POWERING HEALTH FACILITIES - APPROACH
The following emerging standards to operationalize, finance and implement healthcare facility electrification are from the Sustainable Energy for All (SEforALL) Powering Health Facilities - Approach, pgs. 5-6:
Once load profiles have been established, system designs have been standardized, and a costing exercise has been undertaken, an implementation strategy needs to be developed. This will include developing bidding documents and establishing the desired delivery models to pursue.
While new funding avenues can be explored, Government agencies and their partners should also be encouraged to reposition existing funding streams to include health facility electrification intervention; this could include existing grants and loans in health infrastructure, water infrastructure, and energy interventions.
Designing the system to also become the basis for a community mini-grid can help ensure the long-term sustainability of the system.
In emergency settings and to facilitate more rapid deployment, certain decision (e.g. approaching pre- qualified bidders, and applying direct procurement processes) may need to be applied.
OUTCOME: Implementation strategy, including long-term sustainability options.
Additional standards to operationalize, finance and implement healthcare facility electrification are emerging under the World Bank funded Uganda Electricity Access Scale-up Program (EASP) as follows:
Task 6, Development of an Implementation Strategy:
- Develop a detailed implementation strategy for the electrification of the facilities that are deemed feasible to benefit from the envisaged program considering the following strategies:
o The earmarked facilities shall be grouped into geographical lots, include optimum number of sites to allow economies of scale for the private sector to invest in electrification of facilities and adopt long-term service contracts;
o The Service Providers shall provide technologies meeting technical and quality standards like IEC standards and approved by the national institutions;
o The Service Providers shall be responsible for the detailed designs and have the flexibility to make reasonable adjustments to the described designs to improve efficiency and adapt to conditions dictated by the selected equipment and site conditions.
o Recommend key performance indicators (KPIs) to be adhered to by the service providers such as system reliability and availability, ensuring sustainability related to system design, O&M services;
o Suggest a third-party verification mechanism in case of disputes between Service Provider and Client on attainment of KPIs;
o Conduct a market sounding exercise to validate the approach and ensure there is adequate interest from potential Service Providers to ensure successful implementation and conclusion of contracts as earmarked in the concept; and
o Revise the implementation strategy and develop appropriate tender documents.
Source: Ministry of Energy and Mineral Development; Uganda Energy Access Scale-Up Project, Terms of Reference (2020); pgs. 5-13. (See 2.0. Bibliography)