Powering Healthcare Madagascar: État des lieux et feuille de route pour l'électrification des établissements de santé

The report assesses the energy deficit in Madagascar's healthcare system, finding that 75% of Basic Health Centers (CSB) lack electricity. It proposes a phased roadmap (2024-2032) to achieve universal access through standardized solar solutions, integrated health-energy coordination, and sustainable business models to cover operational expenditures (OPEX). The plan estimates a total funding requirement of USD 83 million (USD 52M CAPEX and USD 31M OPEX) over ten years.

• There is a severe energy deficit in primary healthcare, with approximately 75% of Basic Health Centers (CSB) having no access to electricity, and only 30% having basic lighting.
• While most District Reference Hospitals (CHRD) have some form of electricity, access is unreliable with frequent outages, and availability varies from 1 to 16 hours per day.
• The report identifies a potential market for electrification by 2030 consisting of 2,174 CSBs (1,300 requiring autonomous systems and 874 requiring back-up solutions) and 100 CHRDs.
• Current electrification efforts are fragmented and 'in silo,' often focusing on installation (CAPEX) without ensuring long-term operational and maintenance (O&M) funding (OPEX), which typically lasts only 2-3 years via donors.
• The roadmap proposes a three-phase implementation from 2024 to 2032: Phase 1 (Structuration & Cluster test 2024-2025), Phase 2 (Demonstration & Implementation 2025-2028), and Phase 3 (Consolidation 2029-2032).
• Total estimated financial needs for the 10-year roadmap are USD 52 million for capital expenditures (CAPEX) and USD 31 million for operational expenditures (OPEX).
• Standardized solar technical solutions for CSBs are categorized by type (CSB1 or CSB2), solar irradiation, electrification status, and patient frequency, with total CAPEX per installation ranging from USD 11,400 to USD 21,200.
• To ensure sustainability, the report suggests improving facility solvency through non-medical revenue streams, such as phone charging and photocopying, to cover O&M costs.
• Technical challenges include a lack of national electricity standards for health facilities, insufficient trained personnel for electrical maintenance, and dilapidated building structures that may not support rooftop panels.

APA

Severi, L., Lazopoulou, M., Knight, C., Tavernier, L., Vallvé, X., Arrieta, U., Mrabit, N., Razanajatovo, L., Mosca, L., González, I., Cabanillas, R., Rakotoarivelo, M., Ratsara, E., & Rakoto, S. (2024). Powering Healthcare Madagascar: État des lieux et feuille de route pour l'électrification des établissements de santé. Sustainable Energy for All. https://www.seforall.org/system/files/2024-04/PHC-Madagascar-Roadmap-FR-FullReport_0.pdf

Chicago

Severi, Luc, Marilena Lazopoulou, Charlie Knight, Louis Tavernier, Xavier Vallvé, Unai Arrieta, Nadia Mrabit, et al. Powering Healthcare Madagascar: État des lieux et feuille de route pour l'électrification des établissements de santé. Sustainable Energy for All, 2024. https://www.seforall.org/system/files/2024-04/PHC-Madagascar-Roadmap-FR-FullReport_0.pdf.

Wikipedia

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BibTeX

@techreport{severi2024powering, author = {Severi, Luc and Lazopoulou, Marilena and Knight, Charlie and Tavernier, Louis 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: État des lieux et feuille de route pour l'électrification des établissements de santé}}, institution = {Sustainable Energy for All}, year = {2024}, month = mar, url = {https://www.seforall.org/system/files/2024-04/PHC-Madagascar-Roadmap-FR-FullReport_0.pdf}, urldate = {2026-08-17}, note = {Indexed by Climate Insights Directory} }