Powering Healthcare Madagascar: Powering Healthcare Market Assessment and Roadmap

The report identifies a critical energy gap in Madagascar's healthcare system, where 75% of Basic Health Centres (CSBs) lack electricity. While most facilities have solar refrigerators, they lack the power for essential medical equipment and lighting. The document proposes a phased roadmap (2024-2032) requiring USD 83 million to deploy stand-alone and back-up solar solutions, emphasizing an integrated approach that combines electrification with medical equipment supply and sustainable business models to ensure long-term operation and maintenance.

• A significant energy deficit exists in Madagascar's primary healthcare facilities, with approximately 75% of Basic Health Centres (CSBs) having no access to electricity.
• While electricity access is low, there is a high prevalence of independent solar refrigeration; 76% of visited sites had a functioning solar refrigerator, though this does not equate to full facility electrification.
• District Reference Hospitals (CHRDs) generally have access to power, but it is often unreliable with frequent cuts; approximately 50% are connected to the JIRAMA national grid.
• The report identifies a potential electrification market of 2,274 healthcare facilities by 2030, comprising 2,174 CSBs and 100 CHRDs requiring either stand-alone or back-up solar solutions.
• Current electrification efforts are described as 'siloed,' often focusing on energy installation without coordinating the provision of necessary medical equipment, building refurbishment, or staff training.
• Sustainability is a major challenge because most projects only cover capital expenditure (CAPEX) and 2-3 years of operational expenditure (OPEX), leaving facilities unable to afford long-term maintenance or equipment replacement.
• The proposed roadmap (2024-2032) estimates a total investment requirement of USD 83 million, consisting of USD 52 million for CAPEX and USD 31 million for OPEX over ten years.

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-FullReport_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-FullReport_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-FullReport_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-FullReport_compressed.pdf}, urldate = {2026-08-17}, note = {Indexed by Climate Insights Directory} }