We believe we can cut childhood deaths in half again by 2045 by focusing on areas where we’ve had the greatest impact: vaccines, maternal and child health, and nutrition. So, we want to know, what have you always wondered about our work in these three areas? 1. Getting lifesaving vaccines to those who need them most 2. Ensuring all women and children have the nutrition they need to survive and thrive 3. Reducing preventable maternal and childhood deaths Leave your question in the comments below! ⬇️ You may just see your question answered by an expert in an upcoming video.
D2L Signal Perspective Progress in vaccines, maternal health, and nutrition reflects not only scientific advancement, but sustained systems leadership. The Gates Foundation’s focus on areas of proven impact underscores a critical governance insight: lasting reductions in maternal and childhood mortality depend on how well health systems integrate data, local leadership, and long-term accountability, especially in communities facing compounding risk factors. From the Dream 2 Lead perspective, the next phase of impact will be shaped by how early leadership capacity is built within health ecosystems, supporting local practitioners, caregivers, and institutions to adapt, govern, and sustain interventions over generations, not just funding cycles. How is the Foundation thinking about strengthening local leadership and decision-making capacity, alongside vaccines, nutrition, and maternal care, to ensure these gains remain durable and community-led through 2045 and beyond?
Does your work on nutrition include water considering the impact of diarrheal diseases in sub-Saharan Africa? I have a technology which can signal (visually) the presence of low bacterial titre in water in 5-10 minutes. Current cost is at £0.80/ test. Would you be open to adopting such technology in your portfolio to aid your work?
With momentum building around MMS, where do you see the greatest opportunities to better align policy, financing, science, and implementation to support sustainable scaling and integration of MMS into health systems in more countries?
People see the large annual budget and think that you're just flush with funds. However, the scale of the challenge you are trying to solve requires that you act with efficiency and get as much right as possible the first time. It is one thing to build systems and models that seem realistic. It's quite another thing to apply them to real world systems run by actual people. How are you ensuring that the systems you design will withstand the friction of operational use in the specific settings you hope to impact?
Has the Gates Foundation ever considered helping with childhood cancer? It is too rare to be profitable with pharma and our government doesn’t prioritize it. This leaves children with drugs from 1970 and while 5 year survival is better, many kids still die and aren’t given a fair chance. I’d be surprised if 10 year survival is that great. Kids are still dying, just usually after 5 years.
A powerful reminder of what sustained investment in vaccines, nutrition and maternal care can achieve - and what’s still possible.
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At Ascend Girls Network, we recently launched Girls with Goals: A Career Coloring & Confidence Journal, an initiative to empower African girls. We know how early empowerment or its absence shapes health outcomes: maternal and childhood deaths often result not just from limited nutrition or vaccine access, but from early pregnancy, lack of education, and economic dependency. With your focus on vaccines, maternal and child nutrition, and preventing deaths, we wonder: how is the Gates Foundation addressing these social factors that make health interventions less effective? Could integrating education and confidence-building for young girls be part of strategies to save lives?