Electrification with renewables: Enhancing healthcare delivery in Sao Tome and Principe

Table of Contents

• Contents 3
• Figures 4
• Figure 1.1 Percentage of women in São Tomé and Príncipe who received postnatal care after giving birth. 10
• Figure 1.2 Percentage of fuel imported for use in São Tomé and Príncipe 13
• Figure 1.3 Total installed renewable energy capacity by technology (GW, 2014–2022) 14
• Figure 2.1 Key components of ecosystem approach to understanding health context and designing DRE systems 18
• Figure 2.2 Assessment approach to data collection and analysis 19
• Figure 2.3 Facilities selected for the health–energy assessment on both islands 20
• Figure 3.1 Overarching factors considered for solar energy system design 22
• Figure 3.2 Global horizontal irradiation of São Tomé and Príncipe 23
• Figure 5.1 Efficient built environment design instructions 57
• Tables 4
• Table S.1 Summary of designs and costs for DRE systems in all health facilities in São Tomé and Prí 0
• Table 1.1 Distribution of health-care facilities in São Tomé and Príncipe 13
• Table 2.1 Overview of the respondents and the tools used 20
• Table 3.1 Summary of assumptions for solar energy system design 24
• Table 3.2 Assumptions of number of rooms used for health posts and health centres 25
• Table 3.3 Details of power outages by island and type of facility (hours/day) 26
• Table 3.4 Comparison of existing loads and efficient loads 26
• Table 3.5 Details of power outages by island and type of facility (hours/day) 27
• Table 3.6 Design solutions per type of load 27
• Table 3.7 Load considerations and DRE system designs for health posts on Sao Tome island 30
• Table 3.8 Load considerations and DRE system designs for health posts on Principe island 30
• Table 3.9 Load considerations and DRE system designs for health centres on Sao Tome island 31
• Table 3.10 Details of power outages by island and type of facility (hours/day) 32
• Table 3.11 Cost of DRE solutions for health posts on Sao Tome island 33
• Table 3.12 Cost of DRE solutions for health posts in Principe island 34
• Table 3.13 Cost of DRE solutions for health posts in Principe island 35
• Table 3.14 Energy consumption of infrastructure in the hospital on Sao Tome island 36
• Table 3.15 DRE system designs for hospital on Sao Tome island 37
• Table 3.16 Summary of the overall system design for hospital on Sao Tome island 37
• Table 3.17 Energy consumption of infrastructure in the hospital on Principe island 38
• Table 3.18 DRE system designs for hospital on Principe island 38
• Table 3.19 Cost of DRE solutions for hospital on Sao Tome island (regular load) 39
• Table 3.20 Cost of DRE solutions for hospital on Principe island 39
• Table 3.21 Summary of investment requirement for powering all health facilities with DRE, distributed by type of facility and load type (in USD) 40
• Table 4.1 Training needs identified across the implementation phases in São Tomé and Príncipe 45
• Table 5.1 Load critical equipment to be considered for energy efficiency 48
• Table 5.2 DRE design template for staff housing for health centres in São Tomé and Príncipe 49
• Table A1.1 Comparison between the costs estimated by the companies 54
• Table A2.1 Optimisation benchmarks for various rooms of health facilities 58
• Table A3.1 Training needs identified across the implementation phases in São Tomé and Principe 59
• Abbreviations 5
• Executive summary 6
• 01 Sustainable energy for universal health coverage 9
• 1.1 Context of health care in São Tomé and Príncipe 10
• 1.2 Potential of renewable energy for powering health care in São Tomé and Príncipe 14
• 1.3 Potential outcomes of the health–energy programme 15
• 02 Approach and methodology adopted for the assessment 17
• 2.1 Conceptual framework for assessment 18
• 2.2 Assessment methodology 19
• 03 Solar energy system designs and costs 21
• 3.1 Solar energy system design parameters 22
• 3.2 Solar energy system design assumptions 22
• 3.3 Solar energy system design options 27
• 3.4 Solar energy system design templates: health posts and health centres 30
• 3.5 Solar energy system cost assumptions 32
• 3.6 Solar energy system costs: health posts and health centres 33
• 3.7 Solar energy system design templates: hospitals 36
• 3.8 Solar energy system costs: hospitals 39
• 3.9 Cost summary for powering all types of health facilities with decentralised renewable energy 40
• 04 Strengthening ecosystem for energising health care in São Tomé and Príncipe 41
• 4.1 Procurement and installations 41
• 4.2 Ownership, maintenance and monitoring 43
• 4.3 Training and capacity-building 45
• 05 Recommendations and way forward 47
• 5.1 Solar energy system design recommendation 47
• 5.2 Training, capacity-building and awareness 50
• 5.3 Develop health–energy inter-ministerial plan 50
• References 52
• Annexes 54