Systemic Altruism
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Global healthPreliminary editorial review

Sightsavers

Combines eye health services, neglected tropical disease work and disability-rights advocacy with health-worker training.

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Balanced systemic potential: 64–79/100
85% of weighted axes reviewed. A mechanism hypothesis, not proven effectiveness or a donation recommendation.

The proposed pathway

Disease elimination and inclusion

Six dimensions, with rationale

Structural depth

3 / 4

Health capacity and inclusion advocacy target barriers beyond one-off treatment.

Institutional reach

3 / 4

Works across countries and public-health partnerships.

Durability

3 / 4

Skills, inclusion rules and disease-elimination capacity can persist; recurrent services still need funding.

Scalability

3 / 4

Training and public-system partnerships are replicable.

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: deworming; 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

Public partners should retain eye-health capacity and improve independently measured access for people with disabilities.

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

What remains uncertain

Historical GiveWell review covers deworming rather than the whole organization. Elimination and inclusion outcomes need program-specific attribution.

Sources to inspect

Propose a sourced correction →

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