UP Matrix ScorecardLast updated: May 2026
Lafiya
Lafiya's model appears to be working well at moderate scale and there is strong interest from two major payer-at-scale foundations, alongside securing co-financing MoUs from Government. They have also secured their supply chain for the foreseeable future. Major caveats are the lack of an implementation RCT and RCTs showing mixed results from contraceptive distribution.
Overall Rating
Cost Effectiveness Rating
Cost Effectiveness Rationale>20xGiveWell Benchmark
Our RecommendationBuy
Key Information
Overview
Lafiya enables access to safe family planning in northern Nigeria. By using a cost-effective and community-based distribution model, Lafiya provides women and girls with access to contraception and information about family planning.
RegistrationUK, NL & Nigeria
Turnover (USD)$2.6m
StageLate mid-stage
Countries ActiveNigeria
54321Intervention Evidence QualityOrganisation Evidence QualityPotential for ScalePayer-at-scale InterestFit for Global Health Fund
The UP Index™3.8 / 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)227
ConfidenceMedium
Cost per DALY averted$6-$11
Total annual reach375,651 women reached with family planning services
International Evidence
Intervention Evidence QualityRationale: RCTs show mixed results
MediumQuasi-Experimental
Single RCT
Multiple RCTs
Meta-Analysis
Implementation Evidence
Organisation / Programme Evidence QualityRationale: Successful field study & pilot
MediumPilot Study
Quasi-Experimental
Single RCT
Multiple RCTs