OpenAI and the Gates Foundation have announced a $50 million initiative aimed at expanding the use of artificial intelligence in primary healthcare across Africa, with a goal of reaching 1,000 clinics and their surrounding communities by 2028.
The pilot programme, called Horizon 1000, will begin in Rwanda and is designed to support African governments, health leaders and medical experts in deploying AI tools to strengthen frontline care. The funding commitment includes financial support, access to AI technology and technical expertise to help local teams move from innovation to real-world implementation.
Primary healthcare remains out of reach for roughly half of the global population, according to the announcement. In Sub-Saharan Africa, the challenge is particularly acute, with an estimated shortfall of 5.6 million health workers. That shortage has placed heavy strain on clinicians and contributed to inconsistent quality of care, a key driver of preventable deaths.
While AI capabilities have advanced rapidly in recent years, their integration into everyday healthcare systems has lagged. Horizon 1000 aims to close that gap by equipping frontline health workers with AI-powered tools that can assist in navigating complex clinical guidelines, managing patient information and reducing administrative workloads. Supporters say this could allow clinicians to devote more time to direct patient care.
The initiative builds on ongoing efforts across the region, where governments and health institutions have increasingly embraced digital tools to scale healthcare delivery. Organizers say the programme will prioritize African leadership and locally driven solutions, ensuring that implementation reflects community needs and existing health systems.
OpenAI Chief Executive Sam Altman said AI must be used to “improve people’s lives” to fulfill its broader promise. The partners said they will measure success based on tangible improvements in patient outcomes and support for the health workforce, with plans to share lessons learned as the pilot progresses.
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