ProjectInformationSheet|October2016|1

SUSTAINABLEELECTRIFICATIONOFHEALTHFACILITIES:UGANDA

ThisprojectinformationsheetprovidesanoverviewoftheactivitiesplannedundertheSustainableElectrificationofHealthFacilitiesprojectinUganda,aswellasthelargerSustainableEnergyforAllinitiativeonhealthfacilityelectrificationco-ledbytheUNFoundation,WHOandUNWomenwithinwhichitsits.Itfurtheridentifiesthemainstakeholdersintheproject,andtheirrespectiverolesandresponsibilities.KeyFacts&FiguresCountryofImplementation: UgandaSector(s): Health,EnergyandGenderGoal: Enableimproveddeliveryofhealthservices–particularlymaternalandchildhealth

services–inprimaryhealthcarefacilitiesIntervention: Holisticsolutiondesignandprovisionofsolarphotovoltaic(PV)systemsTarget: 36un-electrifiedorunder-electrifiedprimaryhealthcarefacilitiesNumberofBeneficiaries: 450,000communitymembers;270healthcareworkers;250,000outpatientsperyear

(estimated)Sponsor(s): UNFoundationandtheUKDepartmentforInternationalDevelopmentBACKGROUNDANDRATIONALE

EnergyandHealthcare

Energyplaysavital role instrengtheninghealthsystems,particularlyhealthcaredelivery.Itpowershealthfacilities,themedicalservicestheyprovideandrelatedareassuchasstaffhousing.Yetarecentanalysisofaccesstoenergyinhealth care facilities in 11 Sub-Saharan countriescommissioned by theWorld Health Organization (WHO)revealedthatonaveragemorethanaquarteroffacilitiesreviewed lackaccess toelectricity.While themajorityoflargehospitalshaveaccesstoelectricity,accessratesdrops

tobelow25%forruralclinicsinsomecountries.Reliabilityof energy supply also remains a challenge. Even whenhealthfacilitiesareconnectedtothegrid,manysufferfromfrequentpoweroutages.Effortstoimprovehealthoutcomes,coupledwithgrowingglobal interest in renewable energy (both now framedwithintheUN’sSustainableDevelopmentGoals),presentamajoropportunitytoimproveaccesstoandthequalityofhealthservices.Often,decentralizedsolarsolutionsarethelowest-cost and most practical way to provide power,particularlyinremoteandoff-gridcommunities.

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PastattemptstoprovidesolarpowertoremotefacilitiesinAfrica tended to suffer from high rates of failure.Manysolarsystemssimplystoppedoperating.Thefocusofsuchprojects tended to be on the installation of equipment.However,theexpecteddevelopmentbenefitsaccrueonlyif that equipment is appropriately designed, keepsoperating over time, and the energy produced is usedeffectively. The challenge thus is not primarily aboutequipmentor cost, since solarmodulepriceshave fallensignificantlyinthelastseveralyears–itisaboutthelong-term management and operation of the clinic and itsequipment,andthewillandcapacityofthepublicsectorto provide funding and establish appropriate long-termmaintenancemechanisms.SustainableEnergyforAll

Attherequestof theUNSecretary-General’sSustainableEnergyforAll(SE4All)initiative,theUNFoundation,WHOandUNWomen are jointly leading an effort to increaseenergy access in developing country health facilities,especially in Africa. The effort, known as Energy forWomen’s and Children’s Health, is one of SE4All’smulti-stakeholder partnerships, otherwise known as a “High-ImpactOpportunity”(HIO)area.EnergyforWomen’sandChildren’sHealthusestheglobalreach of SE4All to coordinate and accelerate efforts toexpand access to energy in health facilities. It bringstogether public, private and civil society partners,expertise,andresourcestogalvanizeactiononthebarriersfacinghealthfacilityelectrification,withagoalofensuringuniversalaccessto,andsustaineduseof,modernenergyservicesinhealthfacilitiesby2030.NeedsAssessment

Under the auspices of SE4All and in collaboration withUganda’sMinistryofHealth, theUNFoundationrecentlyundertook a detailed evaluation of the electrificationstatus and power needs of 100 government-owned/managedhealthfacilitiesinUganda.CompletedinOctoberof2015,thisNeedsAssessmentinvolvedfacility-levelenergyauditsandthepreliminarydesignofsolutionsets, focusing on renewable-based decentralized andhybrid solutions, and taking into account gender-specificconsiderations.Designed to complement other Government andinstitutional efforts to provide access to electricity tocommunity institutions (e.g. the ERT project), theNeedsAssessment focused on regions of the country notprioritizedby gridextensionorother rural electrificationplans. Priority regions were identified followingconsultations with Uganda’s Ministry of Health after a

comprehensivemappingofallgovernment-ownedhealthfacilitiesinthecountry.The Needs Assessment’s findings and recommendationsinclude:• Decentralized energy systems (solar PV) currently

provide critical, yet insufficient, energy services tosurveyedhealthfacilitiesnotconnectedtothegrid.Theseparticularly includepower formaternal andchildhealth services such as task lighting, deliveryandsecuritylighting,butdonotyetaddressthefullrangeofpowerneedsinagivenfacility.

• Theexistenceofmultiple,under-functioningoff-gridsystemsathealth facilities supportsa shift towardsite-centralized systems such as facility-wide“micro-grids”whichcanmeetvariableenergyloadsandbemanagedmoreeasily.

PROJECTDESCRIPTION

ProjectObjectives

Building on the results of the UN Foundation’s NeedsAssessmentandwithfundingfromtheUKDepartmentforInternational Development (DFID), the UN Foundation issupportinganewfour-yearprojectthatseekstoelectrifyapproximately 36 health care facilities – and their staffquarters – in Uganda, adding an estimated 147kWp ofinstalledcapacityofsolarPVinthehealthsector.Thegoalof the project is to enable improved delivery of healthservices–particularlybutnotlimitedtomaternalandchildhealth – in un-electrified or under-electrified primaryhealthcarefacilities,throughimprovedaccesstomodern,affordableandsustainableelectricityservices.These facilities will be electrified using solar PV “micro-grid”systems,basedonthefollowingprinciples:

• Integratedandholistic:Systemswillbedesignedusing a facility-wide and needs-driven approachthatavoidspiecemealand/orpartialsolutions.

• Appropriate:Systemswill beappropriate to thesettingsandcircumstancestheywillbeusedin.

• State-of-the-art:Whereappropriate,systemswillutilize state-of-the-art technologies (e.g. remotemonitoring capabilities) to improve functionalityandsustainability.

• Sustainable: Systems will be operationallysustainable, and the project design will ensurelong-termoperationandmaintenancestrategiesareinplace.

• Gender-appropriate:Gender considerations willbe taken into account in the system’s design.Particularattentionwillbepaidtomaternaland

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childhealthconsiderations,aswellassafetyandsecurityforwomenpatients.

• National/local ownership: National and localstakeholders (i.e. Government Ministries and

local communities) will be engaged to fosterownershipovertheproject.

ProjectComponentsTheprojecthasbeencarefullydesignedtoavoidsomeofthecommonproblemsthathaveledtothefailureofpastdonor-drivenandpublicsolarpowerprojectsinAfrica.Theprojectisorganizedaroundthefollowingkeycomponents:

# COMPONENT DESCRIPTION1 Project

ManagementTheUNFoundationwillmanagethisprojectonaday-to-daybasis.Theprojectmanagementincludes:budgetingandforecasting,contracting,partnermanagement,riskmanagement,monitoring&evaluation,analysisofdataandlessonslearned,resultsdisseminationandreporting.

2 NeedsAssessment

Anauditofenergyneedshasbeenundertakenateveryhealthfacility,andtheenergyrequirementsforeachfacilityhavebeencharacterizedbasedontheaudit.Basedontheserequirements,asuiteofstandardsolarsystemshasbeendesignedwithminimumspecificationsthatsetveryhighqualitystandards.

3 CommunityMobilizationandAwarenessCreation

Theprojectwillactivelyinvolvethesurroundingcommunitiesandcatchmentareastocreatebuy-inandasenseofcommunity-levelownership.Awareness-raisingactivitieswillalsobeincorporatedtocreateincreaseddemandforqualityhealthservices,particularlyforwomenandchildren.

4 SystemDesign TheprojectwillinstallreliableenergysystemsintheformofdecentralizedsolarPVfacility-wide“micro-grids.”Systemsarelikelytorangefrom2to6kWp,andwillcovercurrentandfuturebasicenergyneeds.Thedesignwillfocusonquality,standardizationanduser-friendlinesstoensurethatsystemscanbeinstalledandusedinoptimalconditions.

5 SystemInstallation

SolarPVmicro-gridswillbeinstalledat36un-electrifiedandunder-electrifiedhealthcenters(II&III).Theinstallationswillfollowaninstallationblueprint.

6 Training Accompanyingtheinstallations,theprojectwillensurethatendusers(predominantlyfacilitystaff)aswellascentralizedpublichealth/energyofficersreceiveintroductorytraining,aswellassubsequentrefreshertrainingsovertime,toadequatelymanagethesystem.

7 PreventativeMaintenanceServices

Theprojectwillprovidepreventativemaintenanceservicesoverthecourseofproject’sduration.Thisactivity,alongwiththeplannedtraining,willhelpensurethatsystemsremainoperationalovertime.

8 RemoteMonitoring

Themicro-gridsystemswillbeequippedwithtechnologicallyadvancedremotemonitoringcapabilities,allowingforquickandeasyaccesstoarangeofenergyusedata,andtoallowforarapidresponseincaseoftechnicalmalfunction.

9 Long-TermSustainability

Theprojectwillinvolvethedevelopmentofalong-termsustainabilityplanforallinstalledsystems.

10 ImpactAssessment

AlongsidetheimplementationofthesolarPVsystems,theprojectwillinvolveanindependentimpactevaluationstudytodeterminewhatimpactimprovedaccesstopowerhasonthefunctionalityofselectedhealthfacilitiesandtheirservices.Thestudyisexpectedtoincludepre-interventionactivitiesforthepurposesofgatheringbaselineinformation,trackingandmonitoringactivitiesduringtheproject,andpost-interventionactivitiestoprovideinformationonresultsandimpact.

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PROJECTSTAKEHOLDERS

STAKEHOLDER ROLES&RESPONSIBILITIESUNFoundation ProjectSponsor;overallprogrammanagement,leadershipand

coordinationSolarElectricLightFund(SELF);AllInTradeLtd

Technicalimplementationofproject(e.g.designandinstallationofenergysolutions;maintenance;trainingandcapacitybuilding);ContractedbyandreportstotheUNFoundation

Government(incl.MinistryofHealth,MinistryofEnergyandMineralDevelopment,REAandlocalGovernment)

Projectsupportandfacilitation;coordinationbetweenrelevantministriesanddecentralisedpublicentities;participationinselectedprojectcomponents

WorldHealthOrganization Impactevaluation;ContractedbyandreportstotheUNFoundationHealthfacilities&Communities

UsersandbeneficiariesofthesolarPVsystems

StakeholderCommittee Informationsharingandcoordinationbetweenprojectstakeholders,includingGovernmentministries/agencies,UNagenciesandotherorganizations.

SustainableElectrificationofHealthFacilitiesProject

HealthFacilities&Communities

StakeholderCommittee

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PROJECTTIMELINE

Projectstartdate:July2015Projectenddate:June2019(expected)

Activity

2015 2016 2017 2018 2019Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2

Preparation&Mobilization

Design,Supply,InstallationandMaintenanceofSolarSolutions

ImpactEvaluationStudy

ProgramManagement(reporting,M&E)

ABOUTTHEUNFOUNDATIONTheUnitedNationsFoundationbuildspublic-privatepartnershipstoaddresstheworld’smostpressingproblems,andbroadenssupportfortheUnitedNationsthroughadvocacyandpublicoutreach.Throughinnovativecampaignsandinitiatives,theFoundationconnectspeople,ideas,andresourcestohelptheUNsolveglobalproblems.TheFoundationwascreatedin1998asaU.S.publiccharitybyentrepreneurandphilanthropistTedTurnerandnowissupportedbyglobalcorporations,foundations,governments,andindividuals.Formoreinformation,visitwww.unfoundation.org,orcontactLucSeveri,EnergyAccessProjectManager(lseveri@unfoundation.org)attheUNFoundation.