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The report details Brazil's GSS+ debt market, which reached USD 67.8bn in cumulative volume by June 2025, with a strong emphasis on green bonds and corporate issuance. It highlights the role of the upcoming Brazilian Sustainable Taxonomy (BST) and the government's Sovereign Sustainable Bond Framework in driving market growth. Key sectors for investment include renewable energy, sustainable agriculture (AFOLU), and water sanitation, while noting a significant investment gap of USD 200bn to meet 2030 transition targets.

The report highlights a significant global energy gap in healthcare, with an estimated 1 billion people lacking reliable power at local facilities. While electrification initiatives grew by 47% annually between 2018 and 2021, the sector faces a USD 4.9 billion investment gap, primarily in Sub-Saharan Africa and South Asia. The analysis advocates for a shift from grant-based Engineering, Procurement, and Construction (EPC) models to long-term service-based models like Energy Service Companies (ESCOs) to ensure sustainable operations and maintenance.

The report identifies a significant global gap in healthcare electrification, with an estimated 1 billion people lacking reliable power at local facilities and a total investment need of USD 4.9 billion. While solar PV systems dominate current initiatives, the report argues for a shift from short-term procurement models (EPC) to long-term service-based models (ESCO) to ensure sustainable operation and maintenance (O&M). Key recommendations include developing country-specific taxonomies, enhancing inter-sectoral coordination between health and energy ministries, and leveraging climate finance and decentralized renewable energy certificates (D-RECs) to bridge the funding gap.

The report finds that while electricity financing reached a record $36 billion in 2017, only about one-third benefited households, and clean cooking finance plummeted by 73% compared to 2015-2016. It highlights severe underinvestment in Sub-Saharan Africa and for vulnerable groups, while suggesting innovative financial mechanisms like results-based financing and crowdfunding to bridge the gap.