Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap

This executive summary outlines a market assessment and roadmap for the electrification of healthcare facilities (HFs) in Madagascar, specifically focusing on Basic Health Centres (CSBs) and District Referral Hospitals (CHRDs). The report identifies significant gaps in electricity access, particularly for CSBs, and proposes a multi-phase integrated programme from 2024 to 2032 to achieve universal and sustainable energy access for these facilities.

• The majority of Basic Health Centres (CSBs) in Madagascar lack electricity, with 75% having no access or only an independent solar refrigerator. For those with access, it is often rudimentary, limited to basic lighting from small roof-mounted solar panels.
• While District Referral Hospitals (CHRDs) generally have some form of power supply, the access is often unreliable, with daily availability ranging from 1 to 16 hours. Approximately 50% of CHRDs are connected to the JIRAMA grid.
• The report recommends a tiered solar strategy for CSBs: stand-alone solar for isolated facilities (estimated at 1,300 CSBs) and back-up solar solutions for those connected to the JIRAMA grid or private mini-grids to ensure continuity of service.
• Because CHRDs have highly diverse medical and non-medical equipment, the report states that standard sizing for solar plants is not possible and recommends case-by-case energy audits for all 106 CHRDs.
• The roadmap estimates a total financial requirement of USD 83 million over 10 years, consisting of USD 52 million in Capital Expenditure (CAPEX) and USD 31 million in Operational Expenditure (OPEX) for the electrification of CSBs and CHRDs.
• The report emphasizes that no business model—including Build-Operate-Transfer (BOT) or Energy-as-a-Service (EaaS)—will be sustainable without a long-term plan to cover Operational Expenditure (OPEX).
• The proposed roadmap is divided into three phases from 2024 to 2032: Phase 1 (2024-2025) focuses on structuring and cluster testing with 15-20 HFs; Phase 2 (2025-2028) targets the electrification of over 1,000 CSBs; and Phase 3 (2029-2032) aims for 100% of CSBs and CHRDs to have sustainable electricity access.

APA

Severi, L., Lazopoulou, M., Tavernier, L., Knight, C., Vallvé, X., Arrieta, U., Mrabit, N., Razanajatovo, L., Mosca, L., González, I., Cabanillas, R., Rakotoarivelo, M., Ratsara, E., & Rakoto, S. (2024). Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap. Sustainable Energy for All. https://www.seforall.org/system/files/2024-05/PHC-Madagascar-Roadmap-EN-Exec_compressed.pdf

Chicago

Severi, Luc, Marilena Lazopoulou, Louis Tavernier, Charlie Knight, Xavier Vallvé, Unai Arrieta, Nadia Mrabit, et al. Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap. Sustainable Energy for All, 2024. https://www.seforall.org/system/files/2024-05/PHC-Madagascar-Roadmap-EN-Exec_compressed.pdf.

Wikipedia

{{cite report |last1=Severi |first1=Luc |last2=Lazopoulou |first2=Marilena |last3=Tavernier |first3=Louis |last4=Knight |first4=Charlie |last5=Vallvé |first5=Xavier |last6=Arrieta |first6=Unai |last7=Mrabit |first7=Nadia |last8=Razanajatovo |first8=Lauriane |last9=Mosca |first9=Lucas |display-authors=etal |title=Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap |publisher=Sustainable Energy for All |date=March 2024 |url=https://www.seforall.org/system/files/2024-05/PHC-Madagascar-Roadmap-EN-Exec_compressed.pdf |access-date=17 August 2026 |via=Climate Insights Directory}}

BibTeX

@techreport{severi2024powering, author = {Severi, Luc and Lazopoulou, Marilena and Tavernier, Louis and Knight, Charlie and Vallvé, Xavier and Arrieta, Unai and Mrabit, Nadia and Razanajatovo, Lauriane and Mosca, Lucas and González, Isabella and Cabanillas, Rafael and Rakotoarivelo, Manitra and Ratsara, Erick and Rakoto, Sitraka}, title = {{Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap}}, institution = {Sustainable Energy for All}, year = {2024}, month = mar, url = {https://www.seforall.org/system/files/2024-05/PHC-Madagascar-Roadmap-EN-Exec_compressed.pdf}, urldate = {2026-08-17}, note = {Indexed by Climate Insights Directory} }