ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAK
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Helen Keller InternationalHelen Keller InternationalHelen Keller InternationalNutrition International
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Burkina FasoCameroonCôte d'IvoireDRCGuineaKenyaMadagascarMaliNigerNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaNigeriaAngolaChadTogoUganda
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Main calculationsunittypeOverallAdamawaAkwa IbomAnambraBenueDeltaEbonyiEdoEkitiImoKogiNasarawaOgunOsunRiversTaraba
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Final cost-effectiveness estimate (pulled from below for visibility)xcashfeed-22.415.88.516.810.94.815.832.658.921.34.42.39.55.213.43.85.93.14.211.94.82.37.628.75.620.014.86.3
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Costs
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GiveWell costs
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Grant size$input$1,000,000----------------------------
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Cost breakdown
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Percentage of total costs covered by the grantee%input-43%64%47%47%55%47%60%43%36%47%47%47%47%47%47%47%47%47%47%47%47%47%47%47%70%70%70%70%
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Percentage of total costs covered by Nutrition International (vitamin A capsule procurement)
%input-6%6%7%7%5%7%7%8%8%7%7%7%7%7%7%7%7%7%7%7%7%7%7%7%0%0%0%0%
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Percentage of total costs covered by other philanthropic actors%input-6%0%13%13%10%13%0%18%26%13%13%13%13%13%13%13%13%13%13%13%13%13%13%13%0%0%0%0%
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Percentage of total costs covered by domestic governments (financial contributions)
%input-15%0%3%3%0%3%3%0%0%3%3%3%3%3%3%3%3%3%3%3%3%3%3%3%0%0%0%0%
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Percentage of total costs covered by domestic governments (in-kind contributions)
%input-30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%30%
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Total costs
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Total spending by all contributors$calc-$2,319,842$1,561,670$2,145,967$2,145,967$1,809,082$2,145,967$1,671,375$2,312,317$2,764,820$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$2,145,967$1,428,571$1,428,571$1,428,571$1,428,571
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Total spending attributable to different actors
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Total spending contributed by grantee$calc-$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000
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Total spending contributed by Nutrition International (vitamin A capsule procurement)$calc-$148,960$93,169$149,591$149,591$88,034$149,591$116,508$195,582$218,092$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$149,591$0$0$0$0
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Total spending contributed by other philanthropic actors$calc-$131,162$0$283,953$283,953$178,323$283,953$0$423,039$717,282$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$283,953$0$0$0$0
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Total spending contributed by domestic governments (financial contributions)$calc-$343,768$0$68,633$68,633$0$68,633$53,454$0$0$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$68,633$0$0$0$0
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Total spending contributed by domestic governments (in-kind contributions)$calc-$695,953$468,501$643,790$643,790$542,725$643,790$501,412$693,695$829,446$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$643,790$428,571$428,571$428,571$428,571
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Upstream / downstream spending
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Total spending causally upstream of donations to grantee$calc-$1,474,930$1,000,000$1,352,586$1,352,586$1,178,323$1,352,586$1,053,454$1,423,039$1,717,282$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,352,586$1,000,000$1,000,000$1,000,000$1,000,000
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Total spending causally downstream of donations to grantee$calc-$844,913$561,670$793,381$793,381$630,759$793,381$617,920$889,277$1,047,538$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$793,381$428,571$428,571$428,571$428,571
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Cost per child covered
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Cost per vitamin A supplement delivered$input-$1.06$1.14$1.02$1.02$1.39$1.02$1.02$0.80$0.86$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.02$1.53$1.53$1.09$1.02
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Supplementation rounds delivered per year#input2----------------------------
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Total cost per child receiving a year of vitamin A supplementation (VAS)$calc-$2.11$2.27$2.03$2.03$2.79$2.03$2.03$1.60$1.72$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$2.03$3.05$3.05$2.18$2.03
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Upstream costs per child receiving a year of VAS$calc-$1.34$1.46$1.28$1.28$1.82$1.28$1.28$0.99$1.07$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$2.14$2.14$1.53$1.42
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Outputs
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Total children covered
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Total people under age 5 receiving a year of VAS#calc-744,706687,004779,777779,777550,904779,777779,7771,013,443936,448779,777779,777779,777779,777779,777779,777779,777779,777779,777779,777779,777779,777779,777779,777779,777468,083468,083655,609702,125
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Baseline proportion of people under age 5 who receive VAS from non-campaign sources%input-25%25%25%25%25%25%44%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%25%
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Additional people under age 5 receiving a year of VAS as a result of the program#calc-558,530515,253584,833584,833413,178584,833436,675760,082702,336584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833351,062351,062491,707526,594
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Outcomes
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Mortality reduction among people under age 5
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Reduction in all-cause mortality for children under age 5 participating in VAS programs found in the Imdad et al. 2017 meta-analysis%input24%----------------------------
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Proportion of participating children that received VAS in the trials from the Imdad et al. 2017 meta-analysis%input87%----------------------------
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Implied reduction in all-cause mortality for children under age 5 receiving vitamin A supplementation%calc27%----------------------------
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Internal validity adjustment%input-25%----------------------------
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External validity adjustment%supp--69%-47%-75%-53%-71%-69%-41%-65%-42%-70%-84%-88%-79%-86%-71%-86%-82%-83%-82%-73%-83%-86%-80%-64%-65%-42%-45%-72%
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Expected reduction in all-cause mortality among 6-59-month-olds receiving vitamin A supplementation%calc-6.4%10.8%5.3%9.7%5.9%6.3%12.1%7.3%11.9%6.1%3.3%2.6%4.4%2.9%6.0%2.9%3.7%3.5%3.7%5.5%3.5%2.9%4.1%7.5%7.2%12.0%11.3%5.7%
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Annual all-cause mortality rate among 6-59-month-olds in areas targeted for VAS%supp-1.50%0.72%0.76%0.62%1.24%0.33%0.65%1.52%1.66%1.37%0.55%0.39%0.86%0.73%0.89%0.55%0.65%0.38%0.47%0.86%0.57%0.35%0.75%1.49%0.55%1.50%0.70%0.58%
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Proportion of people under age 5 represented in GBD 2019 disease burden estimates who received VAS%input-40%52%47%54%45%61%41%59%50%47%47%47%47%47%47%47%47%47%47%47%47%47%47%47%32%47%57%54%
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All-cause mortality rate among 6-59-month-olds in the absence of VAS%calc-1.54%0.76%0.78%0.65%1.28%0.35%0.69%1.59%1.76%1.41%0.56%0.40%0.88%0.74%0.92%0.56%0.66%0.39%0.48%0.88%0.58%0.36%0.77%1.54%0.56%1.59%0.75%0.60%
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Total deaths averted among people under age 5#calc-5534242393713131283658781,47550310860227127319951437910328311860184676141670416179
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Long-term income increases for people under age 5
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Ratio of value generated from income increases to value generated from mortalities averted among people under age 15 by seasonal malaria chemoprevention (SMC)#input0.31----------------------------
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Adjustment for income increases generated by VAS compared to SMC%input-20%----------------------------
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Ratio of value generated from income increases to value generated from mortalities averted among people under age 15 by VAS#calc0.25----------------------------
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Value assigned to averting a death of a person under age 5 with vitamin A supplementationUoVinput119----------------------------
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Units of value generated from deaths averted among people under age 15UoVcalc-65,70250,32228,43244,07037,21915,25043,327104,191175,08459,73312,8787,09226,92215,03237,87911,22816,9459,42512,25933,64214,0167,15321,86480,27716,75779,54649,39821,279
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Units of value generated from long-term income increasesUoVcalc-16,10912,3386,97110,8059,1253,73910,62325,54542,92614,6453,1571,7396,6013,6859,2872,7534,1552,3113,0068,2483,4371,7545,36019,6824,10819,50312,1115,217
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20%
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Value of outcomes
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Units of value from mortality reduction among people under age 5
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Value assigned to averting a death of a person under age 5 with vitamin A supplementationUoVinput119----------------------------
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Units of value from under-5 deaths averted (before accounting for leverage and funging)UoVcalc-65,70250,32228,43244,07037,21915,25043,327104,191175,08459,73312,8787,09226,92215,03237,87911,22816,9459,42512,25933,64214,0167,15321,86480,27716,75779,54649,39821,279
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Units of value from long-term income increases for children age 14 and under
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Units of value generated from long-term income increases per person receiving a year of VASUoVcalc-0.0290.0240.0120.0180.0220.0060.0240.0340.0610.0250.0050.0030.0110.0060.0160.0050.0070.0040.0050.0140.0060.0030.0090.0340.0120.0560.0250.010
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Units of value from long-term income increases (before accounting for leverage and funging)UoVcalc-16,10912,3386,97110,8059,1253,73910,62325,54542,92614,6453,1571,7396,6013,6859,2872,7534,1552,3113,0068,2483,4371,7545,36019,6824,10819,50312,1115,217
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Summary of outcomes and initial cost-effectiveness (before final adjustments)
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Summary of outcomes
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Total deaths averted among people under age 5#feed-5534242393713131283658781,47550310860227127319951437910328311860184676141670416179
80
Additional people under age 5 receiving a year of VAS as a result of the program#feed-558,530515,253584,833584,833413,178584,833436,675760,082702,336584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833584,833351,062351,062491,707526,594
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Value of individual outcomes
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Value assigned to averting a death of a person under age 5 with vitamin A supplementationUoVfeed119----------------------------
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Units of value generated from long-term income increases per person receiving a year of VASUoVfeed-0.0290.0240.0120.0180.0220.0060.0240.0340.0610.0250.0050.0030.0110.0060.0160.0050.0070.0040.0050.0140.0060.0030.0090.0340.0120.0560.0250.010
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Total value of outcomes
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Units of value from under-5 deaths averted (before final adjustments)UoVcalc-65,70250,32228,43244,07037,21915,25043,327104,191175,08459,73312,8787,09226,92215,03237,87911,22816,9459,42512,25933,64214,0167,15321,86480,27716,75779,54649,39821,279
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Units of value from long-term income increases (before final adjustments)UoVcalc-16,10912,3386,97110,8059,1253,73910,62325,54542,92614,6453,1571,7396,6013,6859,2872,7534,1552,3113,0068,2483,4371,7545,36019,6824,10819,50312,1115,217
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Initial cost-effectiveness (before final adjustments)
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Total spending contributed by grantee$feed-$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000
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Total units of value from all outcomes (before final adjustments)UoVcalc-81,81162,65935,40354,87546,34418,98953,949129,736218,01074,37816,0368,83133,52318,71747,16613,98121,10011,73615,26441,89117,4538,90727,22499,95920,86599,04861,50926,497
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Units of value generated per dollar spent (before final adjustments)UoVcalc-0.0820.0630.0350.0550.0460.0190.0540.1300.2180.0740.0160.0090.0340.0190.0470.0140.0210.0120.0150.0420.0170.0090.0270.1000.0210.0990.0620.026
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Value generated per dollar donated to GiveDirectly's unconditional cash transfer programUoVinput0.003----------------------------
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Cost-effectiveness in terms of multiples of GiveDirectly's unconditional cash transfer programxcashcalc-24.418.710.616.413.85.716.138.765.022.24.82.610.05.614.14.26.33.54.612.55.22.78.129.86.229.518.37.9
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Proportion of impact attributed to different outcomes
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Proportion of total units of value attributed to mortality reduction among people under age 5%calc-80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%80%
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Proportion of total units of value attributed to long-term income increases%calc-20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%
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