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Gates Foundation Vows to Stay the Course on Global Health Despite Foreign Aid Cuts

The Gates Foundation will maintain a $9 billion annual budget focused on reducing maternal and child deaths and infectious diseases amid a 25% decline in global foreign aid.

  • On Tuesday, the foundation published an update saying it will narrow priorities to three goals and concentrate at least 70% of funding over 20 years on maternal, child health, and infectious diseases, with a steady $9 billion annual budget for five years.
  • With U.S. aid levels uncertain this year, the foundation narrowed its focus, citing donor withdrawals and U.S. funding shifts as primary causes, and plans to renew advocacy.
  • The foundation will end some programs, including its digital financial services program in sub-Saharan Africa and South Asia by 2030, and the U.S. economic mobility program launched 2022 with a $460 million commitment, while capping operating expenses at 14%.
  • Suzman warned the foundation that child deaths rose by an estimated 200,000 in 2025, highlighting urgent risks for global health in the next few years.
  • Last year the foundation announced it will close in 20 years, accelerating impact work while betting on artificial intelligence in U.S. education and agriculture to meet Bill Gates' 2045 spending commitment.
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Semafor broke the news in New York, United States on Tuesday, February 3, 2026.
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