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PHOTO: AKSHAY INGLE
HEALTH FACILITY ELECTRIFICATION:
STATE OF PLAY
LINKAGES BETWEEN ELECTRICITY AND HEALTH
Diagnostics, procedures, treatment
Ventilation, sterilization
Lighting, cooling, heating
Learning and training
Water and sanitation
Storing vaccines
Creating conducive environment for staff
BUILDING KNOWLEDGE AND EVIDENCE
FOR ENERGY ACCESS PLANNING
https://www.wri.org/research/gis-assessment-electricity-health-care-uganda
https://www.wri.org/research/integrating-electricity-priorities
https://wri-india.org/publication/spoonful-solar-help-medicine-go-down
Using data to build evidence and guide better
decision-making
Overcoming policy barriers for the health
sector’s adoption of clean energy
Right-sizing technological solutions
Building capacity of stakeholders to participate
effectively in a clean energy transition
Identifying and addressing financing gaps
In Zambia, the Ministry of Health in collaboration with the Ministry of Energy have used EAE to develop the Powering Healthcare
Action Plan
In Uganda, EAE is being used by the Ministry of Health and MEMD and partners to comprehensively map out all healthcare facilities
BUILDING KNOWLEDGE AND EVIDENCE
FOR ENERGY ACCESS PLANNING
Using data to build evidence and guide better
decision-making
Overcoming policy barriers for the health
sector’s adoption of clean energy
Right-sizing technological solutions
Building capacity of stakeholders to participate
effectively in a clean energy transition
Identifying and addressing financing gaps
STATE OF PLAY
WHO, World Bank, IRENA and SEforALL. 2023. Energizing health: accelerating electricity access in health-care facilities
SEforALL. 2023. Health Facility Electrification Capital Landscape
• 1 billion people access health facilities without
electricity or with unreliable electricity
• Decentralized RE, mainly solar, being increasingly
considered by stakeholders for electrification in
rural and remote settings
• Investment need of USD 3.6 billion, across public
and private health facilities
• Health policies increasingly looking at budgeting
for electrification needs
• Energy efficiency should be prioritized
– Needs looking at standardization and procurement of
energy efficient medical applications
• Sustainability of energy systems (O&M)
– Refinancing of existing installed systems: budget
allocation towards maintenance and replacement
STATE OF PLAY
UNICEF. 2022. A brighter life for every child with sutainable energy.
• Evolving partnerships to scale:
– Health and Energy Platform for Action
(HEPA)
– Multilateral Health Compact for Health
Facility Electrification
– SELCO and IKEA Foundation partnering
with Ministry of Health and Family Welfare
– Health Electrification and
Telecommunications Alliance (HETA)
– UNICEF Strengthening Immunization value
chain and WASH
• Different models for implementation and
financing
STATE OF PLAY – IMPLEMENTATION MODELS
https://www.wri.org/insights/decentralized-renewable-energy-hospitals-africa
SEforALL. 2023. Health Facility Electrification Capital Landscape
Shell Foundation Pilot Programme for Innovative Financing and Project Solutions for Health Electrification
• Asset Ownership
– Build, Operate and Transfer model – upfront capital cost and limited O&M budget factored in (1 – 5 years)
– Accountability and responsibility of Operations and Maintenance falls on health facility. Staff training and
capacity building, along with extensive engagement with developers becomes key
– Methods to de-risk seen in the example of CREDA (government funded service units in each region to monitor
energy system performance and conduct routine maintenance)
– Extension of CMC contracts beyond 5 years, use of low maintenance battery systems
• Energy-as-a-service model
– Developers install, operate and maintain the energy system for a longer time duration -> transfer of
maintenance and financing risk to private developers
– RESCO/ESCO models have needed grants or public budgets to reduce the energy cost that is paid over the
lifetime of the contract
• Lease-to-own model
– Payment of energy system cost over a defined time period and ownership transfers to the health facility
• Other variations such as pay as you go, fee for service, and perpetual lease contracts have also been
deployed.
• Uptake depends on developers ability to raise finance, role of grants, ability and timeliness of payments
to developers etc.
WHY THIS MATTERS?
Odarno, L. 2020. “Linking Electricity Access and Development Outcomes in Africa: A Framework for Action.” Working Paper. Washington, DC:
World Resources Institute.
Global Scale
Fostering ambition, sharing best
practices, and expanding
participation:
• Strengthening collaborations
• Cross-geography learning
Policy alignment & strengthening
institutional frameworks:
• Standardization of technologies
(solar PV, batteries and medical
appliances)
• Convergence of public budgets
• Interdepartmental coordination
Building knowledge and evidence at
the community level on:
• Energy needs assessment
• After-sales service
• Operations & Maintenance
• Procurement
National Scale Local Scale
Restructured
Finance
THANK YOU
Photo: Akshay Ingle
ADDITIONAL INFORMATION
Resources used during the webinar:
• WRI’s implementation work in Kenya: https://www.wri.org/insights/decentralized-renewable-energy-hospitals-africa
• WRI’s implementation work in India in partnership with HSBC India and CHAI: https://wri-india.org/our-work/project/decarbonizing-
healthcare-improve-service-delivery-and-reduce-emissions-india
• WRI’s Energy Access Explorer: https://www.energyaccessexplorer.org/
• Use of GIS demand assessment in health facility electrification in Uganda: https://www.wri.org/research/gis-assessment-electricity-
health-care-uganda
• WRI India report on exploring synergies between health care and energy: https://wri-india.org/publication/spoonful-solar-help-
medicine-go-down
• Integrating Electricity Priorities into Healthcare policies in India: https://www.wri.org/research/integrating-electricity-priorities
Work by partners:
• WHO, World Bank, IRENA and SEforALL report on Energizing Health: https://iris.who.int/handle/10665/365657
• UNICEF’s work on sustainable energy solutions in healthcare and WASH:
https://www.unicef.org/media/127626/file/A%20brighter%20life%20for%20every%20child%20with%20sustainable%20energy.pdf
• Country level assessment by IRENA and SELCO Foundation - Enhancing Healthcare Delivery in Burkina Faso:
https://www.irena.org/Publications/2022/Oct/Electrification-with-renewables-Enhancing-healthcare-delivery-in-Burkina-Faso
• SEforALL’s research on health facility financing landscape: https://www.seforall.org/publications/health-facility-electrification-capital-
landscape
• Further financing research presented by Shell Foundation, Odyssey and partners:https://assets-global.website-
files.com/64215dde2dcacceaa70d7bd9/65d51a50cde417e2b1669b19_Pilot_Programme_for_Health_Electrification_Final.pdf
ADDITIONAL INFORMATION
Videos that showcase impact:
• Documentary version of the immersive film experience showcased at the 'Energy for Health' pavilion by SELCO Foundation in
partnership with WHO and support of IKEA Foundation at COP28 in Dubai: https://www.youtube.com/watch?v=RfVb9Pgsd78
• Solarizing Hospitals in Climate Vulnerable Zones in Silchar, Assam https://www.youtube.com/watch?v=u71n0S6vK6M
• Basic HealthCare Services solarization efforts in health clinics in Remote Locations: AMRIT Clinic, Rawach, Rajasthan:
https://www.youtube.com/watch?v=-wrIRGw7Pjw
Articles:
• Solar energy could power all health facilities in poorer countries and save lives (The Guardian)
• How decentralised solar energy can boost public healthcare (India Development Review)
Learn more on:
• Health and Energy Platform for Action (HEPA)
• Multilateral Health Compact for Health Facility Electrification
• SELCO and IKEA Foundation’s ‘Energy for Health’ initiative
• Health Electrification and Telecommunications Alliance (HETA)

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Health Facility Electrification: State of Play

  • 1. PHOTO: AKSHAY INGLE HEALTH FACILITY ELECTRIFICATION: STATE OF PLAY
  • 2. LINKAGES BETWEEN ELECTRICITY AND HEALTH Diagnostics, procedures, treatment Ventilation, sterilization Lighting, cooling, heating Learning and training Water and sanitation Storing vaccines Creating conducive environment for staff
  • 3. BUILDING KNOWLEDGE AND EVIDENCE FOR ENERGY ACCESS PLANNING https://www.wri.org/research/gis-assessment-electricity-health-care-uganda https://www.wri.org/research/integrating-electricity-priorities https://wri-india.org/publication/spoonful-solar-help-medicine-go-down Using data to build evidence and guide better decision-making Overcoming policy barriers for the health sector’s adoption of clean energy Right-sizing technological solutions Building capacity of stakeholders to participate effectively in a clean energy transition Identifying and addressing financing gaps
  • 4. In Zambia, the Ministry of Health in collaboration with the Ministry of Energy have used EAE to develop the Powering Healthcare Action Plan In Uganda, EAE is being used by the Ministry of Health and MEMD and partners to comprehensively map out all healthcare facilities BUILDING KNOWLEDGE AND EVIDENCE FOR ENERGY ACCESS PLANNING Using data to build evidence and guide better decision-making Overcoming policy barriers for the health sector’s adoption of clean energy Right-sizing technological solutions Building capacity of stakeholders to participate effectively in a clean energy transition Identifying and addressing financing gaps
  • 5. STATE OF PLAY WHO, World Bank, IRENA and SEforALL. 2023. Energizing health: accelerating electricity access in health-care facilities SEforALL. 2023. Health Facility Electrification Capital Landscape • 1 billion people access health facilities without electricity or with unreliable electricity • Decentralized RE, mainly solar, being increasingly considered by stakeholders for electrification in rural and remote settings • Investment need of USD 3.6 billion, across public and private health facilities • Health policies increasingly looking at budgeting for electrification needs • Energy efficiency should be prioritized – Needs looking at standardization and procurement of energy efficient medical applications • Sustainability of energy systems (O&M) – Refinancing of existing installed systems: budget allocation towards maintenance and replacement
  • 6. STATE OF PLAY UNICEF. 2022. A brighter life for every child with sutainable energy. • Evolving partnerships to scale: – Health and Energy Platform for Action (HEPA) – Multilateral Health Compact for Health Facility Electrification – SELCO and IKEA Foundation partnering with Ministry of Health and Family Welfare – Health Electrification and Telecommunications Alliance (HETA) – UNICEF Strengthening Immunization value chain and WASH • Different models for implementation and financing
  • 7. STATE OF PLAY – IMPLEMENTATION MODELS https://www.wri.org/insights/decentralized-renewable-energy-hospitals-africa SEforALL. 2023. Health Facility Electrification Capital Landscape Shell Foundation Pilot Programme for Innovative Financing and Project Solutions for Health Electrification • Asset Ownership – Build, Operate and Transfer model – upfront capital cost and limited O&M budget factored in (1 – 5 years) – Accountability and responsibility of Operations and Maintenance falls on health facility. Staff training and capacity building, along with extensive engagement with developers becomes key – Methods to de-risk seen in the example of CREDA (government funded service units in each region to monitor energy system performance and conduct routine maintenance) – Extension of CMC contracts beyond 5 years, use of low maintenance battery systems • Energy-as-a-service model – Developers install, operate and maintain the energy system for a longer time duration -> transfer of maintenance and financing risk to private developers – RESCO/ESCO models have needed grants or public budgets to reduce the energy cost that is paid over the lifetime of the contract • Lease-to-own model – Payment of energy system cost over a defined time period and ownership transfers to the health facility • Other variations such as pay as you go, fee for service, and perpetual lease contracts have also been deployed. • Uptake depends on developers ability to raise finance, role of grants, ability and timeliness of payments to developers etc.
  • 8. WHY THIS MATTERS? Odarno, L. 2020. “Linking Electricity Access and Development Outcomes in Africa: A Framework for Action.” Working Paper. Washington, DC: World Resources Institute. Global Scale Fostering ambition, sharing best practices, and expanding participation: • Strengthening collaborations • Cross-geography learning Policy alignment & strengthening institutional frameworks: • Standardization of technologies (solar PV, batteries and medical appliances) • Convergence of public budgets • Interdepartmental coordination Building knowledge and evidence at the community level on: • Energy needs assessment • After-sales service • Operations & Maintenance • Procurement National Scale Local Scale Restructured Finance
  • 10. ADDITIONAL INFORMATION Resources used during the webinar: • WRI’s implementation work in Kenya: https://www.wri.org/insights/decentralized-renewable-energy-hospitals-africa • WRI’s implementation work in India in partnership with HSBC India and CHAI: https://wri-india.org/our-work/project/decarbonizing- healthcare-improve-service-delivery-and-reduce-emissions-india • WRI’s Energy Access Explorer: https://www.energyaccessexplorer.org/ • Use of GIS demand assessment in health facility electrification in Uganda: https://www.wri.org/research/gis-assessment-electricity- health-care-uganda • WRI India report on exploring synergies between health care and energy: https://wri-india.org/publication/spoonful-solar-help- medicine-go-down • Integrating Electricity Priorities into Healthcare policies in India: https://www.wri.org/research/integrating-electricity-priorities Work by partners: • WHO, World Bank, IRENA and SEforALL report on Energizing Health: https://iris.who.int/handle/10665/365657 • UNICEF’s work on sustainable energy solutions in healthcare and WASH: https://www.unicef.org/media/127626/file/A%20brighter%20life%20for%20every%20child%20with%20sustainable%20energy.pdf • Country level assessment by IRENA and SELCO Foundation - Enhancing Healthcare Delivery in Burkina Faso: https://www.irena.org/Publications/2022/Oct/Electrification-with-renewables-Enhancing-healthcare-delivery-in-Burkina-Faso • SEforALL’s research on health facility financing landscape: https://www.seforall.org/publications/health-facility-electrification-capital- landscape • Further financing research presented by Shell Foundation, Odyssey and partners:https://assets-global.website- files.com/64215dde2dcacceaa70d7bd9/65d51a50cde417e2b1669b19_Pilot_Programme_for_Health_Electrification_Final.pdf
  • 11. ADDITIONAL INFORMATION Videos that showcase impact: • Documentary version of the immersive film experience showcased at the 'Energy for Health' pavilion by SELCO Foundation in partnership with WHO and support of IKEA Foundation at COP28 in Dubai: https://www.youtube.com/watch?v=RfVb9Pgsd78 • Solarizing Hospitals in Climate Vulnerable Zones in Silchar, Assam https://www.youtube.com/watch?v=u71n0S6vK6M • Basic HealthCare Services solarization efforts in health clinics in Remote Locations: AMRIT Clinic, Rawach, Rajasthan: https://www.youtube.com/watch?v=-wrIRGw7Pjw Articles: • Solar energy could power all health facilities in poorer countries and save lives (The Guardian) • How decentralised solar energy can boost public healthcare (India Development Review) Learn more on: • Health and Energy Platform for Action (HEPA) • Multilateral Health Compact for Health Facility Electrification • SELCO and IKEA Foundation’s ‘Energy for Health’ initiative • Health Electrification and Telecommunications Alliance (HETA)