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Powering Health

Electrification Options for Developing Country Health Facilities

Power for Water

Six boys fill small water bottles from a spigot at the edge of a field.

School children collect clean water pumped by a solar array at the Kalungi Hosptal in Uganda.

In Uganda, diarrheal diseases are responsible for 17% of deaths for children under 5 and account for 30,000 deaths per year in all age groups. In addition, families spend countless hours each day transporting water from source to point-of-use locations. In the conflict-affected regions in the North, the daily trek to get water increases the vulnerability of women to attack.

Recently, the USAID Energy Team partnered with the Coca-Cola Company, Geneva Global Foundation, Solar Lights for Africa, and Global Environmental and Technology Foundation (GETF) to implement an innovative program utilizing renewable energy to provide power to two hospitals in Uganda and clean water supply to the facilities and surrounding communities.

At the Kalungi Hospital, a 2.6 kW solar array was installed at a well site several kilometers away from the hospital. This array powers a direct submersible pump which pumps the water up a hill to a holding tank at the hospital. A pipeline runs back down the hill with spigots in several locations to provide clean water to the community. Purification of the water is completed in several stages. From the 12 m deep well a water passage was constructed which pre-filters water through two chambers. A UV water purification unit completes the purification process.

In addition to the public health benefits, the water system offers an opportunity to improve the sustainability of the solar systems. Solar systems in developing countries often fail, in part, because of difficulty obtaining maintenance funds required to keep systems operational. The lack of revenue stream in many developing country health facilities which provide services free of charge magnifies this challenge. Operating budgets are typically developed at the beginning of each year and funds are not available to cover the unexpected failure of solar system components.

Combining hospital electrification projects with a community clean water pumping system is an innovative way to address this problem. At the Kalungi Hospital, excess water sold to the surrounding community provides a small revenue stream that can contribute to the maintenance costs for both the electricity generating and water pumping solar systems.

Moreover, the head doctor at the hospital expects the solar-powered water system to significantly reduce incidences of dysentery and other ailments transmitted through unclean water; improve the cleanliness and hygiene at the health clinic by allowing doctors and nurses to wash their hands and clean equipment between exams; and improve treatment by allowing patients to safely hydrate while visiting the clinic.

Flag of Uganda. Six equal horizontal bands of black (top), yellow, red, black, yellow, and red; a white disk is superimposed at the center and depicts a red-crested crane (the national symbol) facing the hoist side.

Kalungi Hospital Water and Electrification Project

Kalungi Hospital is located 125 kilometers south of Kampala, Uganda, off the Kampala-Masaka Highway. The facility serves as both a health clinic and a nursing school; nurses who complete the Kalungi program are deployed into village hospitals. The hospital has a seven person staff with one medical assistant. The clinic sees 20 to 30 patients daily; this number increases to about 50 during malaria season. Some patients can pay a small fee of roughly 400 shillings, or 22 cents.