Another issue that makes it hard to evaluate global health interventions is the indirect effects of NGOs in countries far from the funders. For example this book made what I found to be a compelling argument that many NGOs in Africa are essentially funding civil war, via taxes or the replacement of government expenditure:
African politics are pretty far outside my field of expertise, but the magnitudes seem quite large. War in the Congo alone has killed millions of people over the past couple decades.
I don’t really know how to make a tradeoff here but I wish other people more knowledgeable about African politics would dig into it.
Another issue that makes it hard to evaluate global health interventions is the indirect effects of NGOs in countries far from the funders. For example this book made what I found to be a compelling argument that many NGOs in Africa are essentially funding civil war, via taxes or the replacement of government expenditure:
https://www.amazon.com/Dancing-Glory-Monsters-Collapse-Africa/dp/1610391071
African politics are pretty far outside my field of expertise, but the magnitudes seem quite large. War in the Congo alone has killed millions of people over the past couple decades.
I don’t really know how to make a tradeoff here but I wish other people more knowledgeable about African politics would dig into it.