Credit: Innovation Africa

1

50%health facilities lackbasic water services

59%births attended by skilled health staff

72%child immunization coverage (DPT-3)

42%sub-Saharan Africans say they have access to high-quality health care

Source: WASH in health care facilities: Global baseline report 2019, WHO & UNICEF, 2019

Source: WHO Source: WHO & UNICEF

200,000women die during pregnancy or childbirth each year

Despite recent progress, quality of health care in sub-Saharan Africa remains a challenge

Source: Gallup World Poll

93%sub-Saharan Africanswithout access to timely, affordable, safe surgeries

Source: The Lancet Commission on Global Surgery Source: WHO

2

Infrastructure (including power) is key cost driver for SDG 3

Additional investment required to meet SDG 3Billions of $ (2014)

Source: Financing transformative health systems towards achievement of the health Sustainable Development Goals: a model for projected resource needs in 67 low-income and middle-income countries, Lancet Global Health, 2017

$274 billion / year

Infrastructure

3

Quality of care relies on power…

Credit: UNDP Zambia/Slingshot Credit: UNDP Zimbabwe /Slingshot

Credit: UN Foundation

Credit: UNDP Zambia/Slingshot Credit: UN Foundation

Credit: UNDP Zimbabwe /Slingshot

Credit: UN Foundation

Credit: New York Times

Credit: MSF-East Africa Credit: UN Foundation

Credit: Jake Lyell

Credit: WASH in Health Care Facilities

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…yet, too often health care looks like this

Credit: We Care Solar5

Nearly 600 million Africans live without power

Access deficitMillion people

Source: Energy Access Outlook 2017: From Poverty to Prosperity, International Energy Agency, 2017 6

Health facilities are not immune to energy poverty

Source of electricity for rural health facilities %

Ethiopia Kenya• Almost 7 out of 10 health facilities have no

electricity. Access to electricity is a major challenge.

• 15% of health facilities in rural areas have electricity from off-grid solar products.

• Almost 2 out of 10 health facilities in rural areas have no access to grid electricity.

• About 15% use off-grid solar solutions as a main source of electricity.

17%

68%

1%

7%

14%

8%

9%

2%

59%

16%

0% 20% 40% 60% 80% 100%

Kenya (rural)

Ethiopia (rural)

No electricity Solar lighting system Solar PV system Generator National grid

n=125

n=63

Source: Energy Sector Management Assistance Program 7

16%

26%

59%

48%

25%

26%

0% 20% 40% 60% 80% 100%

Kenya (rural)

Ethiopia (rural)

Tier 0 Tier 1 Tier 2 Tier 3 Tier 4 Tier 5

No power

Grid power isn’t a ‘silver bullet’

MTF Tier distribution among grid-connected rural health facilities%

n=39

n=20

Ethiopia KenyaMain issues with the grid electricity• Availability: 25% have <8 hours of electricity• Reliability: 40% having >14 interruptions per week• Quality: 28% experience severe voltage

fluctuations

Main issues with the grid electricity• Reliability: 88% experiencing 4-14 times or

more than 2 hours of interruptions per week.

Source: Energy Sector Management Assistance Program

24-hr power

8

With power, comes the opportunity to improve health services

Availability of medical equipment in rural health facilities %

Source: Energy Sector Management Assistance Program 9

Business-as-usual (grid extension) leaves a big access gap

Electrification rate%

People without accessMillion people

Source: Energy Access Outlook 2017: From Poverty to Prosperity, International Energy Agency, 2017 10

Facility-based care is more important than ever

Facility-based delivery trends in Africa% of all births taking place within a facility

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020

Ghana Benin Chad

Dem. Rep. Congo Uganda Tanzania

Rwanda Namibia Lesotho

Source: Demographic and Health Surveys Program 11

Cost of clean energy is lower than ever before…

Solar prices $/W

Source: Bloomberg New Energy Finance

PV module prices have declined 93% in the

last decade

12

Solar Kiosks

…enabling a range of decentralized clean energy solutions

Portable Solutions

Mini-gridsFacility-wide ‘Micro-grids’

Stand-alone Solutions

Tier 1

Tier 2

Tier 3

Tier 4

Tier 5

Leve

l of

Acc

ess

Hig

he

rLo

we

r

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Off-grid solutions are least-cost option for remote facilities

Source: Energy Access Outlook 2017: From Poverty to Prosperity, International Energy Agency, 2017

Decentralized energy will be the least-cost electricity solution for 450 million rural Africans

New connections

On-grid

Mini-grid

Off-grid

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Energy efficient medical equipment can drive costs down significantly

Energy Efficient Medical Equipment

Comparative Costs of Stand-alone Power Equipped with…

• Lighting• Refrigeration• Radio• Computer• Lab centrifuge• Microscope• Blood chemical analyzer• Hematology analyzer• CD4 machine

Simulation of rural Kenyan facility @ 8.6kWh/day

15-25%savings

Capital Expense

Operating Expense

Source: Access to Modern Energy Services for Health Facilities in Resource-Constrained SettingsWorld Health Organization & World Bank, 2015

Conventional Medical Equipment

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Distributed energy contributes to more resilient health systems

Credit: REUTERS/Philimon Bulawayo16

Powering universal health care

Credit: UNDP Zambia/Slingshot

Providing Access

Ensuring Quality

Reducing Costs

Building Resilience

Credit: UNDP / Karin Schermbrucker for Slingshot17