Healthcare Delivery
Every year, millions of people die because of low-quality healthcare, or from lack of vaccines and timely diagnostics. The WHO estimates a critical shortage of healthcare workers in developing countries, where quality healthcare is needed most. Private sector partnerships can accelerate progress toward closing the healthcare equity gap for those who need it most.
Our healthcare delivery investments focus on innovations that deliver affordable, quality health care in South Asia and Sub-Saharan Africa. These include primary care, modern contraceptives, critical vaccines, diagnostics, devices, therapeutics, health-tech platforms, and healthcare ecosystem innovations, with a strategic focus on maternal, newborn, and child health; women’s and girls’ health; and specific infectious diseases with high prevalence in developing countries, such as HIV, tuberculosis, and malaria.
Investments
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United Nations Pledge Guarantee for Health
Better procurement practices for family planning products
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Investors
Rutendo Chigora
Principal
Seattle
Rutendo joined the Gates Foundation in 2026 and serves as Investment Officer for the Strategic Market Tools initiative within the Strategic Investment Fund (SIF). She partners with program strategy teams to structure, negotiate, and execute complex transactions with private sector entities, multilaterals, and governments, using guarantees and other structured/innovative finance tools to lower the cost…
Julie Frye
Partner
Seattle
While she maintains a diverse portfolio, Julie spends the majority of her time focused on healthcare delivery, which comprises debt, equity, and volume guarantee investments that improve primary healthcare, maternal and child health, and infectious disease. Recognizing that there will never be enough trained medical providers, she focuses on the role that technology-enabled diagnostics, devices,…
Ryan Kreitzer
Partner
Seattle
Ryan Kreitzer joined the Strategic Investment Fund in 2014. Based in Seattle, Ryan invests across fintech, healthtech, agritech & climate, focusing on innovative companies that develop new solutions to long-standing challenges that impact patients, farmers and consumers globally. He also leads SIF’s investing practice in Sub-Saharan Africa, where he invests in businesses that deliver innovations…
Logan Morwick Miller
Associate
Seattle
Logan Morwick Miller joined the Gates Foundation in 2023 and serves as an Associate of the Strategic Investment Fund (SIF). Since joining, Logan has evaluated and structured investments in the biotech, agriculture technology and education technology sectors, as well as volume guarantees supporting new HIV PrEP products. She is the Foundation’s Board Observer for Carnegie…
Natalie Revelle
Director, Volume Guarantees and Senior Financial Advisor
Midwest, U.S.
Natalie Revelle leads the Volume Guarantee initiative and structured financing investments within the SIF team. Working with pharmaceutical companies, sovereign and private foundation partners, donors, and implementing partners, Natalie has structured a portfolio of investments across global health commodities including vaccines, family planning, and HIV products that is expected to generate over $1 billion of…
David Rossow
Founding Partner
London
David Rossow joined the foundation in 2010 as part of a $400 million pilot to establish the Strategic Investment Fund. He currently heads the fund’s international work with a focus on biotech in Europe, and tech-enabled service & product delivery in South Asia and Sub-Saharan Africa. Prior to joining the foundation in 2010, David worked…