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Cost per dispenser per year, during grant
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MalawiUganda KenyaSource
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# of dispensers, 20193,7435,38918,003"The average number of dispensers present in 2019 is 18,003 dispensers in Kenya, 5,302 dispensers in Uganda, and 3,728 dispensers in Malawi. These figures vary slightly from the figures we previously reported because they provide a monthly average of the number of dispensers present in 2019 rather than a snapshot of the number of dispensers present in December 2019" Evidence Action staff, email to GiveWell, November 24, 2021
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Current Dispensers for Safe Water footprint
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# maintenance years443"The grant covers maintenance of the current footprint for four years in Malawi and Uganda and three years in Kenya" GiveWell, Evidence Action's Dispensers for Safe Water program – General Support (January 2022)
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Maintenance costs$6,242,251$7,600,053$10,118,022"Grant size" tab
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Exit cost$2,684,593$3,173,340"Grant size" tab, "Source: Summary" tab
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Exit phase, full scale and adherence equivalent dispenser years1.251.25GiveWell, Copy of DSW expansion model, 2021 (unpublished). Assumes full scale and adherence for the 11 months (when DSW would be discussing alternative water treatment option with the communities served) and then decreased scale/adherence afterwards, as DSW de-installs dispensers. See note for quote.
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Current footprint, cost per dispenser year$456$387Calc
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New footprint (expansion)
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# new dispensers per country12,20212,514907DSW 2023 M&E
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Scale up cost$5,266,822$5,416,885$0Source: "Summary" tab. Subtracting $100k from Malawi and Uganda ($200k total) to account for increased management costs needed during the initial grant period to prepare for future scale up. Source:
"Is the DSW management/country team as designed set DSW up for 6-10x expansion next year? If not, provide a rough budget for that cost. We think we would need an additional $200k per year for staffing to handle this type of expansion. We’ll likely need added capacity at the country level (e.g. add Deputy Country Directors), MLE (2 additional managers at the regional level)." DSW, Email, Nov. 1, 2021 (unpublished)
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Scale up phase, full scale and adherence equivalent dispenser/years0.250.200MC_copy of expansion model (unpublished)
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Maintenance costs$13,149,095$12,346,077$0"Grant size" tab. Calc. Subtracting $100k from Malawi and Uganda ($200k total) to account for increased management costs needed during the initial grant period to prepare for future scale up. Source: "Is the DSW management/country team as designed set DSW up for 6-10x expansion next year? If not, provide a rough budget for that cost. We think we would need an additional $200k per year for staffing to handle this type of expansion. We’ll likely need added capacity at the country level (e.g. add Deputy Country Directors), MLE (2 additional managers at the regional level)." DSW, Email, Nov. 1, 2021 (unpublished)
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Exit cost$5,180,011$4,862,397$0"Grant size" tab
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Exit phase, full scale and adherence equivalent dispenser years1.251.250MC_copy of expansion model (unpublished). Assumes full scale and adherence for the 11 months (when DSW would be discussing alternative water treatment option with the communities served) and then decreased scale/adherence afterwards, as DSW de-installs dispensers. See note for quote.
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New dispensers, cost per dispenser year$352$332$0Calc
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All dispensers, cost per dispenser year$178
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MalawiUganda Kenya
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Cost per dispenser year, current footprint$456$387$178Calc
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Cost per dispenser year, new dispensers$352$3320Calc
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Evidence Action spending to date, compared to expectations92%92%92%See this section of our report on the DSW program for more.
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Cost per dispenser year, current footprint, adjusted$420$356$164Calc
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Cost per dispenser year, new dispensers, adjusted$324$3050Calc
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# old dispensers-years19,63528,27054,009DSW program and M&E 2021
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# new dispensers-years67,10068,1770Calc
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Weighted average (cost per dispenser year)$345$320$164Calc
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Avg. No. of PEOPLE per Household
(including <5 children)
4.716.534.96DSW 2023 M&E
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Avg. No. of Housholds per Dispenser34.9737.7921.1DSW 2023 M&E
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Average ppl per dispenser165247105Calc
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Average cost per person, per year$2.10$1.30$1.57Calc
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Short term cost per dispenser per year, as a % of long term costs113%114%104%Calc
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Cost per dispenser per year, long term
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MalawiUganda Kenya
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Current footprint
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Maintenance cost, per year$1,560,563$1,900,013$3,458,362Calc
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# maintenance years101010Subjective guess.
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Exit cost$2,684,593$3,173,340Calc
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Exit phase, full scale and adherence equivalent dispenser years1.251.251.25MC_copy of expansion model (unpublished). Assumes full scale and adherence for the 11 months (when DSW would be discussing alternative water treatment option with the communities served) and then decreased scale/adherence afterwards, as DSW de-installs dispensers. See note for quote.
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Current footprint, cost per dispenser/year$435$366$171Calc
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New footprint
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Scale up cost$5,266,822$5,416,885Calc. Subtracting $100k from Malawi and Uganda ($200k total) to account for increased management costs needed during the initial grant period to prepare for future scale up. Source:
"Is the DSW management/country team as designed set DSW up for 6-10x expansion next year? If not, provide a rough budget for that cost. We think we would need an additional $200k per year for staffing to handle this type of expansion. We’ll likely need added capacity at the country level (e.g. add Deputy Country Directors), MLE (2 additional managers at the regional level)." DSW, Email, Nov. 1, 2021 (unpublished)
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Scale up phase, full scale and adherence equivalent dispenser years0.250.20MC_copy of expansion model (unpublished)
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Maintenance cost, per year$3,187,274$2,986,519Calc. Subtracting $100k from Malawi and Uganda ($200k total) to account for increased management costs needed during the initial grant period to prepare for future scale up. Source: "Is the DSW management/country team as designed set DSW up for 6-10x expansion next year? If not, provide a rough budget for that cost. We think we would need an additional $200k per year for staffing to handle this type of expansion. We’ll likely need added capacity at the country level (e.g. add Deputy Country Directors), MLE (2 additional managers at the regional level)." DSW, Email, Nov. 1, 2021 (unpublished)
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# maintenance years1010Subjective guess
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Exit cost$5,180,011$4,862,397Calc
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Exit phase, full scale and adherence equivalent dispenser years1.251.25MC_copy of expansion model (unpublished). Assumes full scale and adherence for the 11 months (when DSW would be discussing alternative water treatment option with the communities served) and then decreased scale/adherence afterwards, as DSW de-installs dispensers. See note for quote.
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New dispensers, cost per dispenser/year$302$280Calc
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MalawiUganda Kenya
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Cost per dispenser year, current footprint$435$366$171Calc
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Cost per dispenser year, new dispensers$302$2800Calc
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Evidence Action spending to date, compared to expectations92%92%92%See table of spending to date in this section of our report on DSW.
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Cost per dispenser year, current footprint, adjusted$400$337$157Calc
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Cost per dispenser year, new dispensers, adjusted$277$2580Calc
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# old dispenser-years41,92459,625202,459DSW program and M&E 2021
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# new dispenser-years140,312143,2610Calc
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Cost per dispenser year, weighted average$306$281$157Calc
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Average cost per person, per year$1.86$1.14$1.50Calc
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Ministries of Health (MoH) costs
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MoH costs, per year, per country$150,035.00$45,374.00$0.00"(i) Using a valuation approach alone, we would estimate the in-kind contribution of health workers in Malawi to be up to $138,701 annually.
(ii) Using primarily a valuation approach we would estimate the in-kind contribution of chlorine storage in Uganda and Malawi to be up to $45,374 annually for Uganda and up to $11,334 annually for Malawi."
(unpublished source)
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Government costs, per person, per year$0.24$0.03$0.00Calc
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Recurring vs. one-off costs
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Recurring costs per person/year (maintenance)$1.80$1.10$1.84Calc
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One off costs per person (set up and exit)$5.20$3.33$4.26Calc
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Cost per dispenser per year, beginning of grant through 2023, GiveWell's best guesses as of 2025
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Pre expansion footprint
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# of dispensers maintained as of the beginning of the grant3,7435,38918,003Note that we use the number of dispensers maintained in 2019 as a proxy for the number maintained at the beginning of GiveWell's grant, because Evidence Action did not expand the program between 2019 and 2022
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Number of years dispensers were maintained from the beginning of the grant through the end of 2023222January 2022 to December 2023
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Expansion footprint
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# new dispensers per country12,20212,514907DSW 2023 M&E
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Scale up phase, full scale and adherence equivalent dispenser/years0.250.200This parameter accounts for the time it took Evidence Action to install new dispensers. At the time we made the grant, Evidence Action projected installations would be completed by May 2023. In fact, installations were completed in June 2023. Because this difference is so small, we have not updated these calculations since the point we made the initial grant.
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Maintenance phase, equivalent dispenser years0.50.50.5Evidence Action completed installations in June 2023. We therefore account for a half year of dispensers operating at full scale, from July to December 2023
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Totals
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Total dispenser years provided from the beginning of the grant through the end of 202316,67719,56636,460Calculation
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Total costs incurred$11,409,736$12,019,292$6,579,522Source: Evidence Action, DSW Annual GiveWell report (2023). Available here
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Cost per dispenser per year$684$614$180Calculation
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Average people served per dispenser165247105Source: DSW 2023 M&E
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Average cost per person, per year$4.15$2.49$1.72Calculation
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Cost per dispenser per year, beginning of grant through 2023, GiveWell's best guesses at the point we made the grant
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Pre expansion footprint
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# of dispensers maintained as of the beginning of the grant3,7435,38918,003Note that we use the number of dispensers maintained in 2019 as a proxy for the number maintained at the beginning of GiveWell's grant, because Evidence Action did not expand the program between 2019 and 2022
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Number of years dispensers were maintained from the beginning of the grant through the end of 2023222January 2022 to December 2023
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Expansion footprint
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# new dispensers per country12,00012,000"Source: Summary" tab
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Scale up phase, full scale and adherence equivalent dispenser/years0.250.200MC_copy of expansion model (unpublished)
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Maintenance phase, equivalent dispenser years0.580.580.58Evidence Action planned to complete installations in May 2023. We therefore account for 7 months of dispensers operating at full scale, from June to December 2023