Systemic Altruism
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Global healthPreliminary editorial review

Against Malaria Foundation

Funds and monitors distributions of insecticide-treated mosquito nets through implementing partners.

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Balanced systemic potential: 39–54/100
85% of weighted axes reviewed. A mechanism hypothesis, not proven effectiveness or a donation recommendation.

The proposed pathway

Prevention delivery

Six dimensions, with rationale

Structural depth

1 / 4

Targets malaria exposure through a preventive service.

Institutional reach

3 / 4

Partner distribution systems can reach national and regional populations.

Durability

1 / 4

Nets require replacement; this is not a permanent change in rules.

Scalability

3 / 4

A standard preventive product can be distributed through existing partners.

Funding additionality

Unreviewed

Unknown: a current marginal funding gap, counterfactual and delivery capacity have not been audited.

Community agency

Unreviewed

Unknown: decision rights and accountability to affected people have not been audited.

Evidence and selection

Independent program evaluation

GiveWell current top charity: insecticide-treated net program. The linked source includes this organization or specified program within that stated scope. Review the evaluator's actual scope ↗

A testable next question

Tracked distribution areas should show sustained net use and reduced malaria burden relative to comparable areas.

Review confidence: Medium for mechanism; limited for systemic attribution. Documented intervention design; not a complete audit of this organization.

What remains uncertain

Strong evidence for nets does not show permanent malaria elimination or the effect of every unrestricted donation.

Sources to inspect

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Rubric v0.1 · 2026-10-06 · Method, conflicts and coverage