Over the past year, we have witnessed artificial intelligence (AI) taking the world by storm. Although we are grappling with the risks and downsides of the technology, its potential positive applications in healthcare are becoming clearer. AI is already changing the way care is delivered and improving patient outcomes. In a supporting role, AI is quietly revolutionizing diagnostics and treatment. For example, radiologists are using AI to detect cancer and other conditions smarter, faster, and more efficient. And cardiac care has the potential to become more patient-centric, with AI enabling faster diagnosis and self-monitoring. These sparks are giving us a glimpse of a possible future – one in which everyone has access to quality healthcare, enabled by technology. There are many more examples of the impact AI is already having, and in all cases, the technology is in the hands of healthcare professionals. We don’t see a future where AI functions without doctors, but it seems unlikely that future doctors will work without AI. We predicted the critical role of data and technology in healthcare, and its impact on patients and systems; now we want to make sure those impacts happen in Africa. We have worked on the basis of a strong belief that transformative system innovations can ensure more patients can access care with available resources. We have already demonstrated it is possible to put patients at the center of their care journeys. With MomCare and other models, we continue to show that value-based care works and that it leads to better patient outcomes. Throughout this report, you can read about how this work has developed over the past year, and how it’s driving change in many countries. Digital technology is also providing more opportunities to finance healthcare, with the Medical Credit Fund empowering women entrepreneurs in particular, and helping stabilize care in unpredictable economic circumstances. For value-based care models and digital finance, we are harnessing the power of mobile technology. And we have also started moving at the forefront of the data revolution. Digital personal connectivity provides the opportunity to use health data for the public good, and this was a focus for PharmAccess in 2023, as early adopters of the data commons concept. Data-powered patient-centric healthcare for all is itself a spark – a glimpse of the future – which we are now working to ignite. We are not alone in this journey; we are part of a movement and our work with partners in this space is vital to achieving our shared vision. Looking back over our work in 2023, I’m proud of what we have achieved together, and I’m excited to see how it develops. Nicole Spieker, PharmAccess CEO