Sarah Eustis-Guthrie, cofounder of the now-closed Maternal Health Initiative in Ghana, shares her heartfelt journey through founding and shutting down a charity. She discusses the emotional toll of accountability and the difficult decision to close when impact fell short. The conversation reveals the significance of transparency in charity work, the complexities of postpartum family planning, and the challenges of distinguishing genuine insights from misconceptions in developing healthcare programs. Sarah emphasizes the need for reevaluation and adaptability in the nonprofit sector.
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insights INSIGHT
Postpartum Abstinence and Breastfeeding
Postpartum abstinence and breastfeeding significantly influence contraceptive effectiveness and program impact.
Traditional models often fail to accurately account for these factors, leading to overestimations of program effectiveness.
insights INSIGHT
Benefits of Postpartum Family Planning
Postpartum family planning offers compelling benefits for women's health and autonomy.
It addresses unmet needs by providing access to contraception and reducing risks associated with childbirth.
question_answer ANECDOTE
Choosing Ghana
Sarah and Ben used a spreadsheet to analyze countries in sub-Saharan Africa for cost-effectiveness and feasibility.
They considered Nigeria, Sierra Leone, and Ghana, ultimately choosing Ghana for its scalability and partner opportunities.
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"I think one of the reasons I took [shutting down my charity] so hard is because entrepreneurship is all about this bets-based mindset. So you say, “I’m going to take a bunch of bets. I’m going to take some risky bets that have really high upside.” And this is a winning strategy in life, but maybe it’s not a winning strategy for any given hand. So the fact of the matter is that I believe that intellectually, but l do not believe that emotionally. And I have now met a bunch of people who are really good at doing that emotionally, and I’ve realised I’m just not one of those people. I think I’m more entrepreneurial than your average person; I don’t think I’m the maximally entrepreneurial person. And I also think it’s just human nature to not like failing." —Sarah Eustis-Guthrie
In today’s episode, host Luisa Rodriguez speaks to Sarah Eustis-Guthrie — cofounder of the now-shut-down Maternal Health Initiative, a postpartum family planning nonprofit in Ghana — about her experience starting and running MHI, and ultimately making the difficult decision to shut down when the programme wasn’t as impactful as they expected.
The evidence that made Sarah and her cofounder Ben think their organisation could be super impactful for women — both from a health perspective and an autonomy and wellbeing perspective.
Early yellow and red flags that maybe they didn’t have the full story about the effectiveness of the intervention.
All the steps Sarah and Ben took to build the organisation — and where things went wrong in retrospect.
Dealing with the emotional side of putting so much time and effort into a project that ultimately failed.
Why it’s so important to talk openly about things that don’t work out, and Sarah’s key lessons learned from the experience.
The misaligned incentives that discourage charities from shutting down ineffective programmes.
The movement of trust-based philanthropy, and Sarah’s ideas to further improve how global development charities get their funding and prioritise their beneficiaries over their operations.
The pros and cons of exploring and pivoting in careers.
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