have been monetized according to salary levelsrather than financial costs. For areas that have existing LF treatment programs, the effect of Deworm the Worlds support may be to transition an area from once-per-year deworming treatment (for STH) to twice-per-year treatment.62. 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. What do they do? We feed this quantitative data back into our decision making processes, allowing us to make evidence-informed decisions in real time. A recent example was a trial intervention we implemented to improve the morale and engagement of our community-elected volunteers. 1, Deworm the World, Jharkhand PM report, September 2020, For example, in Jharkhand, India: "Since in the August 2020 NDD round program implementation approach was revised amid the COVID-19 pandemic and physical monitoring of the program was not feasible due to requirement of maintaining social distancing, Evidence Action, adopted phone-based surveys for independent process monitoring (IPM) of the community-based National Deworming Program in the stateIn this round coverage validation survey was not conducted as verification of program coverage related documents and records was not feasible through phone-based survey." The Director will oversee country expansion, new technology development, technical thought leadership, fundraising, and partner management. collective nonviolent action intergroup predictor nationals lebanese syrian refugees violent evidence



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