备忘录：加强国家行动，加快医疗设施电气化

Electrification ofhealth-carefacilities AIDE-MEMOIRE Forenhanced country actiontoacceleratetheelectrificationofhealth-care facilitiesthrough decentralized solar systems Checklist Governance&politicalleadership Accesstoreliableelectricityisfundamentalfortheeffective functioning of health-care facilities (HCFs)and toenable essential quality health services, yet nearly 1 billionpeople globally rely on facilities withoutreliable electricityor withno electricity access at all. This lack of power isparticularly severe in low-and middle-income countries,especially rural and remote areas in regions like sub-Saharan Africa and South Asia. Without reliable electricity,struggle to perform essential services: they cannot maintain cold chains for ☐Electricityaccessstatus inHCFs assessedand included inhealth system monitoring.☐Electrification of HCFsprioritized in nationalelectrificationprogrammesandfunding allocation.☐Cooperation between healthand energy sectorspromoted. HCFsvaccines, operate life-saving equipment for maternal and newborn care or ensureproper lighting andwater supply. This creates severe health risks, as well aschallenges in staff retention, patient safety, and operational capacity for both routineand emergency care. Policies & actions ☐Long-term operation andmaintenance of the facilities'energy systemsand medicaldevicesensured. ☐Decentralizedsolar systemspromotedtorapidlypowerallHCFs.☐Plans for electrification ofHCFs designed and financialsupport identified.☐Coordination withwater,sanitation and hygiene (WASH)initiatives and with provision ofpower-dependent medical devicespromoted. Decentralized solarphotovoltaic systemscoupled with batteriesrepresenta keyopportunitytoaccelerateelectricityaccess inHCFs.Thesesystems offerasustainable, cost-effective, and rapidly deployable alternative to traditional powergrids,providingfacilitieswithreliable,cleanenergyandincreasedclimateresilience. Scaling up investments in decentralized solar powersystemcan addressenergy inequities, improve health outcomes,reduces costsand contribute to broadergoalslikeuniversalhealthcoverageandclimatemitigationandadaptation,supporting the fundamental right to health. WHO support to countries ▪Providessupport on techno-economic analyses, including on: (i)development of energy needs assessmentsin HCFs, (ii) design ofdecentralisedsolar systems, (iii) development of technical specificationsnecessaryforequipment procurement and installation, (iv) andidentification of the most suitableoperation andmaintenance approaches.▪Engages with partnersto accelerate HCF electrification(including throughthe Health and Energy Platform for Action, HEPA).▪Provides technical support to strengthen professional capacity ofthehealthsectorto increasehealth professionals'ability to design, implementand maintain HCF electrification programmes.▪Provides a compendiumof interventionsand supportstheirimplementationtoaccelerate HCF electrificationbased on lessons learnedand country examples. Awareness raising &capacitybuilding ☐Health workforce trained andempowered on using, performingand maintaining energy services.☐Data on electricity servicesandinterventionsin HCFsdisseminated. Key elements for country action Governanceandpolitical leadership ▪Assess electricity status in HCFs and includeitin routine health system monitoring.▪Prioritize electrification of HCFs within national electrificationprogrammes, considering the health impactsand cost effectiveness of HCFselectrification interventions, and allocate resources accordingly.▪Advocate for inclusion and prioritization of HCFs electrification within broader renewable energy and climaterelated supportprogrammesfunded by development partners.▪Increasecooperation between the healthandenergy sectors. Electrification of HCFs should be considered apriorityin theframework of energyand climate interventions from governments and development partners.▪Include HCF electrification in negotiations and funding proposals for key donors from health, energy andclimate sectors. Awareness raising and capacity building Policies and actions ▪Train and empowerthelocalhealth workforce byprovidingcapacity building on correct use andpreventivemaintenance of decentralised energysystems.▪Facilitate data sharing on electricity access status aswell as on electrification interventions in HCFs, toenhance transparency and inform decision-making. ▪Promote decentralized renewable energies, such assolar photovoltaic systems coupled with batteries,to power HCFs, enhance their climate resilienceand reduce greenhouse gas emissions. ▪Ensure the long-term operation and maintenanceofthe solar energy systems,putting in place adequatearrangements and resources. This involves: oensuringdedicated funding for this activity; obuildingthe capacity of local energytechnicians and health care staff to sustainablyuse and maintain the facility’s energy systemand medical devices. ▪Ensurecoordinationwithprovisionofpowerdependent medical devic