
Caitlin Tulloch, pictured successful her location office, has helped make a matchmaking work that guides philanthropists to put successful overseas assistance projects that volition apt person the biggest humanitarian impact. Ben de la Cruz/NPR hide caption
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Ben de la Cruz/NPR
Look astir Caitlin Tulloch's location successful Oakland, California, and it's wide that the satellite extracurricular the U.S. has made an content connected her.
"This is simply a truly beauteous portion of embroidery that I bought successful a municipality called Mae Hong Son successful Thailand," she says, gesturing to a reddish tapestry woven done with geometric forms. She has different textiles, excessively — from Guatemala, Indonesia, Kenya, Laos and Uzbekistan. Some she's purchased successful idiosyncratic portion abroad. Others she's received arsenic gifts.
On her bureau doorway is simply a small golden placard that her hubby had made for her. It reads: "Caitlin Tulloch, Grand Poobah of Cost Effectiveness."
Tulloch is an economist. And outgo effectiveness is what she has focused connected for much than a decade. She uses information to enactment towards the biggest humanitarian bang for the buck: redeeming much lives, educating much children and lifting much radical retired of poorness arsenic affordably and efficaciously arsenic possible.
This is the enactment she'd been doing portion connected unit astatine USAID since 2023 when, earlier this year, DOGE and the Trump medication began pausing and past shutting down thousands of the agency's contracts. Funding for astir of the overseas assistance agency's programs evaporated astir overnight.
"It was each precise confusing," recalls Tulloch. "But successful a very, precise abbreviated play of time, what USAID had historically been doing was conscionable wiped disconnected the map."
Tulloch was fto spell and reinstated by the bureau aggregate times earlier yet resigning. It was astir that clip that she and respective colleagues, immoderate of whom had been laid off, went connected to make a peculiar benignant of matchmaking service. They telephone themselves Project Resource Optimization (PRO).
The thought was elemental — retired of the ashes of the dismantling of overmuch of U.S. overseas assistance, Tulloch and her squad would usher philanthropists who privation to assistance but are uncertain however to bash so. They would connection proposal connected wherever to put their wealth for the biggest impact.
A astir important spreadsheet
Here's however this effort got started.
At first, erstwhile USAID was being decimated and Tulloch and her coworkers watched their efforts spell up successful smoke, she says determination was "a ample assemblage of radical processing a batch of grief."
They managed to find ways to instrumentality attraction of 1 another, adjacent astatine a distance. The regular texts of feline pictures began successful February.
"I deliberation we conscionable needed things to grin at," says Tulloch. "It really became a precise bully regular amongst our team. If thing atrocious would happen, they would beryllium like, 'Well, we request a thread of everyone's pets.' "
Pretty soon, Tulloch started contemplating what to bash next. "Thinking astir what I tin bash with my accomplishment acceptable to instrumentality attraction of people, amended quality welfare," she says.
And then, successful precocious February, she got a mates of telephone calls from 2 well-heeled foundations that she'd interacted with antecedently and that enactment groups overseas. They were grappling with a conundrum. In a satellite wherever the U.S. has present mostly retreated from its committedness to overseas aid, they wanted to cognize however to donate their wealth to person the top interaction connected redeeming lives. Of the thousands of programs the bureau erstwhile supported astatine a level of immoderate $35 billion, which should these foundations assistance fund?
"All of a sudden, radical are saying, 'Out of each of that, if I person $2 million, if I person $5 million, what should I prime up?,' " Tulloch recalls.
She decided this was the cleanable task to absorption on. So she and respective colleagues went to ForeignAssistance.gov and downloaded a spreadsheet listing each the overseas assistance programs that USAID had been funding. It amounted to 22,724 commitments.
"They're tagged by state and by assemblage and by intent and by implementing spouse and by backing source," says Tulloch. When an NPR newsman visited her successful April, she called up the spreadsheet that she and her squad assembled to way each these fields and scrolled done the papers that present satisfyingly consumes her life.
There are basal sanitation programs successful Ghana, tuberculosis power initiatives successful Malawi, STD power projects successful Nepal, and connected and on. Line aft enactment aft line.
"Each of these represents an work successful a peculiar country," Tulloch says. "It's similar a vigor representation of what was being done, where."
Tulloch and her tiny squad applied a bid of filters to the spreadsheet, trying to hone successful connected the programs that were the astir outgo effectual and that had the imaginable to prevention the astir lives. For instance, they removed projects focused connected improving the enactment situation oregon fostering biodiversity. "Not due to the fact that those were atrocious objectives," she says, "but simply due to the fact that that wasn't the absorption of this initiative." They besides filtered geographically, focusing connected little income countries.
"And we were inactive astatine 2,000 rows and $9 billion," she says. She thought to herself, "I don't cognize what other to filter retired here. It's truly a unspeakable acceptable of decisions."
They past waded done the descriptions for each 2,000 rows and reached retired to galore programs astir the satellite to marque definite their backing had so been withdrawn — and if so, however urgent their unfinished enactment was. PRO sent retired a survey that asked the programme unit to cheque disconnected which proven lifesaving interventions they were presently delivering and to however galore people. Things similar exigency nutrient assistance, syphilis detection and treatment, the spraying of insecticide connected location surfaces to termination the mosquitoes that dispersed malaria, and more. PRO past conducted a speedy cheque connected the ratio of that transportation to travel up with their abbreviated list.
So far, the squad has 54 projects totaling astir $96.5 million that they telephone "Urgent and Vetted."
A lucifer made successful Mali
When Tulloch archetypal surveyed this list, 1 "row" leapt to the beforehand of the line. "It's a task successful Mali that was delivering attraction for acute malnutrition for children, mostly nether 5," she says, on with different wellness issues. The enactment was being done by the planetary NGO Alliance for International Medical Action (ALIMA) successful the mediate of an ongoing civilian warfare affecting astir of the country.
"So successful these conditions, [the radical are] incapable to nutrient food," says Dr. Geoffray Kakesi Mambweni done an interpreter. He runs the Mali limb of the ALIMA group. "They're incapable to harvest. They're incapable to question due to the fact that of each these risks that are present."

Dr. Geoffray Kakesi Mambweni runs the Alliance for International Medical Action programme successful Mali. The nonprofit radical received a $2.5 cardinal publication from a Boston-based instauration to prolong their enactment combating acute malnutrition. He says, "this financing truly gave america hope. It was conscionable truthful overmuch joy." Moulaye Haidara/ALIMA hide caption
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Moulaye Haidara/ALIMA
One of the astir palmy programs tally by Kakesi's squad of 109 radical is providing young kids a fortified peanut-based paste called Plumpy'Nut that is extraordinarily effectual successful treating malnutrition. "Many of these children would beryllium dormant astatine this signifier without this benignant of a program," helium explains.
That's wherefore his squad was distressed when, earlier this year, the U.S. authorities asked them to suspend their enactment truthful that an valuation could beryllium conducted. Kakesi says they were subsequently told by USAID to occurrence their unit and liquidate their supplies, including substance and medicines. It wasn't wide whether USAID would reconstruct their award. Ultimately, it was reinstated but the backing volition lone past until July. And ALIMA wasn't assured the assistance would beryllium renewed astatine that point.
A US State Department spokesperson wrote successful an email to NPR: "USAID's assistance with ALIMA successful Mali is progressive and running," and added, "We volition proceed to marque changes arsenic needed."
"We didn't privation ALIMA to beryllium successful a presumption of stop, start, stop, commencement funding," says Tulloch. "There is inactive a cliff coming. And determination was inactive an interruption successful funds being paid successful the meantime that was preventing ALIMA from doing their work."
This instability is portion of the broader overseas assistance scenery that she and her colleagues are present navigating. "We person been chasing a moving people since time one," she says. "It is inherently a precise volatile situation successful which to beryllium making decisions."
The PRO squad determined that with a comparatively tiny investment, the programme could prolong its organisation of life-saving nutritional enactment to thousands of women and children, autarkic of U.S. backing decisions. If ALIMA waited excessively long, however, Tulloch and her colleagues felt it would beryllium astir intolerable to resume, fixed the challenges of operating successful a warfare zone.
So PRO called up the Boston-based CRI Foundation, which funds planetary wellness improvement enactment successful Africa and said they should enactment present and lend to the Mali project. PRO was transparent astir the imaginable resumption of USAID funds and the improbable chances of a assistance renewal successful July. The imaginable downside of waiting was conscionable excessively large successful their estimation.
"And truthful we're present successful this benignant of matchmaking role," says Tulloch.
Kara Weiss, the foundation's enforcement director, was excited to perceive astir the accidental successful Mali. Her squad had been wondering wherever to put erstwhile the U.S. chopped overseas aid. It had each seemed truthful impenetrable. So they reached retired to different foundations and erstwhile USAID colleagues to fig retired what to do, which led them to Tulloch.
"To person idiosyncratic travel to you and say, 'Well, we're conscionable gonna spell done the full portfolio and get immoderate answers,' like, yes, please," Weiss says. "It's been a remarkably adjuvant initiative."
The instauration coiled up contributing $2.5 cardinal to the Mali programme — astir fractional of what the radical utilized to person from USAID implicit a 2 twelvemonth period. Still, the caller influx of funds volition let ALIMA to widen immoderate of its astir pressing enactment successful the state done mid-2026, autarkic of a assistance renewal by the U.S. government.
"I deliberation it's wide that backstage philanthropy is not going to beryllium capable to capable each the gaps," says Weiss. "But what we tin bash is staunch the bleeding, support projects functioning truthful that it's imaginable for section organizations oregon section governments to instrumentality them over."
Tulloch agrees. "If we each hold until each of the particulate settles, it's going to beryllium a worse result that we're going to get astatine than if radical instrumentality immoderate of these bets close now," she says. She has recovered that not each donors are comfy with contributing to an ecosystem characterized by specified uncertainty, but the CRI Foundation was consenting to instrumentality that risk.
In the meantime, ALIMA was thrilled with the news. "When I was capable to pass our teams who are retired successful the tract that we had yet secured financing," says Kakesi, "it was conscionable truthful overmuch joy. So this financing truly gave america hope. And astatine the aforesaid time, we did person to prioritize due to the fact that this is so much constricted funding."
He says his squad volition walk the wealth successful the neediest regions of the country.
A closing window
Una Osili, the subordinate dean astatine Indiana University's Lilly Family School of Philanthropy, finds PRO's matchmaking effort innovative and essential.
"No azygous histrion tin lick the standard of problems that the satellite has to woody with," she says, "whether that's successful wellness care, education, agriculture, energy. And increasingly, we deliberation astir blended concern models arsenic good arsenic caller forms of capital." Such funds mightiness travel from governments, the backstage assemblage and philanthropic interests crossed the Global North and Global South, she argues.
Osili brings up a modular critique of backstage planetary improvement philanthropy — that it tends to run astatine a tiny standard and does truthful with minimal coordination with authorities agencies. By contrast, successful her view, the PRO task is harnessing the reams of information that the U.S. authorities has accumulated implicit the years to rectify a cardinal "information asymmetry" that often plagues donors who don't cognize however champion to marque a difference.
In addition, Osili says philanthropy's cardinal vantage is that it's freed from the constraints that hindrance different entities, including governments. "Private donors don't person to respond to predetermination cycles," says Osili. "They tin enactment successful existent time, truthful philanthropy has flexibility, agility and the quality to fundamentally experiment."
The Mali programme is 1 of present 13 matches that the PRO squad has helped facilitate truthful far. And PRO, which is present being paid for its efforts by the deliberation vessel Center for Global Development, has a singular absorption — securing backing for arsenic galore programs arsenic they tin connected that Urgent and Vetted shortlist.

Caitlin Tulloch says the matchmaking work that she and different erstwhile USAID staffers acceptable up is not a semipermanent solution due to the fact that the model for restarting de-funded projects is closing. "I would similar to marque the satellite a amended and somewhat much conscionable spot for different people," she says. "And that's thing we tin do, adjacent if it doesn't hole everything." Ben de la Cruz/NPR hide caption
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Ben de la Cruz/NPR
This matchmaking process, says Tulloch, "is not intended to beryllium a semipermanent thing. I deliberation we expect to bash this for different 4 oregon 5 weeks. After that, the projects successful our database volition each mostly person closed down. This is precise clip sensitive."
That's due to the fact that the model for restarting de-funded projects is closing. Staff volition soon spell elsewhere, supplies volition adust up. Tulloch knows good that astir of the projects successful that spreadsheet of hers volition flatline.
"There's nary justness successful immoderate of this," she says, "that anybody should person to beryllium sitting present and filtering a spreadsheet successful this mode arsenic the means of making decisions of specified consequence. Not everybody's going to marque it."
"This is not astir getting everything we want, making things full again," Tulloch admits. "I would similar to marque the satellite a amended and somewhat much conscionable spot for different people. And that's thing we tin do, adjacent if it doesn't hole everything."