盖茨基金会非洲代表处主任：今年是极具挑战性的一年

Core Insights - The Gates Foundation is facing challenges in the African health sector due to reduced foreign aid from the U.S. and European countries, which are reallocating funds to security and refugee costs [1] - The foundation is implementing two strategic initiatives: focusing on innovation to reduce project costs and deploying a $20 million special fund to enhance capacity building in African nations [1] - The foundation plans to invest over $200 billion over the next 20 years and will permanently close by December 31, 2045 [1][2] Group 1 - The foundation has donated over $100 billion in its 25 years, significantly improving global health and reducing mortality rates from diseases in Africa, such as a 90% decrease in measles deaths since 2000 [2] - The foundation's operations are entering a "countdown" phase, raising concerns about the sustainability of health achievements in Africa [2] - The foundation's strategy is based on a strong belief in Africa's development potential, with expectations that many of the fastest-growing economies will emerge from the continent by 2045 [2][3] Group 2 - The foundation is assisting African governments in building analytical capabilities to understand the impact of reduced foreign aid on their health systems [3] - It aims to help these governments develop specific strategies to sustain health achievements and reorganize their service systems to better address challenges [3]