The Gates Foundation and OpenAI have announced "Horizon1000," a US$50 million initiative to integrate artificial intelligence into primary healthcare across Africa, beginning with a pilot in Rwanda. The program targets 1,000 clinics by 2028 and focuses on administrative support, patient triage, and workflow efficiency rather than replacing clinical judgment. The initiative aims to address severe workforce shortages and aid constraints, though success will depend on overcoming language barriers and establishing robust safety governance.