Ashok Alexander

Ashok Alexander is the Founder-Director of The Antara Foundation, a non-profit focused on public health delivery at scale. Prior to establishing Antara Foundation in 2013, Ashok headed the India operations of the Bill & Melinda Gates Foundation. He led the creation and expansion of the Foundation’s India office from its inception in 2003 until 2012. There, he created Avahan, India’s national AIDS program, which rapidly became the world’s largest ever private HIV prevention program.

Before the Gates Foundation, Ashok spent 17 years at McKinsey & Company, and left as Director of the firm's Delhi office. He joined McKinsey in 1986 in New York and was part of a small group that moved to India to establish its highly successful India practice.

Ashok is a graduate of St. Stephen’s College, Delhi, a post-graduate from the Delhi School of Economics, and has an MBA from the Indian Institute of Management Ahmedabad.Married and has two sons, his passions are painting in oils and charcoal, and chess in which he has been a US Master. He is a founding board member of the Public Health Foundation of India, served on the board of CARE India, and been a founding trustee of the America-India Foundation.

Bill & Melinda Gates Foundation

Ashok left McKinsey to lead the Bill and Melinda Gates Foundation’s India operations. He led the team that set up Avahan, an initiative aimed at stemming India’s growing HIV epidemic. In less than three years, Avahan had become the world’s largest-ever privately sponsored HIV prevention program. Avahan worked with groups most at risk to HIV – primarily commercial sex workers. The Lancet in 2013, credited Avahan with preventing over 600,000 HIV infections.Alexander himself has said much of the credit for the reduction in HIV belong to the sex workers themselves.

Ashok’s team took the business model behind Avahan to maternal and child health and infectious diseases in Bihar and UP. Over a decade, Ashok led the growth and expansion of the Gates Foundation in India, with grants spanning health, sanitation and agriculture. The grants portfolio he oversaw amounted to over $1 billion involving scores of grantee organizations.

The Antara Foundation

Ashok, for the past four years, has been engaged in building The Antara Foundation, a non-profit that focuses on delivering public health innovations at scale. Akshada is Antara Foundation’s flagship program working in maternal and child health and nutrition in Rajasthan, in partnership with the Tata Trusts and the state government. Chief Minister Vasundhara Raje and Ratan Tata take keen interest in this seminal program. The organisation has a team of diverse professionals drawn from business, public health and government, working from Delhi and field offices in Rajasthan. The Antara Foundation is mentored by Arjun Malhotra and Bill Gates.

Antara Foundation’s proposition is that delivery at scale is the biggest challenge in India’s public health. Product and service solutions are often well known. Delivering these at scale involves complex barriers of access, livelihood compulsions, social and cultural norms, gender and caste inequity. This requires an orchestration of initiatives on supply and demand sides, backed by data-based advocacy. In essence, this amounts to treating health delivery as a business problem. Alexander has said that as Antara gained experience, their approach became more relational and less corporate, looking to learn from the people on the ground.