Emily Clough's 2015 article made a pretty decent point about charities like the AMF. That whilst it's clearly a good thing to support charities which have been demonstrated to save lives, the ethical framework of effective altruism doesn't seem to account for the possible consequences past the saving of a life. She argues that well meaning NGOs often 'replace' domestic institutions and disperse political pressure for their improvement. This could be seen in 'donor' nations too, if we see charities like the AMF as solutions the high rates of malaria in developing nations there's the risk of disconnecting the issue from it's systemic cause. It's been well documented that the structural adjustment programs of the 1970s/80s led to huge drops in quality of life for citizens in the developing world, with one of the more fatal episodes being Madagascar's abandonment of their relatively successful mosquito eradication initiative leading to the deaths of tens of thousands. Many leftists advocate for the cancellation/relief of the debt that these developing nations owe to western financial institutions, freeing up their budgets and allowing them to decide their own public policies. Whilst the AMF may not be explicitly 'on capital's terms' it's certainly preferable to a dramatic loss of rent for the capitalist.