At each training, materials (such as deworming drugs and posters that notify the community about deworming day) are passed down from the staff member leading the training to the staff members attending the training, until materials eventually reach teachers. 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. The training on deworming was integrated with training for the WIFS program to effectively utilize time of participants and trainers and reduce training costs. 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. He explained that the exercise was done by his Ministry in collaboration with Evidence Action." What are the organization's current programs, how do they measure success, Independent rigorous research, including by Nobel Laureate Michael Kremer, shows that deworming leads to significant improvements in nutrition, cognition, school participation, and future earnings. Deworm the World notes that in Madhya Pradesh, Chhattisgarh, and Uttar Pradesh, prior treatment was either through lymphatic filariasis programs or non-standardized deworming, and that in Bihar, a baseline survey was done before school-based deworming took place. Evidence Action has been created to bridge the gap between evidence about what works to alleviate poverty around the world and what is actually implemented. In Nigeria, all data collection is conducted by third-party firms that are trained and managed by Evidence Action staff. 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). J-PAL Latin America and the Caribbean is based at the Pontificia Universidad Catlica de Chile. 1, Deworm the World, Jharkhand PM report, September 2020. Nigerian Tribune, "Panic in Ogun schools over deworm exercise," December 2017. 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." 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." The potential of these interventions is incredible, with more than 1.8 billion people using contaminated water sources, causing more than 1/3 of all diarrhea deaths globally. We also conduct independent monitoring to validate program results, and evaluate the impact of programs in reducing worm prevalence and intensity." ", Focus on a program with a strong track record and excellent cost-effectiveness. 4. We focus our review on coverage validation results, which we believe provide the best indication of program impact. They may also be at risk of social desirability bias: it is possible that children may overreport coverage if they feel pressure from teachers to report positively on their administration of deworming treatment, or if children believe that this is the preferred response of data collectors. On pages 1-3 there are three spaces for randomly selected classes. Room for more funding we believe Deworm the World will be able to use additional funds to start or maintain deworming programs. ", "DtWI provided support to the state government in submitting the drug requisition to WHO in March 2013, as well as in shipping, custom clearances and transportation upon arrival in India.". GiveWell's understanding is that training cascades involve a series of trainings that start at high levels in the government, and proceed in a step-wise fashion down to local levels, where teachers are eventually trained. Excellent problem-solving and analytical skills, and an understanding of evidence and cost effectiveness. To achieve our ambitious goals, we are looking for people who share our passion for evidence, cost-effectiveness, and scale. Deworm the World notes that there are relevant methodological differences between the prevalence surveys, which makes them difficult to compare;59 It may improve the quality of a deworming program that would have been implemented without Deworm the World (leading to more children dewormed effectively or improved cost-effectiveness). As of 2020, it was active in India, Kenya, Nigeria, and Pakistan.10 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. Prevalence surveys were conducted in Madhya Pradesh and Chhattisgarh after multiple rounds of treatment, in Bihar and Rajasthan after one round of treatment, and in Uttar Pradesh after multiple rounds of treatment in some districts and one round in other districts.57 As per protocol, the children should not have been given more than one tablet. In October, Deworm the World had coordinated for lab testing of the stored drugs via ASCHO NIBULA INDUSTRIES LTD, an independent lab which approved the quality of the drugs. We expect the cost per treatment in the countries Deworm the World has expanded to recently and may expand to in the future to be closer to its costs in Kenya in the long run, but higher than its costs in Kenya at first due to additional costs associated with starting a new program. "India only conducts CV at schools, while Kenya, Nigeria, and Pakistan all utilize the same combined household and school-based CV methodology now." ", See section on worm prevalence and intensity in India and Kenya, "Based on the findings of the prevalence survey and WHO guidelines, Evidence Action recommends an annual school based deworming program for school-age children in the state. 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. Deworm the World, Jharkhand NDD PMCV Report, February 2017 and Deworm the World, Jharkhand PMCV report, August 2017. This section examines the data that we have to inform our estimate of the expected cost-effectiveness of additional donations to Deworm the World. We have gained this understanding through many conversations and across multiple years of reviewing Deworm the World. In early 2013, Innovations for Poverty Action (IPA) announced the formation of Evidence Action to scale cost-effective and evidence-based programs. 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. In some ways, schistosomiasis has an even larger gap to fill than STH. 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 "The drugs were safely stored in State Health Depot in Patna until November 2013. J-PAL North America is based at the Massachusetts Institute of Technology in the United States. Our default is to update each top charity's room for more funding analysis annually, though we may choose to do so more or less frequently. The prevalence and intensity rates from the survey are not "baseline" data, given that there has been relatively regular administration of albendazole in MP through the BSM program that treated PSAC since 2005, and the LF program which provided community-wide treatment of 11 districts of MP (the number of endemic districts had fallen to 8 by 2014). Pg. What are the causes and consequences of poor governance and how can policy improve public service delivery? What significant change resulted from feedback? "District Coordinators (temporary Deworm the World employees that play a monitoring and evaluation role) are important because they provide reliable feedback to the government about any problems with the deworming program. 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. We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on peoples interactions with us (e.g., site, frequency of service, etc. 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. 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. 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. (More), Is there room for more funding? We note that Deworm the World's cost per child analysis from Cross River, Nigeria for 2016 was about 50% higher than its estimate for Kenya in 2015-2016.112. There are requirements placed on the experience of these monitors. See this spreadsheet, sheet "Cross River, Nigeria 2016," cell C11, and Deworm the World External Kenya 2016 Costing Model, sheet "Costing model," cell E9. Pg. "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. DtWI 2013 GiveWell site visit, Pg 3. Based at leading universities around the world, our experts are economists who use randomized evaluations to answer critical questions in the fight against poverty. 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. Represent Evidence Action at relevant conferences and meetings. There is flexibility on location, though the preference is for the Program Director to be based inWashington, DC, New York City, or Nairobi, Kenya. Schistosomiasis drugs tend to be more expensive than STH drugs and, in Kenya, schistosomiasis treatment sites are sometimes much more remote. Working closely with the Africa regional team, drive and launch the expansion of safe water programs into new countries: Working closely with the Accelerator team, lead the identification, testing, and scaling of a portfolio of new safe water interventions: Working closely with the Africa regional team, support the scale-up of high-quality safe water interventions in Kenya, Uganda and Malawi. "The global STH community has changed significantly in the last couple of years, especially due to the formation of the STH Coalition.
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