Conflict, Health, and Electricity: An Empirical Assessment of the Electrification of Healthcare Facilities

Conflict, Health, and Electricity: An Empirical Assessment of the Electrification of Healthcare Facilities Authors: Adnan Al-Akori, Dawud Ansari, Catherina Cader, Wassim Brahim, Philipp Blechinger While the effect of energy on conflict is ‎well-studied, scholars have rarely ‎investigated the impacts ‎of conflict on electricity (setups) and ‎healthcare. Prolonged ‎violence has exacerbated Yemen’s ‎energy crisis — ‎a dynamic which has also affected ‎healthcare facilities. We construct and analyse a ‎dataset of healthcare facilities, ‎‎including their power mix and conflict situation. The study ‎addresses both researchers of ‎the ‎energy-health-conflict nexus and Yemen analysts. We perform ‎interviews, QGIS ‎mapping, hierarchical clustering, and logistic regressions to review the situation, ‎identify ‎relevant patterns, and estimate ‎the conflict’s impact. ‎ Our analysis reveals that most facilities (58%) have no electricity, but patterns are ‎diverse and non-‎trivial. Rural facilities have either never had electricity (‘Deserted ‎Village ‎Units’) or their power has been cut off (‘Brownout Stations’). In contrast, some facilities ‎in cities have switched to ‎sophisticated hybrid systems (‘War-torn City Hospitals’). A ‎large, spatially concentrated group of ‎mid-sized facilities managed to go from no ‎electricity ‎to all-solar (‘Solar Centres’). The role of ‎conflict is non-monotonous and ‎depends on the exposure and type. Both the most-affected and least-‎affected facilities ‎tend to have electricity, while those in between are left behind. Ground combat ‎‎decreases the probability of obtaining solar energy, while airstrikes do not. Knowledge ‎and ‎knowhow remain a strong lever to support development, e.g. by promoting hybrid ‎systems and ‎solar mini-grids. The dynamics showcase the transformative and ‎redistributive moment of conflict which deprives some of electricity but facilitates novel ‎technologies elsewhere. We advocate for ‎research and policy focusing on technological ‎shifts in conflict-affected countries. Download
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