sierra-20leone-20roadmap-20--20health_final050323-3c072a758a9abe3d.pdf

This report by Sustainable Energy for All (SEforALL) provides a market assessment and strategic roadmap for the electrification of healthcare facilities in Sierra Leone. It identifies a significant energy access gap, particularly in primary healthcare units (PHUs), and proposes a phased implementation plan to achieve sustainable electrification by 2030 through diversified delivery models and improved inter-sectoral coordination.

• Approximately 38% of healthcare facilities across all levels in Sierra Leone lack access to electricity, with a high concentration of this gap in primary healthcare units (PHUs) located in rural, last-mile communities.
• The report identifies a total market opportunity to provide reliable energy solutions to 1,134 PHUs, consisting of 548 facilities currently without any electricity, 495 PV-powered facilities that are under-electrified, and 91 on-grid or genset-powered facilities requiring solar backup.
• The estimated total investment required to electrify these 1,134 PHUs is $64 million, comprising $53 million in capital expenditure (CapEx) and $11 million in operating expenditure (OpEx) over 15 years, providing 6.4 MWp of installed solar PV capacity.
• Healthcare financing in Sierra Leone is heavily dependent on external sources; government general revenues account for less than 10% of total health spending, while domestic private out-of-pocket expenditure represents approximately 45% and donor spending about 26%.
• Existing solar PV installations often suffer from poor long-term sustainability due to a lack of operation and maintenance (O&M) regimes, resulting in dysfunctional batteries, faulty wiring, and sub-optimal performance (often providing power for less than 12 hours).
• The report proposes three delivery models for electrification: a traditional equipment ownership model (best for small MCHPs and CHPs), a service-based model (suitable for secondary hospitals and private facilities), and a hybrid model (recommended for CHCs and large hospitals).
• There is a critical lack of coordinated data on healthcare electrification; the National Health Information System (NHIS) was reported as non-functional as of October 2022, and available data is often fragmented, binary (yes/no), and outdated.
• The roadmap outlines a three-phase implementation strategy: Phase 1 (2023–2024) focuses on structuring and feasibility; Phase 2 (2024–2026) on development and demonstration (electrifying 300 PHUs); and Phase 3 (2026–2029) on scaling up to the remaining 834 PHUs.
• The government of Sierra Leone aims to increase its installed electricity capacity from 160 MW in 2022 to 850 MW by 2030, with renewable energy contributing 80% of the mix by 2030.

APA

Sustainable Energy for All (n.d.). sierra-20leone-20roadmap-20--20health_final050323-3c072a758a9abe3d.pdf. https://www.seforall.org/system/files/2023-03/Sierra%20Leone%20Roadmap%20-%20Health_FINAL050323.pdf

Chicago

Sustainable Energy for All. sierra-20leone-20roadmap-20--20health_final050323-3c072a758a9abe3d.pdf. n.d. https://www.seforall.org/system/files/2023-03/Sierra%20Leone%20Roadmap%20-%20Health_FINAL050323.pdf.

Wikipedia

{{cite report |author=Sustainable Energy for All |title=sierra-20leone-20roadmap-20--20health_final050323-3c072a758a9abe3d.pdf |url=https://www.seforall.org/system/files/2023-03/Sierra%20Leone%20Roadmap%20-%20Health_FINAL050323.pdf |access-date=17 August 2026 |via=Climate Insights Directory}}

BibTeX

@techreport{sustainableenergyforallndsierra20leone20roadmap2020healthfinal0503233c072a758a9abe3dpdf, author = {{Sustainable Energy for All}}, title = {{sierra-20leone-20roadmap-20--20health\_final050323-3c072a758a9abe3d.pdf}}, institution = {Sustainable Energy for All}, url = {https://www.seforall.org/system/files/2023-03/Sierra%20Leone%20Roadmap%20-%20Health_FINAL050323.pdf}, urldate = {2026-08-17}, note = {Indexed by Climate Insights Directory} }