Saving lives with fewer dollars

以更少的金钱拯救生命

Planet Money

2025-11-27

32 分钟
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Givewell is a nonprofit organization that gives money to “save or improve the most lives per dollar.” Part of their whole thing is a rigorous research process with copious and specific datapoints. So, in the chaotic wake of USAID’s gutting, they scrambled to figure out if they could fund the kind of projects USAID used to. Today on the show: GiveWell let us in on their decision-making process, as they try to reconcile the urgency of the moment with their normal diligence. We get to watch as they decide if they can back one project, to support health facilities in Cameroon. Pre-order the Planet Money book and get a free gift. / Subscribe to Planet Money+ Listen free: Apple Podcasts, Spotify, the NPR app or anywhere you get podcasts. Facebook / Instagram / TikTok / Our weekly Newsletter. This episode was hosted by Mary Childs. It was produced by Sam Yellowhorse Kesler. It was edited by Marianne McCune, fact-checked by Vito Emanuel, and engineered by Jimmy Keeley with help from Robert Rodriguez. Planet Money’s executive producer is Alex Goldmark.  Learn more about sponsor message choices: podcastchoices.com/adchoices NPR Privacy Policy
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  • This is Planet Money from NPR.

  • This is a story of two groups of people doing life-saving work in totally different ways.

  • One group up close with their hands and the other with numbers at a desk.

  • That first group provides basic healthcare and medical supplies in the far north region of Cameroon.

  • Their doctors and nurses give vaccines, they monitor pregnancies,

  • train patients to look out for signs of malnutrition with tools as simple as a little piece of tape,

  • like a measuring tape with red, yellow, and green on it.

  • So a mom can wrap it around her kid's arm and measure whether her kid is malnourished.

  • So it's a very easy to use tool.

  • that we train the mothers to use on their children so that they get to identify malnutrition very early.

  • Madeleine Tronso manages grants for the organization called ALIMA.

  • It's an acronym.

  • It stands for the Alliance for International Medical Action.

  • Last year in Cameroon, ALIMA treated almost 400,000 people.

  • Lima has been able to do this work by staying far out of the fray during an armed conflict that has been going on for years by building trust and also by managing difficult logistics.

  • Sometimes there's no road, you face potential attacks.

  • It's scary, it's dangerous.

  • To continue that work,

  • Lima's Cameroon program was supposed to get $1.9 million this year from USAID.

  • When the Trump administration announced it was gutting USAID,