Millions Saved

Millions Saved: Proven Successes in Global Health (Millions Saved for short) is an initiative of the Center for Global Development, a think tank based in Washington D.C. in the United States of America, whose goal is to collect success stories in global health, i.e., large-scale efforts to improve health in developing countries that have succeeded. The initiative began in 2004.

The initiative involves a periodically revised book (two editions have been published as of 2013 and work is currently under way for a third edition) as well as supplementary materials available on the website.

People involved

Team

The Millions Saved project is handled by the "What Works Working Group" at the Center for Global Development. Prominent team members are Amanda Glassman, Ruth Levine, and William Savedoff.

Collaborators

The project was undertaken in collaboration with the Disease Control Priorities Project and the National Institutes of Health.

Case studies

The following is the list of case studies discussed in the Millions Saved book:

No.

Case type

Geographic area

Time period (approximate)

1

Smallpox eradication

Worldwide

1967-1979

2

Preventing HIV and sexually transmitted diseases

Thailand

1998-2001

3

Control of tuberculosis

China

1991 onward (ProgresS measured 1990-2000)

4

Reducing child mortality through VITAMIN A

Nepal

1993 onward (progress measured 1995-2000)

5

Regional elimination of polio

Latin America and the Caribbean

1977-1991

6

Saving mothers' lives

Sri Lanka

1950s onward

7

Controlling onchocerciasis

sub-Saharan Africa

1974 (progress measured 1974-1992)

8

Preventing diarrheal deaths

Egypt

Started AbOUT 1977, progress measured 1982-1987

9

Improving the health of the poor

Mexico

10

Controlling trachoma

Morocco

1991 onward, progress measured since 1997

11

Reducing guinea worm

Asia and sub-Saharan Africa

1986 onward (progress measured 1986-1998 and then again in 2005)

12

Controlling Chagas disease

The southern cone of South America

1991 onward

13

Reducing fertility

Bangladesh

1970s onward (progress measured continuously)

14

Curbing tobacco use

Poland

1995 onward

15

Preventing iodine deficiency disease

China

1993 onward (progress measured in 1999)

16

Preventing neural tube defects

Chile

2000 onward

17

Regional elimination of measles

southern Africa

1996-2000

18

Preventing dental caries

Jamaica

1987 onward (progress measured in 1995)

19

Treating cataracts

India

1994 onward, progress measured 1999-2002

20

Preventing Hib disease

Chile and the Gambia

1996 onward (Chile), 1997 onward (Gambia)

Elements of success

The project lists the following common elements of success:

  • Predictable, adequate funding from both international and local sources
  • Political leadership and champions
  • Technical innovation within an effective delivery system, at a sustainable price
  • Technical consensus about the appropriate biomedical or public health approach
  • Good management on the ground
  • Effective use of information

Conclusions

The conclusions page on the website lists seven major conclusions:

  1. Major health interventions have worked even in the poorest countries.
  2. Donor funding has saved lives.
  3. Saving lives saves money.
  4. Partnership is powerful.
  5. National governments can get the job done.
  6. Health behaviors can be changed.
  7. Successful programs take many forms.

Reception

GiveWell

In November 2010, charity evaluator GiveWell published a document about its charity evaluation criteria. The document listed Millions Saved as its primary source of information on successes in public health interventions.

In April 2013, GiveWell, as part of its "History of Philanthropy" project, participated in a discussion with Amanda Glassman (part of the Millions Saved team) and Kate McQueston, and the conversation included some discussion of the next edition of Millions Saved. Notes of the conversation were published on GiveWell's website.

In June 2013, GiveWell announced that partner organization Good Ventures would, on GiveWell's recommendation, donate $50,000 USD to Millions Saved to facilitate work on the third edition of the book.

Others

The release of Millions Saved was noted on the Bill & Melinda Gates Foundation website.

Writing for the New York Review of Books, Nicholas Kristof reviewed Millions Saved along with books by William Easterly, Jeff Sachs, Robert Calderisi, and others. Kristof viewed Millions Saved as a source of optimism about the possibility of aid working, in CONTRAST with the relatively pessimistic message of the books by Easterly and Calderisi.

Alanna Shaikh included Millions Saved in her international development bibliography. Brett Keller praised Millions Saved as a way of overcoming the problem that "when public health works, it is invisible." Responding to William Easterly in a Cato Unbound exchange on the effectiveness of aid, Steve Radelet cited Millions Saved to argue that aid could have a huge positive effect.

See also

  • Disease Control Priorities Project
  • Moving Out of Poverty
  • Voices of the Poor