Overview
- Directors approved an operating-cost cap of $1.25 billion for 2026, equal to about 14% of the budget.
- Up to 500 of approximately 2,375 positions are slated for reduction by 2030, with changes phased in and reviewed annually as a maximum target.
- The foundation created a new Africa and India Offices Division, moving much of its HIV and tuberculosis work from Seattle to teams based in Africa.
- Program funding will rise for women’s health, vaccine development, polio eradication, AI initiatives, and U.S. education.
- Leaders frame the overhaul as a response to shrinking government aid and a recent uptick in child deaths, with accelerated focus on maternal and child health, infectious disease prevention, and poverty reduction.