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Gates says the majority of the foundation's $200 billion spend-down will go to Africa
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In June 2025, speaking in Addis Ababa, Bill Gates announced that the majority of the roughly $200 billion the Gates Foundation expects to spend before closing in 2045 would go to Africa, calling on the continent's young innovators to help drive progress in health and development. The pledge came amid steep cuts to U.S. and other donor aid that Gates warned were reversing decades of gains. He framed the commitment as a bet that investments in health and human capital — maternal and child health, disease control, and agriculture — would unlock Africa's potential over the next two decades.
Source: https://healthpolicy-watch.news/gates-to-direct-majority-of-200-billion-pledge-to-africa/
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Related Accomplishments
June 2026
Melinda French Gates commits an additional $215 million to women's health through Pivotal
Melinda French Gates announced in June 2026 that she would donate an additional $215 million through her organization Pivotal to focus on women's reproductive and midlife health, bringing her total support for women's health to about $600 million over two years. The commitment underscored French Gates's independent philanthropic path since stepping down from the Gates Foundation in 2024 and her focus on areas she has said are chronically underfunded. It came amid broader cuts to U.S. reproductive- and global-health funding.
January 2026
Bill Gates publishes the 2026 Gates Foundation Annual Letter, 'Reaching 2045'
Bill Gates published the 2026 Gates Foundation Annual Letter, titled 'Reaching 2045,' framing the next two decades as the Foundation spends down its endowment before closing in 2045. Gates wrote that his optimism now 'comes with footnotes,' questioning whether global generosity will keep pace with rising wealth and whether innovation will be scaled to reduce inequality. He pledged to spend much of 2026 advocating for child-health funding and set a goal of again halving child mortality in the global South by 2045, while voicing both excitement about AI for health and concern about managing its disruption.
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