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Partnering on Innovative Health
Research in Brazil




March 7, 2012
Presentation Outline


• Update on Partnership activities in Brazil


• GCE Initiative Overview and FAP Collaboration



• Next Steps




                                     © 2011 Bill & Melinda Gates Foundation   |   2
March 7, 2012                        © 2011 Bill & Melinda Gates Foundation   |   2
Brazil MOH-BMGF Strategic Alliance
                 Broad Health MoU: Brazilian MoH (SCTIE) and Gates Foundation
                 Broad Health MoU: Brazilian MoH (SCTIE) and Gates Foundation
                                          October 2011
                                           October 2011



Vaccine Development         Discovery Research /   Family Health               Joint Global Health
 and Manufacturing           Grand Challenges        Research                       Initiatives




                                                                                          Dengue:
                                                                                - Field testing of vector
                                                                                   control strategy in
                                                                                 partnership with MOH
                                                                               and Fiocruz researchers




                                                                   © 2011 Bill & Melinda Gates Foundation   |   3
 March 7, 2012                                                     © 2011 Bill & Melinda Gates Foundation   |   3
Grand Challenges Brazil
The foundation is engaged in conversations with the MOH on a possible GC Brazil
focused on:

                                     Joint funding of projects in Brazil as part of international GC
                                      initiatives
                                       Focus on global health and development priorities
                                       Proposed first cooperation around Family Health GC


                                       GC initiatives pursued and funded by Brazilian sources
                                       Focus on national health priorities



                                     Partnership between BMGF and FAPs to provide supplemental
                                      funding to Brazilian GCE Phase I grantees formalized in
                                      December 2011
                                     Co-funding with CNPq for Phase II grants still under discussion


              Next steps:
               Continue dialogue with MOH on Grand Challenges framework and potential Family
                Health GC partnership
               Secure partnership with CNPq for Phase II grants
               Continue to engage other research funders in Brazil around potential GC partnerships


                                                                                 © 2011 Bill & Melinda Gates Foundation   |   4
March 7, 2012                                                                    © 2011 Bill & Melinda Gates Foundation   |   4
In December 2011, the Gates Foundation and the FAPs formed a
 partnership around Grand Challenges Explorations to invest in high-
                 risk health and development research.




                                                 © 2011 Bill & Melinda Gates Foundation   |   5
March 7, 2012                                    © 2011 Bill & Melinda Gates Foundation   |   5
Overview:
Grand Challenges Explorations
 Anyone can apply
    From any country and any discipline and at any level of experience
    From academia, government, non-profits or industry
    Review is “blind” and champion-based


 Applying is easy
    Two page application
    No preliminary data required

 Awards are frequent and rapid
    Two opportunities to apply each year
    Awards made in 4-6 months
    Phase I funding of US$100,000 can lead to Phase II funding of up to US$1M




                                                          © 2011 Bill & Melinda Gates Foundation   |   6
 March 7, 2012                                            © 2011 Bill & Melinda Gates Foundation   |   6
GCE Selection Process




                        © 2011 Bill & Melinda Gates Foundation   |   7
                        © 2011 Bill & Melinda Gates Foundation   |   7
FAP GCE Partnership
1. Grants selected through regular GCE process
      − Brazilian submissions will be processed by the GCE program’s standard review
        mechanism
      − Selected proposals will be funded by BMGF at US$100,000
      − Direct grant agreement between grantee and BMGF
      − FAPs will collaborate with foundation to deepen reach of GCE call into Brazil

1. For participating states, FAP will supplement funding for all grantees
   based in the state in which it covers
      − FAPs will formalize their endorsement of BMGF selection process or conduct
        expedited diligence to formalize project selection
      − Respective FAP will provide additional funding equivalent to US$50,000 or $100,000
        in Brazilian Reals
      − FAPs establish separate grant agreement directly with grantee

1. Successful projects can apply for Phase II grants
      − Coordination with CNPq and others during selection process (TBD)



                                                                   © 2011 Bill & Melinda Gates Foundation   |   8
 March 7, 2012                                                     © 2011 Bill & Melinda Gates Foundation   |   8
Open GCE RFP: Round 9


 Protect Crop Plants From Biotic Stresses From Field to Market

 New Approaches for the Interrogation of Anti-malarial Compounds

 Aid is Working. Tell the World.

 Design New Approaches to Optimize Immunization Systems

 Explore New Solutions for Global Health Priority Areas


  Round 9 runs from February 29 to May 15, 2012; all applications
              are welcome in one of these issue areas


                                                  © 2011 Bill & Melinda Gates Foundation   |   9
March 7, 2012                                     © 2011 Bill & Melinda Gates Foundation   |   9
Round 9 GCE Topics
Protect Crop Plants from Biotic Stresses from Field to Market
Challenge: Soliciting transformative solutions to pest and pathogen pressures faced by
   smallholder farmers in developing countries; encouraging researchers and entrepreneurs to
   generate ideas that will revolutionize current approaches to crop protection by focusing on
   plants, pests, pathogens, weeds and/or their interactions.


New Approaches for the Interrogation of Anti-Malarial Compounds
Challenge: Supporting unconventional and radically new approaches, methods, and assays to
   analyze, characterize, and prioritize anti-malarial compounds and to glean more information
   required for the development of next generation malaria drugs.



Aid Is Working. Tell the World.
Challenge: Soliciting new approaches to communications that motivate the public in wealthy
   countries of the world to change their minds about aid, and take actions to demonstrate
   their support.


                                                                  © 2011 Bill & Melinda Gates Foundation   |   10
   March 7, 2012                                                  © 2011 Bill & Melinda Gates Foundation   |   10
Round 9 GCE Topics


Design New Approaches to Optimize Immunization Systems
Challenge: Supporting novel approaches to optimizing the performance of immunization
   logistics and supply systems in low-resource settings which address one or more of these
   gap areas: vaccine product characteristics, supply system design, environmental impact,
   information systems, human resources and vaccination acceptance.


Explore New Solutions for Global Health Priority Areas
Challenge: Soliciting new solutions for global health priority areas: malaria, HIV, tuberculosis,
   pneumonia, enteric disease and diarrhea, polio, maternal and neonatal health, and/or
   family planning; revolutionary new technologies or improvements upon current
   technologies; low-cost solutions; and projects with clear and testable scientific plans.




                                                                      © 2011 Bill & Melinda Gates Foundation   |   11
   March 7, 2012                                                      © 2011 Bill & Melinda Gates Foundation   |   11
“Open Topic”
February 2012 - Round 9 Topics:                                           March 2010 - Round 5 Topics:
    • New Approaches for the Interrogation of Anti-malarial Compounds        • Create Low-Cost Cell Phone-Based Applications for Priority Global
    • Aid is Working. Tell the World                                             Health Conditions
    • Protect Crop Plants from Biotic Stresses From Field to Market          • Create New Technologies to Improve the Health of Mothers and
    • Design New Approaches to Optimize Immunization Systems                     Newborns
    • Explore New Solutions in Global Health Priority Areas                  • Create New Ways to Protect Against Infectious Disease
                                                                             • Create New Technologies for Contraception
August 2011 - Round 8 Topics:
   • Protect Crop Plants from Biotic Stresses From Field to Market        September 2009 - Round 4 Topics:
   • Design New Approaches to Optimize Immunization Systems                  • Create New Technologies for Contraception
   • Explore New Solutions in Global Health Priority Areas                   • Create New Ways to Induce and Measure Mucosal Immunity
   • Explore Nutrition for Healthy Growth of Infants and Children            • Create Low-Cost Diagnostics for Priority Global Health Conditions
   • Apply Synthetic Biology to Global Health Challenges                     • Create New Ways to Protect Against Infectious Disease

March 2011 - Round 7 Topics:                                              March 2009 - Round 3 Topics:
   • The Poliovirus Endgame: Create Ways to Accelerate, Sustain and          • Create Low-Cost Diagnostics for Priority Global Health Conditions
       Monitor Eradication                                                   • Create New Ways to Induce Mucosal Immunity
   • Create the Next Generation of Sanitation Technologies                   • Create New Vaccines for Diarrhea, HIV, Malaria, Pneumonia, and TB
   • Create Low-Cost Cell Phone-Based Solutions for Improved Uptake and      • Create New Tools to Accelerate the Eradication of Malaria
       Coverage of Childhood Vaccinations
   • Design New Approaches to Cure HIV Infection                          September 2008 - Round 2 Topics:
   • Explore Nutrition for Healthy Growth of Infants and Children            • Explore the Basis For Latency in Tuberculosis
   • Apply Synthetic Biology to Global Health Challenges                     • Create New Ways to Protect Against Infectious Disease
                                                                             • Create New Vaccines for Diarrhea, HIV, Malaria, Pneumonia, and TB
August 2010 - Round 6 Topics:                                                • Create New Tools to Accelerate the Eradication of Malaria
   • Create New Ways to Protect Against Infectious Disease                   • Create Drugs and Delivery Systems to Limit Drug Resistance
   • Create New Technologies for Contraception                               • Create New Ways to Prevent or Cure HIV Infection
   • Design New Approaches to Cure HIV Infection
   • Create the Next Generation of Sanitation Technologies                March 2008 - Round 1 Topics:
   • Create Low-Cost Cell Phone-Based Applications for Priority Global        • Create Drugs and Delivery Systems to Limit Drug Resistance
        Health Conditions                                                     • Create New Ways to Prevent or Cure HIV Infection
   • The Poliovirus Endgame: Create Ways to Accelerate, Sustain and           • Explore the Basis For Latency in Tuberculosis
        Monitor Eradication                                               Create New Ways to Protect Against Infectious Disease
   • Create New Technologies to Improve the Health of Mothers and
        Newborns



                                                                                                       © 2011 Bill & Melinda Gates Foundation   |   12
                                                                                                       © 2011 Bill & Melinda Gates Foundation   |   12
Brazilian Submissions by City:
Rounds 1 – 8




                                 © 2011 Bill & Melinda Gates Foundation   |   13
 March 7, 2011                   © 2011 Bill & Melinda Gates Foundation   |   13
GCE Phase I Grants to Brazil:
Rounds 1 – 6
Increasing Vaccination Efficacy with ACE Inhibitors
Julio Scharfstein at Universidade Federal do Rio de Janeiro

Idea: Interfere with innate homeostasis at the onset of vaccination by re-purposing ACE
   inhibitor (Captopril) to boost efficacy of vaccination


Large-scale MHC: Epitope Analysis for Vaccine Development
Gustavo Fioravanti Vieira at Universidade Federal do Rio Grande do Sul
Idea: Use bioinformatic approach to identify MHC and immune response features among viral
   peptides through the comparison of immunogenic epitopes already in the literature



 "Lego" like Sanitation System: Pit Latrines Made of Biocompost
 Antonio Avila at Universidade Federal de Minas Gerais
 Idea: Develop a biodegradable “Eco-blocks” assemblage system for pit latrines to replace
    concrete slabs or conventional brick/cement materials



                                                                     © 2011 Bill & Melinda Gates Foundation   |   14
   March 7, 2012                                                     © 2011 Bill & Melinda Gates Foundation   |   14
Proposals by City – Rounds 1-8




                                 © 2011 Bill & Melinda Gates Foundation   |   15
  March 7, 2011                  © 2011 Bill & Melinda Gates Foundation   |   15
Funded Projects by City – Rounds 1-8




                                       © 2011 Bill & Melinda Gates Foundation   |   16
  March 7, 2011                        © 2011 Bill & Melinda Gates Foundation   |   16
Proposals by City – S. America Rounds 1-8




                                            © 2011 Bill & Melinda Gates Foundation   |   17
  March 7, 2011                             © 2011 Bill & Melinda Gates Foundation   |   17
Funded Projects by City – S. America Rounds 1-8




                                                  © 2011 Bill & Melinda Gates Foundation   |   18
  March 7, 2011                                   © 2011 Bill & Melinda Gates Foundation   |   18
Outreach to researchers makes a difference

   www.grandchallenges.org/brp




                                      © 2011 Bill & Melinda Gates Foundation   |   19
                                      © 2011 Bill & Melinda Gates Foundation   |   19
Next Steps
 Comments on the “Implementation Plan”
 Outreach and Marketing – March, April (May 15 deadline)
 • Email Outreach to networks – Point of contacts?
 • Potential for Announcement of Partnership Mid-April
 Information Exchanged – Gates <-> FAPS
 • What information is desired
 • Past & Present Applicants
 Proposal Development
 Preparing for grantmaking
 • Speed
 • Flexibility in grant terms
 Managing Expectations – Long-term investment in success

                                                   © 2011 Bill & Melinda Gates Foundation   |   20
                                                   © 2011 Bill & Melinda Gates Foundation   |   20
Thank You

            © 2011 Bill & Melinda Gates Foundation   |   21
            © 2011 Bill & Melinda Gates Foundation   |   21
Proposals by City – Africa Rounds 1-8




                                        © 2011 Bill & Melinda Gates Foundation   |   22
  March 7, 2011                         © 2011 Bill & Melinda Gates Foundation   |   22
Funded Projects by City – Africa Rounds 1-8




                                              © 2011 Bill & Melinda Gates Foundation   |   23
  March 7, 2011                               © 2011 Bill & Melinda Gates Foundation   |   23

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Palestra 6

  • 1. Partnering on Innovative Health Research in Brazil March 7, 2012
  • 2. Presentation Outline • Update on Partnership activities in Brazil • GCE Initiative Overview and FAP Collaboration • Next Steps © 2011 Bill & Melinda Gates Foundation | 2 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 2
  • 3. Brazil MOH-BMGF Strategic Alliance Broad Health MoU: Brazilian MoH (SCTIE) and Gates Foundation Broad Health MoU: Brazilian MoH (SCTIE) and Gates Foundation October 2011 October 2011 Vaccine Development Discovery Research / Family Health Joint Global Health and Manufacturing Grand Challenges Research Initiatives Dengue: - Field testing of vector control strategy in partnership with MOH and Fiocruz researchers © 2011 Bill & Melinda Gates Foundation | 3 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 3
  • 4. Grand Challenges Brazil The foundation is engaged in conversations with the MOH on a possible GC Brazil focused on:  Joint funding of projects in Brazil as part of international GC initiatives  Focus on global health and development priorities  Proposed first cooperation around Family Health GC  GC initiatives pursued and funded by Brazilian sources  Focus on national health priorities  Partnership between BMGF and FAPs to provide supplemental funding to Brazilian GCE Phase I grantees formalized in December 2011  Co-funding with CNPq for Phase II grants still under discussion Next steps:  Continue dialogue with MOH on Grand Challenges framework and potential Family Health GC partnership  Secure partnership with CNPq for Phase II grants  Continue to engage other research funders in Brazil around potential GC partnerships © 2011 Bill & Melinda Gates Foundation | 4 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 4
  • 5. In December 2011, the Gates Foundation and the FAPs formed a partnership around Grand Challenges Explorations to invest in high- risk health and development research. © 2011 Bill & Melinda Gates Foundation | 5 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 5
  • 6. Overview: Grand Challenges Explorations Anyone can apply  From any country and any discipline and at any level of experience  From academia, government, non-profits or industry  Review is “blind” and champion-based Applying is easy  Two page application  No preliminary data required Awards are frequent and rapid  Two opportunities to apply each year  Awards made in 4-6 months  Phase I funding of US$100,000 can lead to Phase II funding of up to US$1M © 2011 Bill & Melinda Gates Foundation | 6 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 6
  • 7. GCE Selection Process © 2011 Bill & Melinda Gates Foundation | 7 © 2011 Bill & Melinda Gates Foundation | 7
  • 8. FAP GCE Partnership 1. Grants selected through regular GCE process − Brazilian submissions will be processed by the GCE program’s standard review mechanism − Selected proposals will be funded by BMGF at US$100,000 − Direct grant agreement between grantee and BMGF − FAPs will collaborate with foundation to deepen reach of GCE call into Brazil 1. For participating states, FAP will supplement funding for all grantees based in the state in which it covers − FAPs will formalize their endorsement of BMGF selection process or conduct expedited diligence to formalize project selection − Respective FAP will provide additional funding equivalent to US$50,000 or $100,000 in Brazilian Reals − FAPs establish separate grant agreement directly with grantee 1. Successful projects can apply for Phase II grants − Coordination with CNPq and others during selection process (TBD) © 2011 Bill & Melinda Gates Foundation | 8 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 8
  • 9. Open GCE RFP: Round 9  Protect Crop Plants From Biotic Stresses From Field to Market  New Approaches for the Interrogation of Anti-malarial Compounds  Aid is Working. Tell the World.  Design New Approaches to Optimize Immunization Systems  Explore New Solutions for Global Health Priority Areas Round 9 runs from February 29 to May 15, 2012; all applications are welcome in one of these issue areas © 2011 Bill & Melinda Gates Foundation | 9 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 9
  • 10. Round 9 GCE Topics Protect Crop Plants from Biotic Stresses from Field to Market Challenge: Soliciting transformative solutions to pest and pathogen pressures faced by smallholder farmers in developing countries; encouraging researchers and entrepreneurs to generate ideas that will revolutionize current approaches to crop protection by focusing on plants, pests, pathogens, weeds and/or their interactions. New Approaches for the Interrogation of Anti-Malarial Compounds Challenge: Supporting unconventional and radically new approaches, methods, and assays to analyze, characterize, and prioritize anti-malarial compounds and to glean more information required for the development of next generation malaria drugs. Aid Is Working. Tell the World. Challenge: Soliciting new approaches to communications that motivate the public in wealthy countries of the world to change their minds about aid, and take actions to demonstrate their support. © 2011 Bill & Melinda Gates Foundation | 10 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 10
  • 11. Round 9 GCE Topics Design New Approaches to Optimize Immunization Systems Challenge: Supporting novel approaches to optimizing the performance of immunization logistics and supply systems in low-resource settings which address one or more of these gap areas: vaccine product characteristics, supply system design, environmental impact, information systems, human resources and vaccination acceptance. Explore New Solutions for Global Health Priority Areas Challenge: Soliciting new solutions for global health priority areas: malaria, HIV, tuberculosis, pneumonia, enteric disease and diarrhea, polio, maternal and neonatal health, and/or family planning; revolutionary new technologies or improvements upon current technologies; low-cost solutions; and projects with clear and testable scientific plans. © 2011 Bill & Melinda Gates Foundation | 11 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 11
  • 12. “Open Topic” February 2012 - Round 9 Topics: March 2010 - Round 5 Topics: • New Approaches for the Interrogation of Anti-malarial Compounds • Create Low-Cost Cell Phone-Based Applications for Priority Global • Aid is Working. Tell the World Health Conditions • Protect Crop Plants from Biotic Stresses From Field to Market • Create New Technologies to Improve the Health of Mothers and • Design New Approaches to Optimize Immunization Systems Newborns • Explore New Solutions in Global Health Priority Areas • Create New Ways to Protect Against Infectious Disease • Create New Technologies for Contraception August 2011 - Round 8 Topics: • Protect Crop Plants from Biotic Stresses From Field to Market September 2009 - Round 4 Topics: • Design New Approaches to Optimize Immunization Systems • Create New Technologies for Contraception • Explore New Solutions in Global Health Priority Areas • Create New Ways to Induce and Measure Mucosal Immunity • Explore Nutrition for Healthy Growth of Infants and Children • Create Low-Cost Diagnostics for Priority Global Health Conditions • Apply Synthetic Biology to Global Health Challenges • Create New Ways to Protect Against Infectious Disease March 2011 - Round 7 Topics: March 2009 - Round 3 Topics: • The Poliovirus Endgame: Create Ways to Accelerate, Sustain and • Create Low-Cost Diagnostics for Priority Global Health Conditions Monitor Eradication • Create New Ways to Induce Mucosal Immunity • Create the Next Generation of Sanitation Technologies • Create New Vaccines for Diarrhea, HIV, Malaria, Pneumonia, and TB • Create Low-Cost Cell Phone-Based Solutions for Improved Uptake and • Create New Tools to Accelerate the Eradication of Malaria Coverage of Childhood Vaccinations • Design New Approaches to Cure HIV Infection September 2008 - Round 2 Topics: • Explore Nutrition for Healthy Growth of Infants and Children • Explore the Basis For Latency in Tuberculosis • Apply Synthetic Biology to Global Health Challenges • Create New Ways to Protect Against Infectious Disease • Create New Vaccines for Diarrhea, HIV, Malaria, Pneumonia, and TB August 2010 - Round 6 Topics: • Create New Tools to Accelerate the Eradication of Malaria • Create New Ways to Protect Against Infectious Disease • Create Drugs and Delivery Systems to Limit Drug Resistance • Create New Technologies for Contraception • Create New Ways to Prevent or Cure HIV Infection • Design New Approaches to Cure HIV Infection • Create the Next Generation of Sanitation Technologies March 2008 - Round 1 Topics: • Create Low-Cost Cell Phone-Based Applications for Priority Global • Create Drugs and Delivery Systems to Limit Drug Resistance Health Conditions • Create New Ways to Prevent or Cure HIV Infection • The Poliovirus Endgame: Create Ways to Accelerate, Sustain and • Explore the Basis For Latency in Tuberculosis Monitor Eradication Create New Ways to Protect Against Infectious Disease • Create New Technologies to Improve the Health of Mothers and Newborns © 2011 Bill & Melinda Gates Foundation | 12 © 2011 Bill & Melinda Gates Foundation | 12
  • 13. Brazilian Submissions by City: Rounds 1 – 8 © 2011 Bill & Melinda Gates Foundation | 13 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 13
  • 14. GCE Phase I Grants to Brazil: Rounds 1 – 6 Increasing Vaccination Efficacy with ACE Inhibitors Julio Scharfstein at Universidade Federal do Rio de Janeiro Idea: Interfere with innate homeostasis at the onset of vaccination by re-purposing ACE inhibitor (Captopril) to boost efficacy of vaccination Large-scale MHC: Epitope Analysis for Vaccine Development Gustavo Fioravanti Vieira at Universidade Federal do Rio Grande do Sul Idea: Use bioinformatic approach to identify MHC and immune response features among viral peptides through the comparison of immunogenic epitopes already in the literature "Lego" like Sanitation System: Pit Latrines Made of Biocompost Antonio Avila at Universidade Federal de Minas Gerais Idea: Develop a biodegradable “Eco-blocks” assemblage system for pit latrines to replace concrete slabs or conventional brick/cement materials © 2011 Bill & Melinda Gates Foundation | 14 March 7, 2012 © 2011 Bill & Melinda Gates Foundation | 14
  • 15. Proposals by City – Rounds 1-8 © 2011 Bill & Melinda Gates Foundation | 15 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 15
  • 16. Funded Projects by City – Rounds 1-8 © 2011 Bill & Melinda Gates Foundation | 16 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 16
  • 17. Proposals by City – S. America Rounds 1-8 © 2011 Bill & Melinda Gates Foundation | 17 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 17
  • 18. Funded Projects by City – S. America Rounds 1-8 © 2011 Bill & Melinda Gates Foundation | 18 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 18
  • 19. Outreach to researchers makes a difference www.grandchallenges.org/brp © 2011 Bill & Melinda Gates Foundation | 19 © 2011 Bill & Melinda Gates Foundation | 19
  • 20. Next Steps  Comments on the “Implementation Plan”  Outreach and Marketing – March, April (May 15 deadline) • Email Outreach to networks – Point of contacts? • Potential for Announcement of Partnership Mid-April  Information Exchanged – Gates <-> FAPS • What information is desired • Past & Present Applicants  Proposal Development  Preparing for grantmaking • Speed • Flexibility in grant terms  Managing Expectations – Long-term investment in success © 2011 Bill & Melinda Gates Foundation | 20 © 2011 Bill & Melinda Gates Foundation | 20
  • 21. Thank You © 2011 Bill & Melinda Gates Foundation | 21 © 2011 Bill & Melinda Gates Foundation | 21
  • 22. Proposals by City – Africa Rounds 1-8 © 2011 Bill & Melinda Gates Foundation | 22 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 22
  • 23. Funded Projects by City – Africa Rounds 1-8 © 2011 Bill & Melinda Gates Foundation | 23 March 7, 2011 © 2011 Bill & Melinda Gates Foundation | 23

Editor's Notes

  1. ©2010 Bill &amp; Melinda Gates Foundation
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  3. © 2009 Bill &amp; Melinda Gates Foundation
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  9. © 2010 Bill &amp; Melinda Gates Foundation