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Stealing Happiness? The wellbeing cost-effectiveness of NEPI, preventing crime with cash and cognitive behavioural therapy

Explore our cost-effectiveness analysis of NEPI's innovative programme combining cash transfers and CBT to reduce crime in Liberia. With strong RCT evidence showing significant benefits to both recipients and the wider community, we estimate 22 WELLBYs per $1,000 donated. Read the report to learn how this promising intervention improves wellbeing and reduces criminality over the long term.

Does improving parenting practices in childhood lead to happier adults?

The experiences we have as young children are widely recognized as having lasting impacts in later life. Supporting parents to engage with their children shows clear short-term developmental benefits and may have profound long-term effects on wellbeing, as well as health and achievement later in life. This report evaluates icddr,b's Reach Up parenting programme. Download and read the report to explore the Happier Lives Institute’s cost-effectiveness analysis, measuring the programme’s impact on long-term wellbeing in WELLBYs.

Toxic Cosmetics: A shallow evaluation of Pure Earth advocacy against leaded cosmetics in Ghana

There can be toxic levels of lead in all sorts of surprising products, including cosmetics. Lead exposure causes a global health burden comparable to malaria and HIV but receives less than 0.1% of their funding - even though malaria and HIV are themselves neglected diseases. Reducing lead exposure also seems feasible, given the strong historical success of advocacy campaigns. We evaluate Pure Earth’s program to reduce lead in cosmetics in Ghana, involving two years of advocacy and data collection followed by three years of enforcement support for a lead ban. We estimate it delivers 108 WELLBYs per $1,000 donated ($9.23 per WELLBY), making it the most cost-effective charity we have reviewed to-date. Optimistic assumptions increase this as high as 1,359 WELLBYs per $1,000 ($0.74 per WELLBY).

The wellbeing cost-effectiveness of StrongMinds and Friendship Bench: Combining a systematic review and meta-analysis with charity-related data (Nov 2024 Update)

Mental health disorders like depression and anxiety are common and significantly impact wellbeing, yet mental healthcare remains underfunded in low-income countries. Psychotherapy is an effective treatment that can be delivered cheaply by lay counsellors. This in-depth report evaluates the cost-effectiveness of two charities providing such therapy in Africa: Friendship Bench and StrongMinds. We estimate that Friendship Bench has a cost-effectiveness of 49 WELLBYs per $1,000 donated ($21 per WELLBY), and StrongMinds has a cost-effectiveness of 40 WELLBYs per $1,000 ($25 per WELLBY). Our results show that both charities are 5-6 times more cost-effective than cash transfers at improving subjective wellbeing. This is the fourth iteration of our analysis, which includes new data and refined methods. Our results are similar to the last version of the report, and we conclude that these two organisations are the most cost-effective charities (which are also well-evidenced) we have evaluated to date.

Does a well-fed infancy make for a more felicitous life? How treating malnutrition impacts happiness: a charity evaluation of Taimaka

Globally, 45 million children suffer from malnutrition, leading to 2.3 million child deaths annually. But even for those who live, the experience of malnutrition can have lifelong impacts on physical and cognitive health and social-emotional development. There is a consensus on how best to address extreme malnutrition: feeding kids a standard formula of peanut butter enhanced with vitamins and nutrients alongside basic medical care to prevent or treat infections. This intervention, known as community management of acute malnutrition (CMAM), saves lives and improves health and development. What this report seeks to find out is how effective it is at also improving happiness.

Ironing out wellbeing: A shallow exploration into the wellbeing cost-effectiveness of fortifying wheat with iron

Iron deficiency may be a major contributing factor to mental illnesses such as depression. In this shallow exploration, we evaluate the cost-effectiveness of Fortify Health's work to address mass scale iron-deficiency anemia in India.​ Read the report to discover what effect adding a small amount of iron to wheat flour may have on happiness.

August 2024 interim update to ‘Talking through depression: The cost-effectiveness of psychotherapy in LMICs, revised and expanded’

In November 2023, we published Version 3 of our psychotherapy analysis. This was a working report in which we estimated the effects of psychotherapy in low- and middle-income countries, as well as the cost-effectiveness of two psychotherapy charities: StrongMinds and Friendship Bench. In the first part of 2024, we have updated several parts of the analysis. This present, interim report, Version 3.5, describes the changes we have made so far. Our analysis suggests that both StrongMinds and Friendship Bench are among the most cost-effective charities we have evaluated to date. Friendship Bench has a cost-effectiveness of 53 WELLBYs per $1,000 donated and StrongMinds has a cost-effectiveness of 47 WELLBYs per $1,000 donated.

Celebrating Five Years of the Happier Lives Institute: Five Lessons We’ve Learned

To my surprise and delight, the Happier Lives Institute (HLI) is now five years old. When we started on this ambitious, idealistic project of finding and sharing the most impactful, evidence-based ways to improve happiness for others, I would have been delighted to last one year, let alone five. To celebrate, I’m sharing five lessons from our journey so far.

Site visit to StongMinds: Kampala, Uganda

Dr Michael Plant conducted an in-person site visit to better understand the StrongMinds programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative. Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute Date of visit: 11 April 2024 Document written: 19 April 2024

Site visit to Friendship Bench: Harare, Zimbabwe

Dr Michael Plant conducted an in-person site visit to better understand the Friendship Bench programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative. Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute Date of visit: 04 April 2024 Document written: 10 April 2024

Policies for wellbeing: A brief scoping review

In this report, summer research fellow Thomas Beuchot briefly scoped out the public policies that promise to be most effective at increasing wellbeing. The policies found as the most promising according to the grading criteria are mostly policies that are also widely valued and pursued outside of a wellbeing lens: unemployment, strong relationships, increased access to nature, and opportunities to volunteer.

Stealing Happiness? The wellbeing cost-effectiveness of NEPI, preventing crime with cash and cognitive behavioural therapy

Explore our cost-effectiveness analysis of NEPI's innovative programme combining cash transfers and CBT to reduce crime in Liberia. With strong RCT evidence showing significant benefits to both recipients and the wider community, we estimate 22 WELLBYs per $1,000 donated. Read the report to learn how this promising intervention improves wellbeing and reduces criminality over the long term.

Does improving parenting practices in childhood lead to happier adults?

The experiences we have as young children are widely recognized as having lasting impacts in later life. Supporting parents to engage with their children shows clear short-term developmental benefits and may have profound long-term effects on wellbeing, as well as health and achievement later in life. This report evaluates icddr,b's Reach Up parenting programme. Download and read the report to explore the Happier Lives Institute’s cost-effectiveness analysis, measuring the programme’s impact on long-term wellbeing in WELLBYs.

Toxic Cosmetics: A shallow evaluation of Pure Earth advocacy against leaded cosmetics in Ghana

There can be toxic levels of lead in all sorts of surprising products, including cosmetics. Lead exposure causes a global health burden comparable to malaria and HIV but receives less than 0.1% of their funding - even though malaria and HIV are themselves neglected diseases. Reducing lead exposure also seems feasible, given the strong historical success of advocacy campaigns. We evaluate Pure Earth’s program to reduce lead in cosmetics in Ghana, involving two years of advocacy and data collection followed by three years of enforcement support for a lead ban. We estimate it delivers 108 WELLBYs per $1,000 donated ($9.23 per WELLBY), making it the most cost-effective charity we have reviewed to-date. Optimistic assumptions increase this as high as 1,359 WELLBYs per $1,000 ($0.74 per WELLBY).

The wellbeing cost-effectiveness of StrongMinds and Friendship Bench: Combining a systematic review and meta-analysis with charity-related data (Nov 2024 Update)

Mental health disorders like depression and anxiety are common and significantly impact wellbeing, yet mental healthcare remains underfunded in low-income countries. Psychotherapy is an effective treatment that can be delivered cheaply by lay counsellors. This in-depth report evaluates the cost-effectiveness of two charities providing such therapy in Africa: Friendship Bench and StrongMinds. We estimate that Friendship Bench has a cost-effectiveness of 49 WELLBYs per $1,000 donated ($21 per WELLBY), and StrongMinds has a cost-effectiveness of 40 WELLBYs per $1,000 ($25 per WELLBY). Our results show that both charities are 5-6 times more cost-effective than cash transfers at improving subjective wellbeing. This is the fourth iteration of our analysis, which includes new data and refined methods. Our results are similar to the last version of the report, and we conclude that these two organisations are the most cost-effective charities (which are also well-evidenced) we have evaluated to date.

Does a well-fed infancy make for a more felicitous life? How treating malnutrition impacts happiness: a charity evaluation of Taimaka

Globally, 45 million children suffer from malnutrition, leading to 2.3 million child deaths annually. But even for those who live, the experience of malnutrition can have lifelong impacts on physical and cognitive health and social-emotional development. There is a consensus on how best to address extreme malnutrition: feeding kids a standard formula of peanut butter enhanced with vitamins and nutrients alongside basic medical care to prevent or treat infections. This intervention, known as community management of acute malnutrition (CMAM), saves lives and improves health and development. What this report seeks to find out is how effective it is at also improving happiness.

Ironing out wellbeing: A shallow exploration into the wellbeing cost-effectiveness of fortifying wheat with iron

Iron deficiency may be a major contributing factor to mental illnesses such as depression. In this shallow exploration, we evaluate the cost-effectiveness of Fortify Health's work to address mass scale iron-deficiency anemia in India.​ Read the report to discover what effect adding a small amount of iron to wheat flour may have on happiness.

August 2024 interim update to ‘Talking through depression: The cost-effectiveness of psychotherapy in LMICs, revised and expanded’

In November 2023, we published Version 3 of our psychotherapy analysis. This was a working report in which we estimated the effects of psychotherapy in low- and middle-income countries, as well as the cost-effectiveness of two psychotherapy charities: StrongMinds and Friendship Bench. In the first part of 2024, we have updated several parts of the analysis. This present, interim report, Version 3.5, describes the changes we have made so far. Our analysis suggests that both StrongMinds and Friendship Bench are among the most cost-effective charities we have evaluated to date. Friendship Bench has a cost-effectiveness of 53 WELLBYs per $1,000 donated and StrongMinds has a cost-effectiveness of 47 WELLBYs per $1,000 donated.

Celebrating Five Years of the Happier Lives Institute: Five Lessons We’ve Learned

To my surprise and delight, the Happier Lives Institute (HLI) is now five years old. When we started on this ambitious, idealistic project of finding and sharing the most impactful, evidence-based ways to improve happiness for others, I would have been delighted to last one year, let alone five. To celebrate, I’m sharing five lessons from our journey so far.

Site visit to StongMinds: Kampala, Uganda

Dr Michael Plant conducted an in-person site visit to better understand the StrongMinds programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative. Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute Date of visit: 11 April 2024 Document written: 19 April 2024

Site visit to Friendship Bench: Harare, Zimbabwe

Dr Michael Plant conducted an in-person site visit to better understand the Friendship Bench programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative. Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute Date of visit: 04 April 2024 Document written: 10 April 2024

Policies for wellbeing: A brief scoping review

In this report, summer research fellow Thomas Beuchot briefly scoped out the public policies that promise to be most effective at increasing wellbeing. The policies found as the most promising according to the grading criteria are mostly policies that are also widely valued and pursued outside of a wellbeing lens: unemployment, strong relationships, increased access to nature, and opportunities to volunteer.

Stealing Happiness? The wellbeing cost-effectiveness of NEPI, preventing crime with cash and cognitive behavioural therapy

Explore our cost-effectiveness analysis of NEPI's innovative programme combining cash transfers and CBT to reduce crime in Liberia. With strong RCT evidence showing significant benefits to both recipients and the wider community, we estimate 22 WELLBYs per $1,000 donated. Read the report to learn how this promising intervention improves wellbeing and reduces criminality over the long term.

Does improving parenting practices in childhood lead to happier adults?

The experiences we have as young children are widely recognized as having lasting impacts in later life. Supporting parents to engage with their children shows clear short-term developmental benefits and may have profound long-term effects on wellbeing, as well as health and achievement later in life. This report evaluates icddr,b's Reach Up parenting programme. Download and read the report to explore the Happier Lives Institute’s cost-effectiveness analysis, measuring the programme’s impact on long-term wellbeing in WELLBYs.

Toxic Cosmetics: A shallow evaluation of Pure Earth advocacy against leaded cosmetics in Ghana

There can be toxic levels of lead in all sorts of surprising products, including cosmetics. Lead exposure causes a global health burden comparable to malaria and HIV but receives less than 0.1% of their funding - even though malaria and HIV are themselves neglected diseases. Reducing lead exposure also seems feasible, given the strong historical success of advocacy campaigns. We evaluate Pure Earth’s program to reduce lead in cosmetics in Ghana, involving two years of advocacy and data collection followed by three years of enforcement support for a lead ban. We estimate it delivers 108 WELLBYs per $1,000 donated ($9.23 per WELLBY), making it the most cost-effective charity we have reviewed to-date. Optimistic assumptions increase this as high as 1,359 WELLBYs per $1,000 ($0.74 per WELLBY).

The wellbeing cost-effectiveness of StrongMinds and Friendship Bench: Combining a systematic review and meta-analysis with charity-related data (Nov 2024 Update)

Mental health disorders like depression and anxiety are common and significantly impact wellbeing, yet mental healthcare remains underfunded in low-income countries. Psychotherapy is an effective treatment that can be delivered cheaply by lay counsellors. This in-depth report evaluates the cost-effectiveness of two charities providing such therapy in Africa: Friendship Bench and StrongMinds. We estimate that Friendship Bench has a cost-effectiveness of 49 WELLBYs per $1,000 donated ($21 per WELLBY), and StrongMinds has a cost-effectiveness of 40 WELLBYs per $1,000 ($25 per WELLBY). Our results show that both charities are 5-6 times more cost-effective than cash transfers at improving subjective wellbeing. This is the fourth iteration of our analysis, which includes new data and refined methods. Our results are similar to the last version of the report, and we conclude that these two organisations are the most cost-effective charities (which are also well-evidenced) we have evaluated to date.

Does a well-fed infancy make for a more felicitous life? How treating malnutrition impacts happiness: a charity evaluation of Taimaka

Globally, 45 million children suffer from malnutrition, leading to 2.3 million child deaths annually. But even for those who live, the experience of malnutrition can have lifelong impacts on physical and cognitive health and social-emotional development. There is a consensus on how best to address extreme malnutrition: feeding kids a standard formula of peanut butter enhanced with vitamins and nutrients alongside basic medical care to prevent or treat infections. This intervention, known as community management of acute malnutrition (CMAM), saves lives and improves health and development. What this report seeks to find out is how effective it is at also improving happiness.

Ironing out wellbeing: A shallow exploration into the wellbeing cost-effectiveness of fortifying wheat with iron

Iron deficiency may be a major contributing factor to mental illnesses such as depression. In this shallow exploration, we evaluate the cost-effectiveness of Fortify Health's work to address mass scale iron-deficiency anemia in India.​ Read the report to discover what effect adding a small amount of iron to wheat flour may have on happiness.

August 2024 interim update to ‘Talking through depression: The cost-effectiveness of psychotherapy in LMICs, revised and expanded’

In November 2023, we published Version 3 of our psychotherapy analysis. This was a working report in which we estimated the effects of psychotherapy in low- and middle-income countries, as well as the cost-effectiveness of two psychotherapy charities: StrongMinds and Friendship Bench. In the first part of 2024, we have updated several parts of the analysis. This present, interim report, Version 3.5, describes the changes we have made so far. Our analysis suggests that both StrongMinds and Friendship Bench are among the most cost-effective charities we have evaluated to date. Friendship Bench has a cost-effectiveness of 53 WELLBYs per $1,000 donated and StrongMinds has a cost-effectiveness of 47 WELLBYs per $1,000 donated.

Celebrating Five Years of the Happier Lives Institute: Five Lessons We’ve Learned

To my surprise and delight, the Happier Lives Institute (HLI) is now five years old. When we started on this ambitious, idealistic project of finding and sharing the most impactful, evidence-based ways to improve happiness for others, I would have been delighted to last one year, let alone five. To celebrate, I’m sharing five lessons from our journey so far.

Site visit to StongMinds: Kampala, Uganda

Dr Michael Plant conducted an in-person site visit to better understand the StrongMinds programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative. Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute Date of visit: 11 April 2024 Document written: 19 April 2024

Site visit to Friendship Bench: Harare, Zimbabwe

Dr Michael Plant conducted an in-person site visit to better understand the Friendship Bench programme and the people in it. We don’t expect site visits can, or should, be decisive for evaluation purposes (they are ‘anecdata’), but they can nevertheless be informative. Visitor: Dr Michael Plant, Founder & Research Director at the Happier Lives Institute Date of visit: 04 April 2024 Document written: 10 April 2024

Policies for wellbeing: A brief scoping review

In this report, summer research fellow Thomas Beuchot briefly scoped out the public policies that promise to be most effective at increasing wellbeing. The policies found as the most promising according to the grading criteria are mostly policies that are also widely valued and pursued outside of a wellbeing lens: unemployment, strong relationships, increased access to nature, and opportunities to volunteer.