医疗设施电气化首都景观

Thematerialprovidedhereinisforinformationalpurposesonly.Itdoesnotconstituteanoffertosellor a solicitationof anoffer to buysecuritiesrelatingtoany of theentitiesreferencedherein,notwithstandingthatanysuchsecuritiesmaybeofferedinthefuture. Nothingcontainedintheinformationregardingtheentitiesreferencedinthispresentationconstitutesinvestmentadvice.CrossBoundaryisprovidingtheinformationcontainedhereinforyourreviewandconsiderationaspartofitsbroadermandatetoenablethetransparentexchangeof information across the markets it serves.In exchange for receiving thispresentation,youagreetoholdCrossBoundaryanditsaffiliates,agentsandrepresentativesharmlessfromandagainstanyclaimswhatsoeverandofanynaturefordamagesthatmayarisefromorrelatetoanydecisionthatyoumakebasedonthisinformation. Disclaimer Informationon the entities referenced in this presentation is based solely from,and inrelianceon,acombinationofi)informationsourcedfromreliableprovidersofmarketdata,ii)CrossBoundary’sownanalysisandiii)informationprovidedbytheentitiesdirectlytoCrossBoundaryandisprovided“asis”withoutwarrantiesofanykind. Theviewsexpressedinthisreportdonotnecessarilyreflecttheviewsofthebroadermarket,oranyotherentityreferencedherein. Whileeveryefforthasbeenmadetoensurethatthedataquotedandusedfortheresearchbehindthisdocumentisreliable,thereisnoguaranteethatitiscorrect,andCrossBoundarycanacceptnoliabilitywhatsoeverinrespectofanyerrorsoromissions. •Executive summary•Healthcare facility electrification capital mapping Table ofContents •De-risking instrument profiles•Country profiles In analysing the need for a financial de-risking mechanism in HFE, we took asystematic approach to assessing demand, current supply and capital provided to HFE Taken together, this provides a view of: Demand for energy Demand for electrification, andwho the ultimate payors are orcould be for the energygenerated How can we stratify demand in targetcountries, and understand ability andwillingness to pay for electrification? Who does or potentially couldsupply this energy, and whatfinancial de-risking tools theyneed to unlock more activity Who does or could provide thecapital to do so, and where gapsexist relative to what the supplyside have asked for Financing for suppliers Who is providing capital to developers activein HFE, what kind of capital is being provided,and how could more be catalysed? Across sub-Saharan Africa and India need for HFE is significant–without intervention,facilities will not be able to deliver quality healthcare to best-practice standards Percentage of healthcare facilities requiringenergy interventions¹ To better understand electrification demand, we stratified health facilities intothree categories, with increasing energy requirements at each level Unique challenges exist at each level •Tier 1-More likely to beun-electrified and difficult to servicedue to distance from cities; have lowerhealthcare service capacity and servethe poorest patients•Tier 2-Tend to be easier to service,butfall within grid expansion zones,whichcomplicates investment; higher-value services tend to increase abilityto pay•Tier 3-Often theeasiest to electrify,however the scale of installationsrequired can drive high upfront costswhich facility managers see as a barrier Across markets examined, there is an investment need of ~$2.6B, with $1.4B for publicfacilities and $1.2B for private facilities–India and Nigeria make up ~70% of total need Breaking down total HFE investment need across public versusprivate facilities supports effective intervention planning Segmenting investment need across public and privatefacilities lets us better understand who the ultimate payor fornew installed capacity would be, informing bankability andapproaches to de-risking Markets we assessed need ~$1.4B in public facility investment, but unreliablegovernment payors and inconsistent delivery of quality O&M pose challenges For public facilities, government’s ability to pay either for the upfront investmentcosts, or ongoing O&M, is constrained bya number offactors: To address private facility demand, ~$1.2B is needed in markets we assessed–despite higher ability to reliably pay for power, these facilities also encounter barriers Privately-run facilities do not have to wait on slow and fickle governmentsponsorship, but they too struggle to present bankable power projects: Developers across our markets have been active in HFE, and most projects aredelivered ‘turnkey’-ready–but funded with capex grants from donors HFE delivery models in-market or being trialed Mostdevelopers noted that a majority of their projects are BOT,where the limiting factor is government’s ability to maintain thesystems once transferred Developers face challenges serving different facility types, as stability ofpayments and frequency of system maintenance can both vary heavily Developers noted idiosyncratic challenges whenservicing HF tiers… …and any financing approach must consider off-takecertainty and O