Philanthropy Must Catalyze Change, Says Gates Foundation Africa Director – Africa.com | Global News Avenue

Africa.com President, CEO and Executive Editor Teresa Clarke interviews Paulin Basinga about advancing public health initiatives in Africa.

In an era when the global narrative about Africa often oscillates between despair and paternalism, Dr. Paulin Basinga appointed as new Africa leader of Bill & Melinda Gates FoundationTalking about a vision for philanthropy that prioritizes dignity and partnership over dependence. In an insightful interview with Africa.com, he made his vision clear:

For Basinga, the opening of these offices is more than symbolic. It signals a long-term commitment to integrating philanthropy into local ecosystems in Africa, in a way that enhances rather than replaces existing structures. “Philanthropy must catalyze change, not overshadow government or the private sector,” he explains.

As Africa faces intersecting challenges from climate change to food insecurity, Basinga acknowledges that philanthropy alone cannot solve these problems. But he remains hopeful. “Our role is to inspire innovation and collaboration that leads to lasting change.” he said.

Expand your reach to expand your reach

With new offices in Senegal and Kenya, Basinga is leading the foundation into a new era of closer collaboration. He insists the move is not about expanding influence but deepening it. “Over time, we have learned that proximity to policymakers and local communities has a significant impact on scaling sustainable solutions,” He said this, reflecting on the evolution of the foundation’s strategy.

The recent development in Kenya and Senegal is important as it allows the Foundation to cover three main regions in Africa, thereby establishing sub-regional hubs. Basinga said, “Expanding our footprint underscores our commitment to building a lasting relationship with Africa.”

Build local capacity rather than dependence

Basinga’s career has been shaped by his experiences across the continent – ​​from leading healthcare reform in Rwanda to strengthening health systems in Ethiopia and Nigeria. This perspective allowed him to see the opportunities and pitfalls of global philanthropy. He is quick to acknowledge the dangers of relying on outside funding. “We need to ask ourselves: How do we ensure governments and local agencies can sustain these efforts when philanthropy retreats?”

The new offices in Senegal and Kenya will deepen partnerships across Africa and work to support local health initiatives while promoting stronger regional collaboration. Central to these efforts is strengthening health systems – what Basinga calls the “cornerstone” of sustainable development. “The purpose is not to replace government functions but to enhance its ability to deliver better services,” he explained. This includes everything from supporting data systems to improve vaccine distribution to funding local research institutions that can lead health innovation in Africa.

Leverage diverse experience

Basinga’s diverse roles within the foundation have given him a deep understanding of Africa’s priorities. From his early work on public health reform in Rwanda to leading a global policy advocacy team in Seattle, his multifaceted experience spans health systems strengthening, human capital development, and economic empowerment. Looking back on his journey, he said: “Each role allowed me to gain technical expertise and deep understanding of Africa’s priorities. Now, I’m applying these experiences to develop a comprehensive approach as I lead our Africa team.”

Health, innovation, trust

Central to Basinga’s mission is ensuring Africa becomes a leader in health innovation. He believes that locally-led research and production are crucial not only to improving access to medicines, but also to rebuilding trust in the health system. “People will trust vaccines more if they are researched, produced and distributed in Africa.” he argued.

The foundation is already supporting initiatives aimed at achieving this goal, from the African Medicines Agency, which strengthens regulatory frameworks, to the African Clinical Trials Network, which provides equipment to research institutions across the continent. “These investments are not just about infrastructure. They are about fostering self-reliance and trust,” he said.

Redefining the role of philanthropy in Africa

Basinga’s vision is not without criticism. As philanthropic organizations like the Gates Foundation expand their footprint, some believe they risk exacerbating global power imbalances or setting priorities that are inconsistent with local needs. But Basinga is convinced his foundation’s approach is different.

“Being African shapes the way I lead” he said. Born in Rwanda and the Democratic Republic of Congo and fluent in multiple African languages, Basinga sees his identity as a bridge between global expertise and local realities. “We are not here to impose solutions. Our role is to listen, respect local knowledge and support the change that Africans are already driving.”

This philosophy extends to how foundations work with the private sector. The foundation has pioneered innovative financing models, such as working with banks to reduce borrowing costs for small farmers. However, Basinga is well aware of the limits of philanthropy. “Our return on investment is measured in terms of human impact, not financial gain,” he said.

Martha Ndirangu and Paulin Basinga are small farmers. The photo was taken at her farm in Gituamba village, Kenya. Photo credit: Brian Otiengo.

Basinga stressed the importance of vaccine research and production within Africa to build public trust and ensure the supply of effective vaccines. He mentioned, “Involving African researchers and strengthening the vaccine value chain from clinical trials to production is critical.” Initiatives such as the African Clinical Trials Network and support for local manufacturers such as Revital Kenya and the Institut Pasteur in Dakar are critical to developing self-sustaining health ecosystems.

Basinga emphasized the critical role of philanthropy in addressing market failures, particularly in health innovations. He explained, “Philanthropy plays a vital role in development, but it is most effective when used strategically.” Initiatives such as the Global Alliance for Vaccines and Immunization have significantly increased vaccine availability by raising funds and strengthening immune systems. The foundation continues to support early-stage research and innovation, such as the development of new tuberculosis vaccines, and strengthen government functions through data analytics and support services.

Health, agriculture and women’s empowerment are priorities

The Foundation’s priorities in Africa include the health sector, with a focus on eradicating polio, combating infectious diseases, reducing maternal and child mortality, and strengthening health systems. Agriculture is also a priority, with a focus on supporting climate adaptation and improving access to seeds and fertilizers to increase sustainable agricultural productivity. The foundation is also involved in financial inclusion, enhancing financial opportunities for women and small farmers to promote economic empowerment. The foundation also supports literacy and numeracy in primary schools through evidence-based policies and digital public infrastructure, enabling countries to safely deliver economic opportunity and social services.

Paulin holds a chicken from a Kenya Agriculture and Livestock Research Organization project. Photo credit: Brian Otiengo.

in conclusion

Paulin Basinga’s strategic vision for the Gates Foundation in Africa embodies sustainable, impactful development through local engagement, strategic partnerships and a deep understanding of the continent’s diverse needs commitment. Basinga, who has extensive experience with the foundation for over thirteen years and has worked in different African countries, believes he is well-prepared to lead the organization towards a successful and sustainable future on the continent.