Blockbuster IPOs from Anthropic and OpenAI could funnel unprecedented philanthropic wealth toward Africa and potentially reshape development funding across the continent. The prospect comes as traditional Western aid has declined, threatening programs in areas such as immunization, HIV treatment, and disease surveillance. Public health experts have linked aid cuts to weakening health systems, with the Democratic Republic of Congo’s Ebola outbreak highlighting the consequences of reduced surveillance capacity. One study cited in the report estimates that continued aid reductions could contribute to 9.4 million excess deaths by 2030. While a new wave of tech-driven giving could help offset these losses, experts warn it risks fostering renewed dependency on foreign donors and requires stronger institutions to ensure funds are used effectively.