AiAD is not yet operational. We say that clearly. But it represents a firm institutional commitment not an aspiration with active planning, partnership development, and feasibility work underway. In Africa and across the global south, a patient can wait weeks for a laboratory result that would take hours in a well-resourced setting. In many communities, that result never comes at all not because the test does not exist, but because the infrastructure to run it was never built close enough to reach.