Health and MDG’s - HEDON Household Energy Network€¦ · Health and MDG’s Using Energy to...
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Health and MDG’sUsing Energy to support health and health services
Glossary of terms
Energy – mhando dzemoto, simba nemafuta
Health – Hutano
Health services – mabasa ekubatsira vanorwara
MDGs - Sungano nezvinangwa zvebudiriro yenyika
IntroductionMDG’s 4, 5 and 6 relate directly to healthAll other MDG’s have linkages with healthGood health reflects on the community’s ability to respond to challengesCommunities need to work to de-couple health from poverty
Slide 1a
IntroductionRelate – zvine chekuita/ukama kana kuti zvinoenderanaDirectly – zvakanangana nechinhuLinkages – zvinobatanidza zvinhuCommunity – Vanhu vanogara panzvimbo imwechetemumamana/munharaundaReflects – zvinoratidzaRespond – kuwana mhinduro (kudambudziko)Challenges – zvimingamupinyi/matambudzikode-couple - kupatsanuraPoverty - hurombo
Slide 1b
What are the key health issues in the district?
Malaria?HIV and AIDS?Stomach ailments?Eye disease?Maternal health?Child health?Paternal health?Access to facilities?
Slide 2a
What are the key health issues in the district?
Key - zvakakoshahealth issue – nyaya yezveutanoStomach ailments – zvirwere zvemanyokaEye disease – zvirwere zvemazisoMaternal health – hutano hwaana amaiChild health – hutano hwevanaPaternal health – hutano hwaana babaAccess – mukana wekuwana chinhufacilities – zvipatara
Slide 2b
Factors that drive the key health issues
awarenessuncontrolled mosquito breedinglack of mosquito netslack of mosquito sprayspoor diagnosispoor access to health care facilitieslack of malaria control drugsunpredictable climate
Slide 3a
Factors that drive the key health issues
Awareness – kuva neruzivo rwechinhu (sezvirwere)uncontrolled – pasina kudzorwamosquito breeding – kuzvarana nekuwanda kweutungalack of – kushayamosquito nets – mambure ekudzivirira kurumwa neutungamosquito sprays – mishonga yekumwaya nekuuraya utungapoor – zvisina kunyatsoita nemazvoDiagnosis – kuongorora nekutsvaka (chirwere)control drugs – mishonga inodzivirira chirwere unpredictable – zvinonetsa kuziva kuti zvichafamba seiClimate – mamiriro ekunze
Slide 3b
Factors that drive the key health issues (cont’d)
overwhelmed care systemspovertyunemploymentlimited support systemsinverted populationpoor water suppliespoor food securitypoor energy systems
Slide 4a
Factors that drive the key health issues (cont’d)
overwhelmed – kukurirwa (kutadza kupa rubatsiro)care systems – zvinobatsira vanorwara sezvipataranemakirinikipoverty - urombounemployment – kusashanda basa rinopa marilimited - kushomeka kwezvinhusupport systems – zvinobatsira pakurarama (nheyodzeupenyu)inverted population – nyika ine vanhu vakawandavakachembera nevashoma vadiki water supplies – kunobva mvura yekunwa neyekushandisazvimwewofood security – kuwanikwa kwechikafu chakakwana munyikaenergy systems – mhando dzemoto, simba nemafutazvichisanganisira midziyo nemichina inoshandiswapakuzvishandura pakuzvitakura nepakuzvishandisa
Slide 4b
Energy and Health Linkages
Energy use Impacts on healthexposure to indoor pollutionstrain from carrying heavy loadsexposure to hazards is sourcing woodrisk of poisoning from keroseneeye strain from poor lighting levelseye irritation from smoke
Slide 5a
Energy and Health Linkagesuse - kushandiswaImpacts – zvinokonzerwa nekuitika kwechinhu (kuhutano hwevanhukuburikidza nekushandiswa kwemhando dzemoto)exposure to indoor pollution – kufema hutsi mudzimbastrain – mutorocarrying heavy loads – kutakura zvinoremaexposure to hazards – kuzvipinza pane zvinokuvadzaRisk – zvine njodzipoisoning – mucheturaKerosene - parafinieye strain – kukuvara mazisopoor lighting levels – mwenje isingaonieye irritation – kuvaviwa mazisosmoke - utsi
Slide 5b
Effects of Indoor Pollution from Firewood Use
Effects - zvinokonzerwa
Indoor pollution – hutsi hwakanyanya mudzimba hunogonakurwarisa vanhu nezvirwere zvekukosora nekusafema zvakanaka
Firewood use – kushandisa huni
Provincial Human Poverty Comparison (1999)Province Non
survival>40 yrs %
Illiteracy%
Under-weight
%
No accessto cleanwater %
No accessto healthcare %
Livingstandardsdeprivation
HumanPovertyIndex
MashCentral 20.7 33.0 16.9 28.4 9.6 18.3 25.69Manicaland 22.0 24.8 11.7 30.0 9.3 17.0 21.71Masvingo 19.3 24.2 23.2 31.8 3.1 19.4 21.20Mash West 18.1 24.6 17.6 22.6 11.2 17.1 20.49Mash East 16.9 20.1 16.3 41.4 7.0 21.6 19.71Mat. North 12.0 26.3 9.1 23.9 8.8 13.9 19.59Midlands 16.9 18.5 11.1 31.4 9.9 17.4 17.61Mat South 10.8 22.0 6.8 28.8 6.3 14.0 16.96Harare 13.2 6.0 10.7 1.5 7.3 6.5 9.23Bulawayo 9.7 6.4 4.0 0.1 14.0 6.0 7.73
Zimbabwe 16.9 19.6 13.3 23.4 8.8 15.2 17.40
Slide 6a
Provincial Human Poverty Comparison (1999)
Human – munhu (zvine chekuita nevanhu)poverty – huromboComparison – kuenzanisaNon-survival – kusararamaIlliteracy – kusadzidzaUnder-weight – vanhu vanorema zvakanyanya kudzikaNo access - vasingawani clean water – mvura yakachenahealth care – kubatsira vanorwara (kurapa)Living standards – magariro (akanaka) evanhudeprivation – kushayaHuman poverty index – Keunzaniswa kweurombo pakati penyika(Chiereso chinoshandiswa kuona huwandu hwevanhuvanotambura kana kuwana mari shomanana munyikazvichienzaniswa nedzimwe nyika)
Slide 6b
Energy Solutions for Health
Clean water supplydeep well pumpingwater treatment
Irrigationaugment rainfallincrease dry season cropping
Improve quality of lightingreduce eye strainenable emergency care at night
Slide 7a
Energy Solutions for HealthSolutions – mazano ekugadzirisa dambudzikoclean water supply – mvura yachenadeep well pumping – kugwedya mvura inobva pasi pasiwater treatment – kubvisa utachiona mumvura nekuichenesakuti ishandisike nevanhuIrrigation – kudiridzira zvirimwaaugment rainfall – kututsira mvura inonayadry season cropping – kurima muchirimoImprove – kugadzirisa kuti mhando yechinhu ive yapamusoroquality of lighting – kujeka kwemwenjeeye strain – kukuvara mazisoemergency care – kubatsira vanorwara nekukasika
Slide 7b
Energy Solutions for Health
Improve availability of cooking energy
encourage preparation of health mealsreduce drudgery in cooking
Make refrigeration availableimprove medicines and vaccine availabilityImprove availability of fresh foods
Slide 8a
Energy Solutions for Health
availability – kuwanikwa kwechinhucooking energy – mhando dzemoto, simba nemafutaanoshandiswa pakubikaencourage - kukurudzirapreparation - kugadzirirahealth meals – kudya kunopa hutano hwakanakareduce - kuderedzaDrudgery - Basa rinonetesa, rinoswererwa uye rinenemutoro refrigeration – kutonhodza zvinhu nemudziyo wefirijimedicines – mishonga nemapiritsiVaccine - nhombafresh foods – zvekudya zvichangobva kubikwa, kugadzirwakana kubva mumunda, zvisina kushova/kushisha Slide 8b
Energy Solutions for Health
Provide biofuels for transportimprove emergency health servicesimprove access to health services
Provide solar PV lighting for staffimprove health service staff retentionimprove night time health service
Slide 9a
Energy Solutions for HealthBiofuels – mafuta anobva muzvirimwa anogona kushandiswamumotokari kana pakubika nekuita mamwe mabasa akasiyanasiyanaTransport – zvekufambisa (semota nemabhazi)emergency health services – vanobatsira vanorwara nekukasikasolar PV – simba remagetsi rinobva muzuvalighting – mwenjestaff – vashandi sevana mukoti nanachirembaRetention – kuchengetedza vashandi vasatiza basanight time - usikunight time health service – kubatsira vanorwara usiku
Slide 9b
ExerciseWhat are the key energy interventions needed to improve health and health services in the district?
List five key interventionsWhat are the major barriers to these interventions?what strategies are needed to implement them?Who could lead the development of these interventions? Slide 10a
Exercise (Zvekuita)Key – zvakanyanya kukoshaInterventions – zvingangoitwa kupedza dambudzikoList – kudoma zvinhu zvitevedzanaMajor - zvakanyanya kukoshabarriers – zvimhingaidzo zvinoita kuti mazanonehurongwa zvisabudirirastrategies – hurongwa hwekupedza dambudziko implement – kuita zvinenge zvarongwalead – kutungamiriradevelopment – kugadzirisa kuti zano ribudirire
Slide 10b
Financing Energy for Health
Investing in energy for health services increases costBenefits of improving health services are indirectCost can be offset by linking energy for health services to income generationHealth service fees can be collected but service is required even when there are no fees
Slide 11a
Financing Energy for HealthFinancing – kupa mari inoshandiswapazvirongwaInvesting – kushandisa mari kazhinji kutimangwana uwane mugove pamari yakoBenefits – zvinobatsiraCost - mutengoIndirect – hazvinyatsowoneka (hazvisi pachena)offset – kuderedzwaincome generation – basa ringaitwe rinopa marifees – mari inobhadhariswa (kuti vanhuvarapiwe)Collected - kuwunganidzwa
Slide 11b
Linking Energy for Health to IncomeUse of cleaner modern energy allows for more productive workCleaner energy reduces the cost of health careEnergy facilities can serve both health and productive facilitiesImproving nutrition improves healthFee for service should be applied wherever possible
Slide 12a
Linking Energy for Health to Incomecleaner – zvakachenamodern – chinhu chemazuvano (semidziyo)productive work – basa rinopa marienergy facilities – nzvimbo inogadzirwa kana kubikwa mhando dzemoto, simba nemafuta serve – kushanda kana kushandiswa se…..productive facilities – nzvimbo inoitirwa basaringapa mariNutrition – kudya zvinopa utano hwakanakaFee for service – mari inobhadharirwa basarinenge raitwa
Slide 12b
ExerciseHow has lack of funding affected provision of health services?How can energy for health be financed in the district?How viable is a fee for service scheme?What opportunities exist for linking energy for health to income generation?
Slide 13a
ExerciseLack of - kushayaFunding – mari inopiwa nehurumende kumatunhuProvision – kuwanisa/kupiwaEnergy for health – mhando dzemoto dzinobatsira kutikuve neutano hwakanakaFinanced – kuwana mari yekuzadzikisa chirongwaViable – zvinokwanisika (here?)/vanhu vanogonakubhadhara (here?)Scheme - hurongwaOpportunities – mikanaExist – zvinowakwa/zviripo
Slide 13b
Linking Energy for Health to other MDG’s
What energy technologies are key to health services in the district?
How do they reduce poverty?How would they improve women’s health?How would they improve child health?How would they improve education?
Slide 14a
Linking Energy for Health to other MDG’s
Energy technologies – ndudzi dzemoto, simba nemafuta(kusanganisira midziyo inoshandiswa nadzo)Reduce - kuderedzaPoverty - hurombowomen’s health – hutano hwevakadzichild health – hutano hwevanaEducation - dzidzo
Slide 14b
Linking Energy for Health to other MDG’s (cont’d)
How would they improve gender equality?How would they improve sustainable development?How could partnerships enhance cleaner energy for health?
Energy for health should be financed from local production hence partnerships should be considered with care.
Slide 15a
Linking Energy for Health to other MDG’s (cont’d)
gender equality – kubvisa rusaruro pakati pevakadzinevarumesustainable development – budiriro ine hungwaru (isingaunzikutambura kune rimwe boka revanhu, kuparadzwakwezviwanikwa, uye inoita kuti vachazouya mumashurevakwanise kugara zvakanakawo)partnership - kudyidzanaenhance - kututsiralocal production –zvinhu zvinogadzirwamunharaunda/mudunhucare - kungwarira
Slide 15b