bangkok | mar-17 | sunfarmer village health energy interaction
TRANSCRIPT
Health Issues: Experiences of the health-energy
interaction at village level
Avishek Malla
Smart Villages Initiative’s Engagement Programmes in South Asia and Southeast Asia
• SunFarmer Nepal is a social enterprise, a
subsidiary of SunFarmer USA (US nonprofit)
based in New York.
• Mission: To power critical infrastructure in the
developing world with affordable and reliable
solar energy.
• Primarily works in health, education and
agriculture.
Nepal
Nepal : Electricity Access
3 out 10 Nepalese has no electricity
Health Services in Nepal
102 public hospitals
208 Primary Health Care Centers (PHCCs)
1,559 Health Posts (HPs) and
2,247 Sub Health Posts (SHPs)
Energy access is critical enabler of access to medical technologies
Medical and Other Appliances Communication Devices Health Services
Our Health sector requires reliable energy Stable & reliable power supply is essential for health facilities to run equipment's and provide lighting for evening deliveries and procedures. Power irregularities can damage sensitive and expensive medical equipment's. Lack of or an unsteady power supply can result in the destruction of cold-chain (damaging blood, vaccine etc. ) Intermittent or unavailable power can limit the ability of health facilities to deliver basic , preventive care and treatment
However challenges are many Infrastructure : The gap between energy access & remote health centers is ever widening and growing with expansion. Coordination : Government agencies providing medical equipment and energy are different Finance : Lack of financial Resource ,public health centers have low revenue.
Delivery Room
In City In Rural Village
In Patient Department
In City In Rural Village
Delivery is difficult using flashlights held in the mouth, as we can neither see clearly nor give instructions.
Lungra, Health Post In charge
I had no medical equipment, the new born
required respiratory support, I had to give
mouth to mouth to save the baby, thank
God it worked.
Hattikhot, Health Post In charge
Sterilization is difficult as there is no power
to operate the autoclave, we use firewood
to heat the autoclave. Payal , Health Post In charge
19 districts has no cold storage facility 30-40 Solar refrigerators installed
< 1kWh Small Health post
< 10 kWh Medium Health Post
> 10 kWh Large Health Post
Lighting Yes Yes Yes
Communication Internet Internet Mobile Charging
Diagnostic /Lab devices X-Ray, Auto-clave, Suction, Oxygen concentrator etc.
Suction, Oxygen concentrator etc.
Nebulizer
Refrigeration Yes Yes Yes
Transforming Health
services with
Energy
Case study
Syada Health Post
6 hours walk from
the nearest airport
8 days walk from the
nearest motor able
road
309 households,
population of 1933
Case study
Jharro, local
traditional light
provides a dim light
by burning a resin
soaked pine tree
wood stick.
produces a lot of
smog and black soot
and thus is very
dangerous for
pregnant women and
newly born babies
Case study
220Wp Solar Powers
Lights
Charging
On average, the health
post see about 20 – 30
patients a day
8-15 births annually
Case study
Case study
Lungra Health Post
4 hours from nearest road No electricity before Solar Population 3,803
2.1 kWp Solar Powers • Refrigerator • Autoclave • Nebulizer • Oxygen
concentrator • Suction
Machine • Lights • Laptop
101 Births / year
Case study
Case study
Bayalpata Hospital Poor Quality and intermittent Electricity supply Was dependent on Diesel Region with 3 million population
Case study Solar intervention in 2012 with 12kWp Now, 100kWp Solar Powers 2 Operation Theaters ICU Dental Modern Lab Blood Banks Oxygen Generators X-Rays & more…
Case study
Case Study “Making Solar Affordable” Lease to Own Model Health facility signs agreement for 5-8 years Makes monthly payments Maintenance and Operation is taken care by the service provider System ownership is handed over to the Health facility at end of successful term.
