Teresa Clarke, Chair, CEO, and Executive Editor of Africa.com, interviewed Paulin Basinga on advancing public health initiatives in Africa. “Philanthropy must catalyze change, not overshadow governments or the private sector,” he explains. As Africa faces intersecting challenges—from climate change to food insecurity—Basinga acknowledges that philanthropy alone cannot solve them. He sees locally-led research and production as essential not just for improving access to medicines but for rebuilding trust in health systems. ConclusionPaulin Basinga’s strategic vision for the Gates Foundation in Africa embodies a commitment to sustainable, impactful development through localized engagement, strategic partnerships, and a deep understanding of the continent’s diverse needs.