We believe no woman should endure a life of misery and isolation, simply for trying to bring a child into the world. 

Obstetric fistula is a devastating childbirth injury. It leaves a woman incontinent, humiliated, and—all too often—shunned by her community. Obstetric fistula ranks as one of humanity’s most disabling injuries—but it can be cured by a surgery that costs $633. Few investments in human health can yield such a dramatic impact on a woman, her family, and her community. 

At least one million women today suffer for want of a surgery that can transform their lives. Living primarily in rural areas of Africa and Asia, women suffering with untreated fistula or severe perineal tears (a similar childbirth injury that causes fecal incontinence) endure the burden of debilitating injuries on top of crushing poverty and gender inequality.

There are three main barriers that prevent them from accessing the care they need: Stigma and lack of awareness, poverty, and inadequate healthcare systems.

Fistula Foundation has a proven model: We help where the need is greatest. We partner with carefully selected doctors and hospitals that are trusted by the communities they serve. Funding 95 partners across more than 35 countries, Fistula Foundation has a vision—and a plan—to bring the suffering caused by fistula to an end in all countries where this condition persists today.


Fistula Foundation

Support highly-impactful, evidence-based solutions to reduce animal suffering on a global scale. 

At least 75 billion farmed land animals and more than a trillion fish are slaughtered each year. That is more than 2000 land animals and 25,000 fish are killed every second. This is possible due to the mechanization and intensification of factory farming, driven by global increase in demand for meat.

Although this situation seems bleak - and the numbers almost too large to comprehend - there are reasons to be hopeful. Recent years have seen rapid progress in the animal welfare movement. Many large companies have pledged to phase out or drastically reduce some of their industry’s most harmful practices. Governments have banned some of these practices outright. And companies working to commercialize alternative proteins, such as plant-based meats, have raised billions of dollars from investors. Yet farm animal welfare remains highly neglected, with just 0.03% of US philanthropic funding going to this cause in 2017. 

By giving to the Founders Pledge Animal Welfare Index, you can spread your donation across several highly-impactful and neglected global initiatives to alleviate suffering and improve the conditions of factory-farmed animals. By pooling your donations, this Index fund allows you to make larger grants and thereby maximize your impact.

### Our Approach to Grantmaking
When evaluating potential grants, we consider several key points:

- **Counterfactual impact.** Our grants are designed to create a meaningful outcome that would not otherwise have happened. This means that you can rely on the Funds to create meaningful, real change, rather than just maintaining the status quo.
- **Impact-driven philanthropy.** The goal of this fund is maximal positive impact, irrespective of this impact being “sexy” or visible. This means we will focus on opportunities that others focused on clear attribution of their work or shiny outcomes might neglect.
- **The organization’s funding gap.** Not all organizations are set up to scale up their programming and many can’t productively absorb large amounts of unsolicited funding. We evaluate all potential grantees’ capacity for growth and consider how much money they could put to good use.
- **Organizational strength.** Particularly with unrestricted funding, it’s important to have trust in the leadership and capacity of the organizations we support. We look at their track record of success and their transparency about failures as well as successes, and we only support those organizations which are exceptionally well run.


To learn more about our approach to Animal Welfare as a cause area, please visit [www.founderspledge.com](https://www.founderspledge.com/research/topic/animal-welfare).

Founders Pledge: Animal Welfare Index

Delivering unconditional cash directly to the world's poorest households via secure mobile transfers. 

Since 2009, GiveDirectly has delivered more than $580 million in unconditional cash transfers to families in need. These one-time cash transfers allow recipients to invest in what they need most and have been shown to improve their earnings, children’s school attendance, health, nutrition, and mental well-being.
 
GiveDirectly uses government data to target villages where most or all residents are living in extreme poverty, defined by the World Bank as earning under $2.15/day. In-country GiveDirectly staff enroll one member of each household in the entire village to receive a one-time transfer of about $1,000 USD sent in two installments using mobile money. Recipients can then withdraw the mobile funds as cash with local agents and use the funds to invest in what they need – whether it’s on starting a business, education, making their home safer/sturdier, healthcare, or livestock.
 
GiveDirectly uses rigorous experimental research (randomized controlled trials) to measure the impact of their unconditional cash programs and answer public policy questions, generating evidence on key design and implementation questions across varied contexts. You can find over 300 studies on the positive impacts of cash transfers in GiveDirectly’s Cash Research Explorer.

GiveDirectly

Malaria Consortium

Founders Pledge is a global nonprofit empowering entrepreneurs to do the most good possible with their charitable giving. 

Maximize your philanthropic impact with Founders Pledge. We empower a global community of over 2,100 members, equipping them with everything needed to give effectively: from evidence-led research and expert advice on the world's most pressing problems to comprehensive infrastructure for seamless global grant-making, and a powerful network for collaboration. Together, we've already channeled over $1.5 billion to high-impact causes globally, tackling critical issues like climate change, global health, and emerging existential risks. 

When you donate through every.org today, you're joining this proven movement, and our unique funding model ensures 100% of your contribution goes directly to charity, as our operational costs are generously covered by a dedicated community of philanthropists.

Founders Pledge

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