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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