80,000 Hours Podcast

#124 Classic episode – Karen Levy on fads and misaligned incentives in global development, and scaling deworming to reach hundreds of millions

16 snips
Feb 7, 2025
Karen Levy, a seasoned expert in global health and development, discusses the pitfalls of overly fashionable concepts like 'sustainability' and 'holistic approaches' in development projects. She critiques the misguided focus on these terms, arguing that they can lead to ineffective solutions. Levy highlights the successful scaling of deworming initiatives, sharing insights on the challenges faced in implementation and funding. Through her experience with community engagement in Kenya, she emphasizes the need for realistic, evidence-based approaches to bring about meaningful change.
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INSIGHT

The Problem with Sustainability

  • Insisting on sustainability in development projects can be counterproductive.
  • Focus on maximizing impact even with time-limited funding, similar to prioritizing immediate life-saving actions.
ADVICE

Funding Development Like Groceries

  • Treat ongoing development programs like essential services requiring continuous funding.
  • Accept that continuous funding is often necessary, like paying for groceries.
ADVICE

Working *with* Governments, Not Just *through* Them

  • Prioritize government-led delivery and integration of development programs.
  • Focus on utilizing existing government infrastructure, rather than solely aiming for government funding.
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