1 | C L E A N C O O K S T O V E S A N D F U E L S
Clean Cooking and Child Survival Workshop
Haatiban, Pharping, Nepal March 28 - 29, 2015
2 | C L E A N C O O K S T O V E S A N D F U E L S
The Global Alliance for Clean Cookstoves will create a thriving market for clean cookstoves and fuels.
PROBLEM MISSION GOAL
which leads to…
Every day,
3 BILLION PEOPLE(500 million households)rely on solid fuels to power their rudimentary stoves
- 4,300,000 deaths annually
- Wasted productivity
- Climate, forestry & other environmental degradation
- 21% of global black carbon emissions
- Health & economic burdens that disproportionately impact women & girls
- SAVE LIVES
- IMPROVE LIVELIHOODS
- EMPOWER WOMEN
- PROTECT THE ENVIRONMENT
100 MILLIONHOUSEHOLDS ADOPT CLEAN AND EFFICIENTCOOKSTOVES & FUELS BY 2020
3 | C L E A N C O O K S T O V E S A N D F U E L S
Our market based approach is built on three core strategies …
Strengthen Supply
Innovation
Capacity Building
Financing
Inclusive Value Chain
Enhance Demand
Awareness
Accessibility
Affordability
Enable Markets
Standards & Testing
Research
Advocacy & Policy
4 | C L E A N C O O K S T O V E S A N D F U E L S4 | C L E A N C O O K S T O V E S A N D F U E L S
Strengthening the Impact of Clean Fuels Across the Value Chain
Resource Availability
Production/
Processing
Distribution
Use Impacts
Evaluate social, economic and environmental impacts and research gaps across fuel value chain
Fuel Enterprise Innovation, Scale, and Capacity Building
Coordinate activities, including capacity building, with bioenergy/ethanol global strategic partnership networks
Improve understanding of global clean fuels
supply and demand
Improve understanding of drivers of adoption of clean fuels
and resulting impacts on pollution, exposure and health
Expand access and affordability of LPG in Ghana, India and
Kenya
Improve access and scale to LPG and electricity in India through
market research, awareness-raising and demand creation
5 | C L E A N C O O K S T O V E S A N D F U E L S
Clean Fuels are Central to Alliance Public Health Portfolio
• ‘Clean’ for Environment ≠ ‘Clean’ for Health!• Credible International
Standards Development Bodies Inform Definition of ‘Clean’ Cooking Technologies
Tier 4* for ‘indoor
emissions’ will likely achieve the
greatest health benefits
≠ ≠
6 | C L E A N C O O K S T O V E S A N D F U E L S
Demonstration Phase andInfrastructure Development
Coordinated Collaborative Network for Evaluation Research
Clean Cooking Exposure and Adoption: Network for Evaluation Research (CLEANER)
• Coordinated, multi-country applied research• Coordinated evaluations of scale up
– exposure and health effects
2012 2013 2014 2015 2016 2017 2018 2019 2020
PHASE 2PHASE 1 PHASE 3
Ensuring Sustained Adoption
Health Effects of Air Pollution
Impacts on Adult Chronic Disease (Cardiovascular and Pulmonary) Indicators and Outcomes
Burns Research and Prevention
Impacts on Child Survival
Approaches to Measuring Cognitive Effects
Measuring Exposure Reductions
+more…
Household Ambient Pollution
7 | C L E A N C O O K S T O V E S A N D F U E L S7 | C L E A N C O O K S T O V E S A N D F U E L S
• Much of earlier research did not focus on very clean stoves
• Preliminary results from research on truly clean cooking and child survival in Ghana, Nepal, and Nigeria are more promising: – Exposure results demonstrate
a remarkable shift in the distribution of women’s exposures to pollution
– Very low levels suggest intense, near-exclusive use of clean fuels
Are We Getting Clean Enough to Impact Child Survival?
When people have access to very clean fuels, they use it every day, and they stop using lesser technologies
‘Intensive’ adoption of clean fuels can bring exposures down to WHO air quality guideline levels
8 | C L E A N C O O K S T O V E S A N D F U E L S
Enterprise Development
Strengthening Fuel Supply
Advocacy and Awareness
Broad Communication Ensures Impact of Results
Guidelines and Standards
Demonstrating Adoption / Evaluation
Integrate Results into Global Evidence Base
Commission Research
Research to Inform Key Evidence Gaps
Research Prioritization
Ensuring Widespread Relevance of Research Results
9 | C L E A N C O O K S T O V E S A N D F U E L S
Snapshot of Workshop Participants
• Active in 9 Countries:– Bangladesh, Ghana, Guatemala, India, Kenya, Malawi,
Nepal, Nigeria, Rwanda• Expertise:
– Medicine (obstetrics, pediatrics, pulmonology, cardiology), Epidemiology, Applied Public Health Research and Evaluation, Exposure Assessment, Risk Assessment, Communications, Health Policy
• Range of Experience:– ‘founders of the field’ – new investigators with expertise from related sectors
10 | C L E A N C O O K S T O V E S A N D F U E L S
Day 1 Agenda
Exposure Assessment• Nepal Study: Including Mix of Seasonality in Outcomes and Exposure • Ghana Study: Exposure assessment outcomes • Assessing the impact of an ethanol fueled cookstove on personal exposures in urban Nigeria Notes from the Field• Nepal PEER Study Verma/Pokhrel• A large-scale program to provide water filters and cook stoves in Rwanda• Cookstoves and Pneumonia Study, Malawi, and the BREATHE consortium Context Matters: Influence of Covariates on Assessment of Impact of HAP Reductions on HealthClinical Assessments in the Field• Lessons Learnt from Ongoing HAP Study in Nigeria• Issues in Measurement of Health Outcomes in Field Settings: ALRI and Reproductive Outcomes • Health Outcome assessments in Household Air Pollution Trials: Challenges and Experience of
GRAPHS
ATTEMPTED: Time for Adequate Open Discussion (dependent on speakers…ahem…)
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