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…)