Strengthening healthcare delivery systems in low-income countries

Abstract

Without reliable energy, even the most fundamental medical services cannot be provided. Developing solar-powered PHCs can effectively reduce the dependence on fossil fuel-based sources of energy that can potentially abate greenhouse gas (GHGs) and short-lived climate pollutant (SLCPs) emissions. This chapter will examine how healthcare delivery systems in low-income countries can be strengthened using solar energy and discusses this issue with respect to the COVID-19 pandemic. To achieve herd immunity against the COVID-19 virus, approximately 60–70% of the global population or 4.7–5.5 billion people will need to develop immunity through a vaccination. Global inequities in terms of healthcare facilities and vaccine access were already prevalent prior to the pandemic. Access to reliable electricity supply and a cold chain infrastructure is critical for marshalling an effective response for the COVID-19 pandemic. Despite significant steps, approximately 600 million people lack access to electricity in sub-Saharan Africa alone. PHCs are likely to be the first point of contact for most COVID-19 patients. Development of off-grid solar energy projects to power primary healthcare centres (PHCs) and the use solar-powered cold chains can help in building an effective and sustainable healthcare delivery mechanism across middle- and low-income countries.