UP Matrix ScorecardLast updated: May 2026

Clear Solutions

ORSZ is a well-evidenced intervention, even if the evidence for free door-to-door distribution increasing coverage is limited to one RCT. Clear Solutions is already layering their intervention onto an existing commodity distribution in Chad, and could grow extremely rapidly if they can find partners, secure their supply chain and develop replicable training materials. The biggest caveat is whether they can execute better than their competition (CHAI, New Incentives, Dimagi) by being a single-issue organization.

Overall Rating
Cost Effectiveness Rating
Cost Effectiveness Rationale10-20xGiveWell Benchmark
Our RecommendationBuy

Key Information

Overview

Clear Solutions is focused on preventing child mortality due to diarrhoeal disease in Nigeria and Chad, by delivering oral rehydration solution (ORS) and zinc directly to households. The programme intends to expand coverage across high-burden states, integrate ORS + zinc with routine immunisation touchpoints, and strengthen last-mile supply chains.

RegistrationEngland & Wales
Turnover (USD)$545k
StageEarly mid-stage
Countries ActiveNigeria, Chad
54321Intervention Evidence QualityOrganisation Evidence QualityPotential for ScalePayer-at-scale InterestFit for Global Health Fund
The UP Index™3.2 / 5

Pathways to Scale

Payer-at-scale Interest
Government Adoption
Franchise/Replication (by other NGOs)
Commercial Revenue

Impact Metrics

Death prevented (per $1M at scale)455
ConfidenceMedium
Cost per DALY avertedN/A
Total annual reach280,000 children treated for acute malnutrition

International Evidence

Intervention Evidence QualityRationale: Single RCT & a quasi-experimental meta analysis
Low
Quasi-Experimentalyes
Single RCTyes
Multiple RCTsno
Meta-Analysisno

Implementation Evidence

Organisation / Programme Evidence QualityRationale: Successful pilot
Medium
Pilot Studyyes
Quasi-Experimentalno
Single RCTno
Multiple RCTsno
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