Gates Foundation and UNHCR upgraded fecal sludge treatment infrastructure in Cox's Bazar refugee camps serving 900,000 Rohingya
The Bill & Melinda Gates Foundation partnered with UNHCR to redesign and upgrade fecal sludge management at Cox's Bazar, Bangladesh — the world's largest refugee settlement, housing approximately 900,000 Rohingya who fled Myanmar's military violence beginning in 2017. The centerpiece of the project was the operationalisation of two large-scale fecal sludge treatment plants designed to provide sustainable, long-term sanitation management for the camps. In the absence of functioning sewage infrastructure in the Bangladeshi hill country, the Gates-backed fecal sludge system prevented groundwater contamination and disease outbreaks, addressing one of the most acute public health risks in the densely populated camps.
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Related Accomplishments
January 2026
Gates-backed World Mosquito Program reaches 16 million people protected from dengue via Wolbachia method
The World Mosquito Program — backed in part by the Gates Foundation — announced in January 2026 that its Wolbachia-infected mosquito releases had reached over 16.1 million people across multiple countries, including Colombia, Indonesia, Brazil, Sri Lanka, Fiji, Vanuatu, and Vietnam. Wolbachia-carrying Aedes aegypti mosquitoes — which block dengue, Zika, chikungunya, and yellow fever transmission — had established self-sustaining populations in treated cities without requiring ongoing releases. Gold-standard randomised trials in Indonesia showed a 77% reduction in dengue incidence. The program represented one of the largest and most cost-effective vector control deployments in history.
December 2025
Gates Foundation Pledges $100 Million to Global Financing Facility for Women's and Children's Health 2026–2030
On December 6, 2025, at the Universal Health Coverage High-Level Forum in Tokyo, the Gates Foundation pledged $100 million to the World Bank-hosted Global Financing Facility's 2026–2030 strategy for ending preventable deaths among women, children, and adolescents in LMICs. The pledge brings the foundation's total GFF commitment past $500 million since 2015. The GFF provides catalytic grant financing and technical assistance to strengthen LMIC health systems and expand quality access to health and nutrition services for the world's most vulnerable populations.
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