Systemic Altruism
← Back to the cohort
Global healthPreliminary editorial review

New Incentives

Provides small cash incentives to caregivers for routine childhood vaccination in northern Nigeria.

Visit the organization ↗

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

The proposed pathway

Vaccination demand incentives

Six dimensions, with rationale

Structural depth

2 / 4

Changes the immediate incentive to use an existing public health service.

Institutional reach

2 / 4

The focal program targets a region within one national health system.

Durability

2 / 4

Vaccination provides lasting protection, while enrollment incentives need funding.

Scalability

3 / 4

A repeatable clinic-linked model offers expansion with monitoring.

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

A testable next question

Additional clinics should improve verified vaccination uptake without reducing service quality.

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

What remains uncertain

Vaccination uptake evidence does not establish durable redesign of Nigeria's health financing or all future program effects.

Sources to inspect

Propose a sourced correction →

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