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AI to the rescue: New Sh6bn initiative aims to ease Africa’s healthcare crisis

The AI systems will operate in a similar manner to tools that have already been deployed in wealthier countries such as transcription tools, virtual doctors and automated diagnosis platforms.

Photo credit: File

What you need to know:

  • WHO estimates that poor-quality healthcare contributes to between six and eight million deaths in low- and middle-income countries each year.

The Gates Foundation and OpenAI have launched a $50 million (Sh6.45 billion) initiative aimed at deploying artificial intelligence (AI) tools across 1,000 primary healthcare clinics in sub-Saharan Africa by 2028.
 
According to Bill Gates, the initiative’s (Horizon1000) goal is to double healthcare efficiency by eliminating paperwork and optimising resource management, ensuring patients have clear information on what services are available and when to seek care.

 Horizon1000 will provide funding, technology, and technical support to accelerate the adoption of AI across primary care clinics, communities and homes.

The initiative's tools are designed to support, rather than replace, healthcare workers by handling tasks such as patient triage, follow-up planning, referrals, and providing access to medical information that aligns with national clinical guidelines. The AI systems will operate in a similar manner to tools that have already been deployed in wealthier countries such as transcription tools, virtual doctors and automated diagnosis platforms. 

“As part of the Horizon1000 initiative, we aim to accelerate the adoption of AI tools across primary care clinics, within communities, and in people’s homes. These AI tools will support health workers, not replace them,' said Bill Gates.

“Over the next few years, we will collaborate with leaders in African countries as they pioneer the deployment of AI in healthcare.”

Gates noted that recent medical visits in wealthier countries demonstrate how AI enables doctors to spend more time talking with patients by transcribing and summarising consultations instead of constantly taking notes. 

OpenAI will provide the necessary technology and expertise, while the Gates Foundation will oversee the implementation process in collaboration with African governments.

Sub-Saharan Africa currently has a shortage of almost six million healthcare workers. Rwanda, the first beneficiary of Horizon1000, currently has only one healthcare worker for every 1,000 people, which is far below the World Health Organization (WHO) recommendation of four per 1,000. At current training rates, Bill Gates said it would take 180 years to close this gap.

WHO estimates that poor-quality healthcare contributes to between six and eight million deaths in low- and middle-income countries each year.

Meanwhile, Kenya has already made substantial progress in integrating AI into healthcare.

During last year's MEDEXPO (an international trade exhibition focused on the medical technology industry), Dr Tom Menge, director of Health Products and Technologies at the Ministry of Health, emphasised the importance of embracing AI diagnostics while ensuring ethical and equitable access.

Since 2012, Penda Health has been operating in Nairobi and has partnered with OpenAI to develop an AI clinical copilot. This has achieved a 16 per cent reduction in diagnostic errors and a 13 per cent reduction in treatment errors across nearly 40,000 patient visits in 15 clinics. However, challenges remain. Research indicates that 

Kenya's healthcare sector lags behind in the finance and telecommunications sectors in AI adoption due to limited awareness among healthcare professionals, insufficient infrastructure investment, concerns about data privacy, and resistance to new technologies.