health
February 13, 2026
Open AI: Driving Healthcare Inclusion in Africa With AI
The Gates Foundation and OpenAI pledge US$50m to deploy AI in 1,000 African clinics by 2028, starting in Rwanda to ease staff shortages

TL;DR
- There's a growing gap between AI's advanced capabilities and its practical deployment in healthcare, especially in resource-limited settings.
- The Horizon 1000 initiative, a partnership between the Gates Foundation and OpenAI, is a pilot program to deploy AI in 1,000 primary healthcare clinics by 2028.
- The initiative begins in Rwanda, which faces a severe healthcare worker shortfall.
- The Gates Foundation and OpenAI are investing US$50 million in funding, technology, and technical support for Horizon 1000.
- AI is intended to support frontline clinicians by navigating guidelines and reducing administrative burdens, not to replace them.
- Low-quality healthcare contributes to millions of deaths annually in low- and middle-income countries, highlighting the need for accessible and consistent care.
- Rwanda has launched an AI-powered Health Intelligence Centre to optimize resource allocation and improve data-driven decision-making.
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