Story Type: Annual Letter

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  • Eoin Sode, Field Engineer, Sibel Health Chicago (left), holds a tablet for Opeyemi Akinajo, Consultant in Obstetrics and Gynecology, Lagos University Teaching Hospital (LUTH) (center), as she uses a probe to glide over the gelled belly of a pregnant patient, Kemi Abiloye (right), during a demonstration of the ANNE maternity sensor, an AI-powered device for real-time monitoring of fetal vitals and contractions at the hospital's labor ward in Lagos State, Nigeria on June 4, 2025.
    Keep Going

    The road to 2045

    With 20 years to go, Gates Foundation CEO Mark Suzman lays out a roadmap for progress.

  • Mark Suzman, the CEO of the Gates Foundation, with Talash Hujibers, the founder and CEO of InsectiPro, during their visit to the insect breeding facility in Limuru, Kenya, on April 27, 2023. InsectiPro breeds black soldier flies and crickets and aims to secure Africa's future by providing sustainable protein sources. The black soldier flies are used to produce animal feed and fertilizer, while the crickets are processed into high-protein food snacks for human consumption.
    Initiatives

    Philanthropy’s once-in-a-generation opportunity

    The Gates Foundation has committed to spending $8.6 billion in 2024 to help meet mounting needs and fund innovative ways to save and improve lives. Many philanthropists are stepping up, but…

  • Mark Suzman sees a medical app demonstration at the Veerangana Awanti Bai Women Hospital in India.
    People

    Does our foundation have too much influence? Here’s how I see it.

    Does the Gates Foundation have too much influence? Mark Suzman pens the 2023 Gates Foundation Annual Letter and responds to critiques about how the foundation uses its funding and influence.

  • Mark Suzman, CEO, Bill & Melinda Gates Foundation, visits the H3D Lab with Dr. Kelly Chibale in Cape Town, South Africa
    People

    2022 Gates Foundation Annual Letter

    In his inaugural foundation Annual Letter, CEO Mark Suzman announces a significant step forward in the foundation’s evolution – a new board of trustees to ensure independent, diverse perspectives as…

  • YYYY Gates Annual Letter

    3 Myths That Block Progress for the Poor “By almost any measure, the world is better than it has ever been. People are living longer, healthier lives. Many nations that…

  • Measuring Progress

    Over the holidays I read The Most Powerful Idea in the World, a brilliant chronicle by William Rosen of the many innovations it took to harness steam power. Among the…

  • Annual Letter 2012

    Introduction Throughout my careers in software and philanthropy—and in each of my annual letters—a recurring theme has been that innovation is the key to improving the world. When innovators work…

  • Annual Letter 2011

    Introduction As I sit down to work on my third annual letter, governments in every corner of the world are facing tough decisions about how to reduce spending. Although foreign…

  • Annual Letter 2010

    Introduction This is my second annual letter. The focus of this year’s letter is innovation and how it can make the difference between a bleak future and a bright one.…

  • Annual Letter 2009

    Introduction This is the first annual letter I plan to write about my work at the Gates Foundation. In this letter I want to share in a frank way what…