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The report identifies a critical gap in electricity access for health-care facilities in low- and middle-income countries, estimating that nearly 1 billion people are served by facilities with no or unreliable power. It argues that reliable electricity is a fundamental enabler of universal health coverage, essential for life-saving services such as maternal care, immunization, and emergency response. The document provides a comprehensive framework for electrification, emphasizing decentralized renewable energy—particularly solar PV—as a cost-effective and climate-resilient alternative to grid extension. It estimates an urgent investment need of US$ 4.9 billion to bring facilities in 63 assessed countries up to minimal electrification levels. Key recommendations include moving from an 'install and forget' to an 'install and maintain' approach, integrating health and energy sector planning, and utilizing geospatial tools for precise needs assessments.