Thanks so much, Ben! We’ve appreciated our discussions with you the last few months about your work with MHI and MSI’s last mile programming.
Meghan Blake
Karma: 102
Invest in Futures: Support MSI Reproductive Choices to meet the reproductive health needs of women and girls
MSI Welcomes GiveWell’s Recently Published Contraception Cost-Effectiveness Analysis
Thank you so much for your thoughtful comment and for sharing the research on post-partum depression which we look forward to reviewing. Thanks also for your questions about DALYs and maternal deaths averted. We will provide more information shortly!
Thanks so much, we will share more soon!
These cost effectiveness numbers are based on the total costs of our Outreach and Public Sector Strengthening programs in Nigeria and our impact based on services delivered through these channels and calculated using our Impact 2 tool. Costs include all actual expenses to MSI involved in delivering services through these two channels, for example, for our outreach teams, these costs encompass service and non service providers, consumables, travel, demand generation, quality assurance, and other overhead expenses associated with providing services on-site (such as Research, Monitoring and Evaluation). This also includes MSI’s indirect costs.
For impact estimates, such as the number of maternal deaths averted, we utilize our Impact 2. This is an open-source, peer-reviewed tool that models bottom up estimates based on the services our teams deliver on the ground. The modelling is based on best available data from reputable sources such as WHO, UN, World Bank etc.
You can read more about Impact 2 via this introductory guide here: https://www.msichoices.org/wp-content/uploads/2023/10/impact-2-introductory-guide-june-2018-1.pdf
The full methodology paper can be found here: https://www.msichoices.org/wp-content/uploads/2023/10/impact-26-methodology-paper-2023.pdf
You can download the tool here: https://www.msichoices.org/what-we-do/technical-expertise/impact-2/
We will be publishing a follow-up blog with a deep dive on our Nigerian program and its cost effectiveness calculations soon.
Hi Nick! We’d love to connect, while I won’t be at EA Global myself, our Director of Evidence and Impact, Anisa, will be attending and would be happy to set up a meeting via Swapcard once it launches. We’re really interested in learning more about OneDay Health’s work.
On the $20 GiveWell benchmark, it’s important to note that this refers specifically to $20 per additional year of family planning that wouldn’t have happened without the intervention. Across MSI’s “last mile” delivery channels, Outreach and Public Sector Strengthening, our average global cost per year of protection is $4.88 (this includes all CYPs). We’re currently analyzing which of our programs meet the $20 per additional CYP threshold and expect that many, though not all, will. At MSI, cost-effectiveness is a key focus, and we recognize that this can be a high bar, especially when all programmatic costs are included, but we think there may be select other organizations that can meet it too.