Systemic Altruism
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Global healthPreliminary editorial review

Helen Keller Intl

Supports vitamin A supplementation alongside broader nutrition and health work.

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Balanced systemic potential: 46–61/100
85% of weighted axes reviewed. A mechanism hypothesis, not proven effectiveness or a donation recommendation.

The proposed pathway

Nutrition delivery and capacity

Six dimensions, with rationale

Structural depth

2 / 4

Micronutrient delivery can strengthen recurring health-service routines.

Institutional reach

3 / 4

Works through government and community distribution channels.

Durability

1 / 4

Supplementation must recur; it does not itself remove all causes of malnutrition.

Scalability

3 / 4

Established distribution channels permit replication.

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: vitamin A supplementation program. The linked source includes this organization or specified program within that stated scope. Review the evaluator's actual scope ↗

A testable next question

Supported delivery areas should maintain supplementation coverage and independently measured health gains.

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

What remains uncertain

GiveWell's recommendation covers vitamin A supplementation. Wider nutrition programs require separate review.

Sources to inspect

Propose a sourced correction →

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