ABCDEFGHIJKLMNOPQRSTUVWXYZAAAB
1
Breastfeeding promotion (BP)Direct deliveryDigital deliveryNotes
2
Cost
3
Hypothetical donation (USD)$100,000$100,000Arbitrary
4
Cost per mother/child pair directly treated (USD)$27.80$3.01Guess (see cell notes)
5
Mother/child pairs directly treated with hypothetical donation3,59733,223Calculation
6
Multiplier for subsequent children who are indirectly treated22Guess
7
Total children directly or indirectly treated with hypothetical donation7,19466,445Calculation
8
9
Benefits
10
Post neonatal all-cause mortality
11
Baseline all-cause post neonatal mortality for low SDI countries (%)2%2%
12
Effect of intervention on post neonatal diarrhea (%)16%8%See "Meta-analysis" sheet and "Uptake of breastfeeding" sheet
13
Effect of intervention on post neonatal all-cause mortality (%)13%6%Calculation, see "Mortality plausibility modeling" sheet
14
Post neonatal deaths averted with hypothetical donation1989Calculation
15
Neonatal all-cause mortality
16
Baseline all-cause neonatal mortality for low SDI countries (%)3%3%
17
Post neonatal to neonatal scaling factor70%70%
18
Effect of intervention on neonatal diarrhea (%)11%6%Calculation
19
Effect of intervention on all-cause neonatal mortality (%)5%2%Calculation, see "Mortality plausiblity modeling" sheet
20
Neonatal deaths averted with hypothetical donation1149Calculation
21
Development effects
22
Units of value from development effects from breastfeeding, compared to SMC (before internal and external adjustments)
0.300.30See "Development effects" sheet.
23
Units of value from development effects per treatment-year of SMC, Nigeria0.100.10See 2022 GiveWell CEA
24
Units of value from breastfeeding promotion per treatment-year (based on SMC U5 intervention)
0.030.01Calculation
25
Development effects scaling factor (due to younger target cohort)22Guess
26
Units of value from development effects generated by hypothetical donation4351,991Calculation
27
Adjustments
28
Internal validity adjustment0.70.55See Breastfeeding promotion shallow intervention report
29
External validity adjustment0.750.6See Breastfeeding promotion shallow intervention report
30
Adjusted effect of intervention on post neonatal diarrhea (%)8.4%2.6%Not used in calculations, for interpretation purposes only
31
Adjusted effect of intervention on post neonatal all-cause mortality (%)6.8%2.1%Not used in calculations, for interpretation purposes only
32
Adjusted effect of intervention on neonatal diarrhea (%)5.8%1.8%Not used in calculations, for interpretation purposes only
33
Adjusted effect of intervention on neonatal all-cause mortality (%)2.6%0.8%Not used in calculations, for interpretation purposes only
34
Adjusted post neonatal deaths averted with hypothetical donation1029Calculation
35
Adjusted neonatal deaths averted with hypothetical donation616Calculation
36
Adjusted units of value from development effects generated by hypothetical donation228657Calculation
37
38
Results
39
Units of value per post neonatal death averted1011012020 GiveWell Moral Weights, p. 9
40
Units of value from post neonatal deaths averted1,0312,965Calculation
41
Units of value per neonatal death averted84842020 GiveWell Moral Weights, p. 9
42
Units of value from neonatal deaths averted4751,367Calculation
43
Units of value from development effects228657
44
Adjustment for excluded effects1.121.12See "Adjustments for excluded effects" sheet
45
Total units of value generated by hypothetical donation, adjusted for excluded effects1,9445,592Calculation
46
Total units of value generated by hypothetical donation to GiveDirectly's cash transfer program3353352022 GiveWell CEA
47
Cost-effectiveness of breastfeeding promotion in multiples of cash5.816.7Calculation
48
49
Breakdown of benefits
50
Percentage of total value from post neonatal deaths averted53%53%Calculation
51
Percentage of total value from neonatal deaths averted24%24%Calculation
52
Percentage of total value from development effects12%12%Calculation
53
Percentage of total value from excluded effects11%11%Calculation
54
55
Costs per lives saved
56
Adjustment for excluded effects that could impact cost of lives saved1.0591.059See "Adjustments for excluded effects" sheet
57
Post-neonatal deaths averted, adjusted for excluded effects1131
58
Neonatal deaths averted, adjusted for excluded effects617
59
Estimated cost to avert one death$5,943$2,066
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100