"Many of Dr. Shah’s changes have been inspired by the approach of Gates. In 2011, U.S.A.I.D. began a program, Grand Challenges for Development, which invites innovators to submit ideas to help solve problems like H.I.V or hunger. The agency has financed nearly 100 products under the program, among them the Pratt Pouch, a ketchup-sized packet of anti-AIDS drugs that does not need refrigeration. The pouch, developed by students and faculty at Duke University, is being used in Zambia and Ecuador and could potentially prevent the transmission of H.I.V. to 400,000 babies a year, according to the agency."
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