Systemic Altruism
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Global healthPreliminary editorial review

Evidence Action

Scales health interventions including deworming, safe water, nutrition and maternal health, using government partnerships.

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Balanced systemic potential: 59–74/100
85% of weighted axes reviewed. A mechanism hypothesis, not proven effectiveness or a donation recommendation.

The proposed pathway

Government delivery systems

Six dimensions, with rationale

Structural depth

3 / 4

Works to embed tested health interventions in public delivery systems.

Institutional reach

3 / 4

Government partnerships extend reach across large service populations.

Durability

2 / 4

Public adoption could persist, but supply and maintenance are recurring needs.

Scalability

3 / 4

Identifies and expands replicable low-cost interventions.

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 historical program review

GiveWell historical review: Deworm the World; not current top-charity designation. The linked source includes this organization or specified program within that stated scope. Review the evaluator's actual scope ↗

A testable next question

Government partners should sustain coverage and intervention quality after technical assistance is reduced.

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

What remains uncertain

Programs differ in evidence and cost effectiveness. Deworm the World is a historical GiveWell review, not a current top-charity designation.

Sources to inspect

Propose a sourced correction →

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