The Gates Foundation and OpenAI have launched a $50 million partnership to support African countries in strengthening their health systems through artificial intelligence. The initiative, named Horizon1000, seeks to help governments manage growing pressure on healthcare services following major reductions in international aid. Bill Gates announced the partnership, saying it will work closely with African leaders to identify practical uses of AI, beginning with Rwanda.
In a blog post announcing the launch, Gates said that in low-income countries facing severe shortages of health workers and weak health system infrastructure, artificial intelligence can significantly expand access to quality healthcare. He added, “Using innovation, using AI, I think we can get back on track,” including the first rise in preventable child deaths in decades.
Horizon1000 aims to reach 1,000 primary health clinics and surrounding communities across several African countries by 2028. The initiative will focus on easing health worker shortages and improving access to care, especially in regions with very few doctors. AI tools are expected to support pregnant women and HIV patients with guidance before clinic visits, including language support, and to reduce administrative burdens once patients arrive.
Paula Ingabire, Rwanda’s Minister of Information and Communications Technology and Innovation, noted, “It is about using AI responsibly to reduce the burden on healthcare workers, to improve the quality of care,” ensuring that technological progress benefits low-income countries alongside wealthier ones.