Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap

The report identifies a critical lack of electricity in Madagascar's healthcare facilities, with 75% of Basic Health Centres (CSBs) having no access. It proposes a multi-dimensional electrification strategy focusing on stand-alone solar and back-up solutions, requiring an estimated USD 83 million in CAPEX and OPEX over ten years. The roadmap emphasizes an 'integrated approach' that combines technical deployment with sustainable business models and health service improvements, structured across three phases from 2024 to 2032.

• The majority of Basic Health Centres (CSBs) in Madagascar lack electricity, while District Referral Hospitals (CHRDs) generally have access but suffer from unreliable supply and frequent power cuts.
• The potential electrification market by 2030 is estimated at 2,274 healthcare facilities, consisting of 1,300 CSBs requiring stand-alone solar solutions and 874 CSBs needing back-up solutions, alongside 46 stand-alone and 54 back-up solutions for CHRDs.
• The proposed roadmap for universal and sustainable electricity access for healthcare facilities from 2024 to 2032 requires a total investment of USD 52 million for capital expenditure (CAPEX) and USD 31 million for operational expenditure (OPEX).
• Sustainable electrification requires a shift from simple energy access to an 'integrated approach' that includes medical equipment provision, staff training, digitization, and financial sustainability to improve actual health outcomes.
• No business model for healthcare facility electrification is considered sustainable without a long-term mechanism to cover operational expenditures (OPEX).
• The roadmap is divided into three phases: Phase 1 (2024-2025) focuses on structuring and cluster testing of 15-20 facilities; 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} }