Solar cures energy ills at Zimbabwe's power-short clinics

by Jeffrey Moyo | @moyojeffrey | Thomson Reuters Foundation
Friday, 21 December 2018 08:00 GMT

Anaesthetist Irene Mdewa and surgeon Sithole Bee photographed in the operating theatre at Nkayi District Hospital, Bulawayo, Zimbabwe, June 2018. Courtesy of UNDP Zimbabwe/Slingshot

Image Caption and Rights Information
Solar power systems at health centres enable live-saving equipment to function, vaccines to be refrigerated, computers to work and patients to get better treatment - and they are good for the climate

By Jeffrey Moyo

HARARE, Dec 21 (Thomson Reuters Foundation) - The giant solar panels mounted on the roof of Budiriro Polyclinic, a public health centre in Harare, bring a smile to the faces of patients, including 40-year-old Alen Tafirei.

The steady power supply from the sun means vaccines can be refrigerated, for example, without disruption from frequent outages as in the past.

"We are now no longer inconvenienced with excuses from nurses of the unavailability of electricity to cater for some services," said Tafirei, who was suffering from a bad headache. "Solar helps us quite a lot."

So far, 405 healthcare facilities have been equipped with solar systems across Zimbabwe's 10 provinces, in a partnership between the United Nations Development Programme (UNDP) and Zimbabwe's Ministry of Health and Child Care.

The Global Fund to Fight AIDS, Tuberculosis and Malaria is funding the project.

Amid a global trend to equip health facilities in developing countries with solar power systems, Zimbabwe is one of the first to benefit in southern Africa.

Installations under the "solar-for-health" programme started in early 2017.

Then, Zimbabwe had been experiencing power cuts of up to 18 hours a day for about two years as drought shrank water levels for hydro and electricity imports were unable to fill the gap.

Cricensia Tshuma takes vaccines to a refrigerator at the Budiriro Polyclinic, Harare, Zimbabwe, June 2018. Courtesy of UNDP Zimbabwe/Slingshot

The outages were damaging for pharmaceuticals and laboratories that must be kept at certain temperatures, said Emmanuel Boadi, a UNDP programme manager in Zimbabwe.

"It was creating problems, affecting the quality of health products," he told the Thomson Reuters Foundation.

Barbara Mashonga, a sister-in-charge at Budiriro Polyclinic, said the health centre's electricity bill had dropped sharply since it started producing its own solar power.

Mothers no longer have to give birth by candlelight, and vaccines do not need to be sent for storage elsewhere during power cuts, she added.

UNDP's Boadi said other facilities had also experienced similar benefits.

In a letter to UNDP, the Regina Coeli Mission Hospital in Manicaland Province, for example, said its 10-kilowatt solar system had gone "a long way in supporting and enhancing quality service delivery", as well as saving on electricity costs.

The solar power supply serves as a back-up for the maternity ward, operating theatre, outpatients, women's and child health departments, and the administration block, it added.

Phillip Ncube, hospital electrician at the Nkayi District Hospital in Bulawayo, poses for a photograph next to the solar panels he maintains, Zimbabwe, June 2018. Courtesy of UNDP Zimbabwe/Slingshot

SECURITY RISKS

Despite the benefits of the new clean energy systems, there have been teething troubles, which project officers have sought to address.

Boadi said panel breakdowns and tampering could be detected using remote monitoring systems on rooftops.

Engineer Clive Marimo, director for hospital planning and infrastructure at the Ministry of Health and Child Care, said theft of solar panels was a major issue, as was maintenance. To protect the equipment, metal fences have been provided, and the ministry has also employed security guards at some sites, he added.

Other clinics have hired private guards or are working with local police.

What to do with expired solar batteries, which last for eight to 10 years, is another challenge. UNDP is working with a sustainability consultant to find an environmentally friendly way to dispose of them, said Boadi.

Before the new solar systems were installed, the vast majority of the clinics used grid power, when it was available.

A few without a grid connection had solar systems provided by the Rural Electrification Agency, but those had broken down, forcing them to rely on candles and small petrol generators.

The U.N. children's agency, UNICEF, is also now planning to install solar systems in clinics and schools, said UNDP Zimbabwe Country Director Georges van Montfort.

An evaluation of the project in 2019 will be used as a basis to seek funding from private-sector companies to expand the initiative, he added.

Data from 2018 is not yet available but initial feedback from sites with solar power is "very positive", he noted.

Since the installation of solar panels at Sipepa Rural Hospital, Nigel Ndebele, a data capturer, has been able to do his job without being interrupted by power cuts, Bulawayo, Zimbabwe, June 2018. Courtesy of UNDP Zimbabwe/Slingshot

ONLINE DATA

For HIV/AIDS activists like 47-year-old Melvin Chinovava, a member of the Mudavanhu support group in Mwenezi district, Masvingo Province, the solar-for-health scheme has made it easier and quicker to get his antiretrovirals.

"With access to solar power, nurses just turn on their computers to see which line of drugs I'm supposed to get as per my medical records," he said.

In the past, patients had to wait for nurses to go through piles of records manually to find out which treatment regime suited them, he told the Thomson Reuters Foundation.

The online data system enables patients who need to move for their work to continue treatment uninterrupted at a new healthcare centre, said UNDP spokesman Anesu Freddy.

It was while helping the health ministry computerise its data on HIV/AIDS patients that UNDP understood the need for a constant electricity supply, which was a key driver of the solar-for-health initiative, Freddy added.

Besides improving access to high-quality health services, the project also aims to reduce planet-warming carbon emissions from the health sector, said UNDP's Boadi.

The solar-for-health programme can help Zimbabwe meet its goals under the 2015 Paris Agreement to curb global warming, which include boosting renewable energy, officials said.

Eventually, UNDP hopes solar systems can be installed to power schools, local government offices, farms and homes too.

"Setting up solar mini-grids for clean energy in communities remains an idea which we will implement on getting more funding," said Freddy.

(Reporting by Jeffrey Moyo; editing by Megan Rowling. Please credit the Thomson Reuters Foundation, the charitable arm of Thomson Reuters, that covers humanitarian news, climate change, women's and LGBT+ rights, human trafficking and property rights. Visit http://news.trust.org/climate)

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