PowerPoint Presentation

This report provides a comprehensive assessment and roadmap for the electrification of healthcare facilities in Madagascar, specifically focusing on Basic Health Centers (CSB) and District Reference Hospitals (CHRD). It identifies significant energy deficits, a lack of consolidated data, and operational challenges, proposing a phased, integrated approach to achieve universal and sustainable electricity access by 2032.

• The majority of Basic Health Centers (CSB) in Madagascar lack reliable electricity, with approximately 75% having no access. Among those with access, it is often limited to basic lighting via small solar panels, and only 30% of CSBs have access to basic lighting.
• District Reference Hospitals (CHRD) generally have some form of electricity access, but it is often unreliable with frequent outages. Approximately 50% of CHRDs are connected to the national grid (Jirama), but availability can vary wildly from 1 to 16 hours per day.
• There is a critical lack of consolidated and updated data on the electrification status of healthcare facilities. Data is stored across multiple disparate databases with no common reference key, making it difficult to determine the actual energy status and consumption of each facility.
• Current electrification efforts are largely fragmented and 'in silo,' focusing on energy installation without integrating building rehabilitation or the provision of necessary medical equipment. This approach limits the overall impact on healthcare quality.
• Sustainability is a major challenge due to the lack of viable business models to cover Operational Expenditure (OPEX) and equipment replacement. Most projects fund Capital Expenditure (CAPEX) and only 2-3 years of OPEX, leaving facilities unable to maintain systems long-term.
• The report estimates a potential electrification market by 2030 of 2,174 CSBs and 100 CHRDs. For CSBs, the roadmap suggests a mix of autonomous solar systems for isolated sites and back-up systems for those connected to the grid or mini-grids.
• The proposed roadmap (2024-2032) follows a three-phase approach: Phase 1 (2024-2025) focuses on structuring and cluster testing; Phase 2 (2025-2028) on demonstration and implementation; and Phase 3 (2029-2032) on consolidation to achieve universal access.
• Total funding requirements for the electrification of CSBs and CHRDs over 10 years are estimated at 52 million USD for CAPEX and 31 million USD for OPEX.

APA

Sustainable Energy for All (n.d.). PowerPoint Presentation. https://www.seforall.org/system/files/2024-04/PHC-Madagascar-Roadmap-FR-FullReport_0.pdf

Chicago

Sustainable Energy for All. PowerPoint Presentation. n.d. https://www.seforall.org/system/files/2024-04/PHC-Madagascar-Roadmap-FR-FullReport_0.pdf.

Wikipedia

{{cite report |author=Sustainable Energy for All |title=PowerPoint Presentation |url=https://www.seforall.org/system/files/2024-04/PHC-Madagascar-Roadmap-FR-FullReport_0.pdf |access-date=17 August 2026 |via=Climate Insights Directory}}

BibTeX

@techreport{sustainableenergyforallndpowerpoint, author = {{Sustainable Energy for All}}, title = {{PowerPoint Presentation}}, institution = {Sustainable Energy for All}, 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} }