Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 8023
Country/Region: Tanzania
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Care: Adult Care and Support (HBHC): $0

ACTIVITY UNCHANGED FROM FY 2008.

TITLE: PPP Solar Energy Infrastructure for Improved Health Care Delivery and Linkages in Rural Areas

NEED and COMPARATIVE ADVANTAGE: A key strategy in FY 2008 is the expansion of HIV/AIDS

services to over 500 health centres. One key barrier to the provision of medical services at health facilities is

the lack of adequate and reliable energy. Energy is needed to run diagnostic equipment, power

refrigerators, pump clean water and power up for transfer data via computer/fax, phone, or other electronic

devices. Energy is also vital in linking patients to higher levels of services and community-based services,

and aids in the timeliness and accuracy of monitoring services.

ACTIVITIES: This activity will target approximately 20 small health facilities. The focus is on health systems

with low energy requirements (5 - 10 kWh/day) that are located in remote settings with limited services and

small staff ( 0-60 beds). Electric power is usually required for lighting facilities during evening hours,

supporting limited surgical procedures, maintaining cold chain for vaccines, blood, and other medical

supplies, and utilizing basic lab equipment. Data is usually in paper registers and transferred via paper

summary forms via local transport. Patients linked to higher facilities are done so with paper-based referral

forms.

The project will do a rapid assessment of facilities that lack adequate and reliable energy in consultation

with the Government of Tanzania (GoT) and implementing partners. Priority would be given to facilities

where care and treatment is being rolled out and where weak linkages exist between the facilities and the

community home-based care services/providers.

Each facility will be required (with technical support) to a) determine typical energy usage of facilities; and b)

evaluate the energy technologies available (photovoltaic, winder, reciprocating engines, hybrid systems,

and grid extensions). For example, solar photovoltaic system with batteries is estimated to cost at $15,000

- 20,000 per facility and $500 per year in maintenance.

A private partner will be sought to offset the costs of each system and the health facility, and its respective

district health authority will be responsible the future maintenance and security.

LINKAGES: This proposal will link with a private partner TBD, with technical assistance through USAID

Washington on electrification options, and the basic care and support pilot that will link with palliative care

services. Peace Corps volunteers living in areas where facilities are located will also be involved. Linkages

will also be made with treatment referral centers, as well as HBC implementing partners (who will test the

use of phones/hand-held electronic devices to transfer data to link facilities and community-based palliative

care services, focusing on monitoring visits, referrals, and patients lost to follow-up).

SUSTAINAIBLITY: Health facilities and district health authorities will be asked to contribute to maintenance

and upkeep including security of the systems.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18273

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18273 18273.08 U.S. Agency for To Be Determined 8023 8023.08 PPP Solar

International Power

Development

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $0

ACTIVITY UNCHANGED FROM FY 2008.

TITLE: PPP Solar Energy Infrastructure for Improved Health Care Delivery and Linkages in Rural Areas

NEED and COMPARATIVE ADVANTAGE: A key strategy in FY 2008 is the expansion of HIV/AIDS

services to over 500 health centres. One key barrier to the provision of medical services at health facilities is

the lack of adequate and reliable energy. Energy is needed to run diagnostic equipment, power

refrigerators, pump clean water and power up for transfer data via computer/fax, phone, or other electronic

devices. Energy is also vital in linking patients to higher levels of services and community-based services,

and aids in the timeliness and accuracy of monitoring services.

ACTIVITIES: This activity will target approximately 20 small health facilities. The focus is on health systems

with low energy requirements (5 - 10 kWh/day) that are located in remote settings with limited services and

small staff ( 0-60 beds). Electric power is usually required for lighting facilities during evening hours,

supporting limited surgical procedures, maintaining cold chain for vaccines, blood, and other medical

supplies, and utilizing basic lab equipment. Data is usually in paper registers and transferred via paper

summary forms via local transport. Patients linked to higher facilities are done so with paper-based referral

forms.

The project will do a rapid assessment of facilities that lack adequate and reliable energy in consultation

with the Government of Tanzania (GoT) and implementing partners. Priority would be given to facilities

where care and treatment is being rolled out and where weak linkages exist between the facilities and the

community home-based care services/providers.

Each facility will be required (with technical support) to a) determine typical energy usage of facilities; and b)

evaluate the energy technologies available (photovoltaic, winder, reciprocating engines, hybrid systems,

and grid extensions). For example, solar photovoltaic system with batteries is estimated to cost at $15,000

- 20,000 per facility and $500 per year in maintenance.

A private partner will be sought to offset the costs of each system and the health facility, and its respective

district health authority will be responsible the future maintenance and security.

LINKAGES: This proposal will link with a private partner TBD, with technical assistance through USAID

Washington on electrification options, and the basic care and support pilot that will link with palliative care

services. Peace Corps volunteers living in areas where facilities are located will also be involved. Linkages

will also be made with treatment referral centers, as well as HBC implementing partners (who will test the

use of phones/hand-held electronic devices to transfer data to link facilities and community-based palliative

care services, focusing on monitoring visits, referrals, and patients lost to follow-up).

SUSTAINAIBLITY: Health facilities and district health authorities will be asked to contribute to maintenance

and upkeep including security of the systems.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16474

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16474 16474.08 U.S. Agency for To Be Determined 8023 8023.08 PPP Solar

International Power

Development

Table 3.3.09: