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THE ENERGY ACCESS SITUATION IN DEVELOPING COUNTRIES A Review Focusing on the Least Developed Countries and Sub-Saharan Africa UnitedNationsDevelopmentProgramme TheUnitedNationsDevelopmentProgramme(UNDP)istheUN'sglobaldevelopmentnetwork, advocatingforchangeandconnectingcountriestoknowledge,experienceandresourcestohelp peoplebuildabetterlife.Weareonthegroundin166countries,workingwiththemontheirown solutionstoglobalandnationaldevelopmentchallenges.Astheydeveloplocalcapacity,theydraw onthepeopleofUNDPandourwiderangeofpartners. Worldleadershavepledgedtoachievethe MillenniumDevelopmentGoals,includingtheoverarchinggoalofcuttingpovertyinhalfby2015. UNDP'snetworklinksandcoordinatesglobalandnationaleffortstoreachtheseGoals.Ourfocus ishelpingcountriesbuildandsharesolutionstothechallengesof:DemocraticGovernance,Poverty Reduction,CrisisPreventionandRecovery,andEnvironmentandSustainableDevelopment.UNDP helpsdevelopingcountriesattractanduseaideffectively.Inallouractivities,weencouragethe protectionofhumanrights,theempowermentofwomenandcapacitydevelopment. TheWorldHealthOrganizationisthedirectingandcoordinatingauthorityforhealthwithinthe UnitedNationssystem.Itisresponsibleforprovidingleadershiponglobalhealthmatters,shaping thehealthresearchagenda,settingnormsandstandards,articulatingevidence-basedpolicyop- tions,providingtechnicalsupporttocountriesandmonitoringandassessinghealthtrends.WHO ispresentin147countryoffices,sixregionalofficesandattheheadquartersinGeneva,Switzerland. WHO and its Member States work with many partners, including UN agencies, donors, non- governmentalorganizations,WHOcollaboratingcentresandtheprivatesector. THE ENERGY ACCESS SITUATION in developing countries A Review Focusing on the Least Developed Countries and Sub-Saharan Africa LeadAuthors: GwénaëlleLegros,InesHavet,NigelBruce,andSophieBonjour Contributors: KamalRijal,MinoruTakada,andCarlosDora November2009 UnitedNationsDevelopmentProgramme ©CopyrightUNDPandWorldHealthOrganization2009 Allrightsreserved. UnitedNationsDevelopmentProgramme EnvironmentandEnergyGroup BureauforDevelopmentPolicy 304East45thStreet,NewYork,NY10017,USA Website:www.undp.org/energyandenvironment TheviewsexpressedinthispublicationdonotnecessarilyrepresentthoseofthemembercountriesoftheUNDP ExecutiveBoardorofthoseoftheWorldHealthOrganization.Thedesignationsandterminologyemployedand thepresentationofmaterialdonotimplyanyexpressionoropinionwhatsoeveronthepartoftheUnitedNations andtheWorldHealthOrganizationconcerningthelegalstatusofanycountry,territory,cityorarea,orofits authorities,orofitsfrontiersorboundaries.Dottedlinesonmapsrepresentapproximateborderlinesforwhich theremaynotyetbefullagreement. Photographs: Coverbackgroundimage:WorldBank,CurtCarnemark,1996 Smallsquares:WorldBank,DominicSansoni,2002;WorldBank,JohnIsaac,2002; WorldBank,CurtCarnemark,1993;WorldBank,DominicSansoni,2002; WorldBank,DominicSansoni,2002 Designandlayout: KimberlyKoserowski Editing: KarenHolmes TheEnergyAccessSituationinDevelopingCountries:AReviewFocusingontheLeastDevelopedCountriesandSub-SaharanAfrica foreword Energyisarguablyoneofthemajorchallengestheworldfacestoday,touchingallaspectsofourlives.Forthose living in extreme poverty, a lack of access to modern energy services dramatically affects health, limits opportunitiesandwidensthegapbetweenthehavesandhavenots.Thevulnerabilityofthepoorisonly worsenedwithrecentchallengesfromclimatechange,aglobalfinancialcrisis,andvolatileenergyprices. TheglobaltargetdateforachievingtheMillenniumDevelopmentGoalsisonly6yearsaway.Whilethereisno MDGonenergy,theglobalaspirationsembodiedinthegoalswillnotbecomearealitywithoutmassive increasesinthequantityandqualityofenergyservices.Thisisneededtomeetthemostbasicneedsofpoor menandwomen,especiallyheatforcooking,andmechanicalpower.Also,improvedhouseholdenergy technologiesfortheverypoorcanpreventthealmost2millionsdeathsayearattributabletoindoorairpollution fromsolidfueluse.ThesehavebeencentralmessagesofUNDPandofWHO.However,thisreportshowsthat progress has been painfully slow in expanding access to modern energy services, particularly in poorer countries,presentingamajorroadblocktomeetingtheMDGs. Policiesandnationalprogrammesmustbedrasticallyenhancedtotackleinanysignificantwayenergypoverty. Thiscannotbedoneeffectivelywithoutaclearunderstandingoftheenergyaccesssituationincountries, includingunderstandingregionalandnationaltrends,rural/urbandisparities,andtherangeofenergysources typicallyusedinthehouseholdsofthepoor.Yet,existingglobaldatasetsandreportsoftenprovideinsufficient informationonenergyaccess,focusinginsteadmostlyonenergyproductionandconsumption. Thisreportwascommissionedtobeginbridgingthisgap,especiallyfortheLeastDevelopedCountries(LDCs) andsub-SaharanAfrica,whereenergyaccessisespeciallyconstrained.Inadditiontocompilingstatisticsfrom countriesonaccesstoelectricityandmodernfuels,aswellasdrawingontheforthcomingWHOHousehold EnergydatabaseandtheInternationalEnergyAgency’sWorldEnergyOutlook2009,thisreportsupplements existingglobalreportswithavailablestatistics(which,insomecases,aresorelylacking)onfueltypes,improved stovesusedforcooking,andmechanicalpower.Itsummarisesaswellthelatestevidenceonthehealthimpacts attributabletoindoorairpollutionresultingfromhouseholduseofsolidfuelsforcookingandheating.Italso estimatesthenumberofadditionalpeoplethatwouldhavetogainaccesstomodernenergyservicesby2015 underdifferentscenarios,includingscenariosthatarecompatiblewithmeetingnationaltargetsandtheMDGs andaredisaggregatedforLDCsandsub-SaharanAfrica. Webelievethatthisreportpaintsarelevantandtimelypictureoftheglobalenergyaccesssituationandtheir healthanddevelopmentimplicationsfordevelopingcountries.Muchmorestillneedstobedoneforamore fulsomeunderstanding,includingfurtherdisaggregatingdataandsupplementingthemwithqualitative information.Payingparticularattentiontoissuessuchasfueltypes,end-useequipment,gender,andruraland remoteareaswillgoalongwaytoinfluencingpolicyandstrengtheningeffortsbytheinternationalcommunity andnationalgovernmentstoaddressthechallengeofenergypoverty. MariaNeira VeerleVandeweerd Director,PublicHealthandEnvironment Director,EnvironmentandEnergyGroup HealthSecurityandEnvironment BureauforDevelopmentPolicy  WHO UNDP TheEnergyAccessSituationinDevelopingCountries:AReviewFocusingontheLeastDevelopedCountriesandSub-SaharanAfrica acknowledgements ThispaperwasinitiatedbytheSustainableEnergyProgramme,partoftheEnvironmentandEnergy Group (EEG) of the Bureau for Development Policy (BDP), United Nations Development Programme (UNDP)incooperationwiththeWHOProgrammeonHouseholdEnergyandHealth.Itbenefitedfrom valuablecontributionsandcollaborativeeffortsofmanypeople,includingtheleadandcontributing authorsandUNDPandWHOstaffaswellaspeer-reviewersbothinternalandexternaltoUNDPandWHO. UNDPandWHOareverygratefultotheleadauthorsGwénaëlleLegrosandInesHavet.Theirexpertise inthefieldofenergyforsustainabledevelopment,specificallyonstatisticaldataandanalysisrelatedto energyaccess,providedthefoundationforthispublication.TheyalsothankNigelBruce(PublicHealth andEnvironment,HSE,WHO)andSophieBonjour(PublicHealthandEnvironment,HSE,WHO)fortheir expertiseinenvironmentalepidemiologyandpublichealth,andthedevelopmentofthechapteronthe healthimpacts. UNDP and WHO would also like to express sincere gratitude to Kamal Rijal (Sustainable Energy Programme,EEG,UNDP),MinoruTakada(SustainableEnergyProgramme,EEG,UNDP)andCarlosDora (PublicHealthandEnvironment,HSE,WHO)fortheircontributionsandforprovidingguidanceforthe overallorientationofthepaper. We are very grateful to MinoruTakada for initiating this study, and toVeerleVanderweerd (Director, EnvironmentandEnergyGroup,UNDP)forherongoingguidanceandencouragement,andthetime contributedtofinalisingthispublication. WewouldliketothankEvaRehfuess(formerWHOresponsibleofficerfortheProgrammeonHousehold EnergyandHealth)forinitiatingthecollaborationbetweenUNDPandWHO,PhilippLambach(Health SecurityandEnvironment,WHO)forhiscontributiontothedevelopmentoftheWHOhouseholdenergy database, and Annette Prüss-Üstün (Public Health and Environment, HSE,WHO) for her expertise in burdenofdiseaseassessmentandherinputtotheWHOHouseholdenergydatabase. WearegratefultoFatihBirol,ChiefEconomistoftheInternationalEnergyAgency(IEA),andhisteam— Raffaella Centurelli, Teresa Malyshev, and Paweł Olejarnik—for providing the IEA database on electrificationratespublishedintheWorldEnergyOutlook2009. The study was subjected to a rigourous process of peer review. Grateful thanks are extended to the followingdevelopmentpractitionersfortheirthoughtfulandinsightfulcomments:AkankshaChaurey (TERI),ElisabethClemens(UNDP),StephenGitonga(UNDP),ConradHeruela(UNEPConsultant),Steven Hunt (Practical Action),Thomas Jensen (UNDP Pacific Centre), Sivanappan Kumar (Asian Institute of Technology),BenoitLebot(UNDPRegionalCentreinDakar),TeresaMalysher(IEA),EricMuynck(UNDP RegionalCentreinDakar),AbdulrahmanOlhaye(UNDP),TheoSanchez(PracticalAction),ShireenSayeed (UNDPBangladesh),BaharehSeyedi(UNDP),ThiyagarajanVelumail(UNDPRegionalCentreinBangkok), andGregoryWoodsworth(UNDP). UNDPandWHOwouldalsoliketothankPhilPelter(AdministrativeAssistant,EEG,UNDP)forlogistical support,KimberlyKoserowskiforgraphicdesign,andKarenHolmesforeditorialsupport.  TheEnergyAccessSituationinDevelopingCountries:AReviewFocusingontheLeastDevelopedCountriesandSub-SaharanAfrica table of contents Foreward i Acknowledgements TableofContents ii ListofBoxes,Maps,Figures,andTables iv Abbreviations vi ExecutiveSummary 1 I. Purpose 3 II. Methodology 5 A. Datacollection 5 B. Indicatorsusedtomeasureenergyaccess 6 C. Methodsusedtoestimateenergyaccess 7 D. Considerationinusingandinterpretingestimates 8 E. Methodusedtoassessthehealthimpactsfromsolidfueluse 8 III. EnergyaccesssituationinLDCsandSub-SaharanAfrica 10 A. Accesstoelectricity 10 B. Accesstomodernfuels 13 IV. Fuelsandimprovedstovesusedforcookingindevelopingcountries 16 A. Fuelsusedforcooking 16 B. Improvedcookingstoves 19 V. Healthimpactsofhouseholdenergyuse 22 A. Healthproblemslinkedtosolidfueluse 22 B. Anotherburdenonthepoorandwomen 26 C. Effectsonglobalwarming:anopportunitytosecurehealthandclimate‘co-benefits’ 28 VI. Developingcountrieswithenergyaccesstargets 29 VII. Energyaccessin2015underdifferentscenarios 31 A. Accesstoelectricity 31 B. Accesstomodernfuels 32 VIII. Conclusions 34 References 35 Appendix1:EnergyAccessandDevelopmentMeasures 37 Appendix2:CountryClassifications 40 Appendix3:HealthImpactsofHouseholdEnergyUse 46 Appendix4:GlobalandRegionalMDG-RelatedEnergyTargets 61 Appendix5:ComparisonofScenariosofEnergyAccessin2015 64 Appendix6:TablesonEnergyAccessinDevelopingCountries 66 Appendix7:SourcesConsulted 102  TheEnergyAccessSituationinDevelopingCountries:AReviewFocusingontheLeastDevelopedCountriesandSub-SaharanAfrica list of boXes, maps, figures, and tables lst of boxes, maps, tables and figures Boxes Box1. Additionalfactorsrelevanttoenergyaccess 7 Box2. Diseaseswithgoodevidenceofalinkwithsolidfueluse 23 Box3. Descriptionofscenarios 31 Box4. WhatisaLeastDevelopedCountry? 44 Maps Map1. Shareofpeoplewithoutelectricityaccessfordevelopingcountries,2008 11 Map2. Shareofpopulationwithoutaccesstomodernfuelsfordevelopingcountries,2007 13 Map3. Numberofdeathsper1000capitaperyear,attributabletoindoorairpollutionfrom solidfueluse,2004 25 Map4. NumberofDALYsper1000capitaperyear,attributabletoindoorairpollutionfrom solidfueluse,2004 26 Map5. MapoftheLeastDevelopedCountries 45 Figures Figure1. Distributionofpeoplewithoutelectricityaccessbydevelopingregions,2008 12 Figure2. Shareofpopulation withoutelectricityaccessforLDCsandSSAcountries,2008 12 Figure3. ShareofpopulationwithoutelectricityaccessinruralandurbanareasforLDCsandSSA,2008 12 Figure4. ShareofpopulationwithaccesstodifferenttypesofmodernfuelsinLDCsandSSA,2007 14 Figure5. ShareofpopulationwithaccesstomodernfuelsinruralandurbanareasofLDCsandSSA,2007 14 Figure6. ShareofpopulationwithaccesstomodernfuelsinLDCsandSSAcountries,2007 14 Figure7. Distributionofpeoplerelyingonsolidfuelsforcookingbydevelopingregions,2007 16 Figure8. Shareofpopulationrelyingondifferenttypesofsolidfuelsforcookingbydeveloping regions,2007 17 Figure9. Shareofpopulationindevelopingcountriesrelyingondifferenttypesofcookingfuels,2007 17 Figure10. ShareofpopulationrelyingondifferenttypesofcookingfuelsinLDCsandSSA,2007 18 Figure11. ShareofpopulationrelyingondifferenttypesofmodernfuelsforcookingforselectedLDCs andSSAcountries,2007 18 Figure12. ShareofpopulationrelyingondifferenttypesofcookingfuelsinruralandurbanareasofLDCs andSSAcountries,2007 19 Figure13. DistributionofpeoplewithaccesstoICSbydevelopingregions,2007 21 Figure14. ShareofpopulationrelyingonsolidfuelsforcookingwithaccesstoICS,2007 21 Figure15. ShareofpopulationrelyingonsolidfuelsforcookingwithaccesstoICSforselectedLDCsand SSAcountries,2007 21  TheEnergyAccessSituationinDevelopingCountries:AReviewFocusingontheLeastDevelopedCountriesandSub-SaharanAfrica Figure16. Numberofdeathsattributabletoindoorairpollutionfromsolidfueluse,bydiseases,2004 24 Figure17. NumberofDALYsattributabletoindoorairpollutionfromsolidfueluse,bydiseases,2004 24 Figure18. SharebygenderofCOPDandlungcancerdeathsattributabletosolidfueluseinadults>30y 27 Figure19. NumberofCOPDdeathsper1millionpopulationattributabletosolidfueluse,bygender 27 Figure20. Numberoflungcancerdeathsper1millionpopulationattributabletosolidfueluse,bygender 28 Figure21. Shareofcountrieswithelectricityaccesstargetsbyregion 30 Figure22. Shareofcountrieswithtargetsonaccesstomodernfuelsbyregion 30 Figure23. ShareofcountrieswithtargetsonaccesstoICSbyregion 30 Figure24. Shareofpopulationwithelectricityaccessin2015underdifferentscenarios 32 Figure25. Shareofpopulationwithaccesstomodernfuelsin2015underdifferentscenarios 33 Figure26. Developmentmeasuresandenergyaccess(a-d)/(e-h) 38/39 Figure27. (a)Attributabledeathsfrompneumonia<5years/1000capita,and(b)attributableDALYs frompneumonia<5years/1000capita 49 Figure28. (a)AttributabledeathsfromCOPD>30years/1000capita,and(b)attributableDALYsfrom COPD>30years/1000capita 49 Figure29. (a)Attributabledeathsand(b)DALYsfromlungcancer,inadults>30years/1millionpopulation 50 Figure30. HumanDevelopmentIndex2007versusattributabledeathrates(allcauses)fromsolidfueluse 50 Figure31. HumanDevelopmentIndex2007versusattributabledeathratestopneumonia from solidfueluse 50 Figure32. HumanDevelopmentIndex2007versusattributableCOPDdeathsfromsolidfueluse 51 Tables Table1. Numberofcountrieswithdataavailableonaccesstoelectricity 10 Table2. Accesstoelectricityintheworld,2008 10 Table3. NumberofpeoplewithoutelectricityaccessinLDCsandSSA,2008 11 Table4. Numberofcountrieswithdataavailableonaccesstomodernfuels 13 Table5. NumberofpeoplerelyingonsolidandmodernfuelsforcookingforLDCsandSSA,2007 16 Table6. Numberofcountrieswithdataavailableonimprovedcookingstoves 20 Table7. NumberofpeoplerelyingonsolidfuelswithaccesstoICS,2007 20 Table8. NumbersandratesofdeathsandDALYspermillionpopulationattributabletoindoorair pollutionfromsolidfueluse,forallcauses(pneumonia,COPD,lungcancer),2004 23 Table9. Shareofdeathsattributabletosolidfueluse,bydisease 26 Table10. Numberofdevelopingcountrieswithenergyaccesstargets 29 Table11. Additionalnumberofpeoplewithelectricityaccessin2015underdifferentscenarios 31 Table12. Additionalnumberofpeoplewithaccesstomodernfuelsin2015underdifferentscenarios 33 Table13. Developingcountryclassification(asofearly2007) 40 Table14. IndoorlevelsofPM10andCOfromhouseholdcombustionofsolidfuels,comparedwith WHOairqualityguidelines 47  TheEnergyAccessSituationinDevelopingCountries:AReviewFocusingontheLeastDevelopedCountriesandSub-SaharanAfrica Table15. Statusofevidencelinkinghouseholdcombustionofbiomassfuelsandcoalwithchildand adulthealthoutcomes 48 Table16. Numbersofdeathsforpneumonia,COPDandlungcancerattributabletosolidfueluse, bycountry,2004 51 Table17. NumberofDALYsper1000capitaforpneumonia,COPDandlungcancerattributableto solidfueluse,bycountry,2004 56 Table18. Electricityaccess,bycountry 66 Table19. Fuelsusedforcookingandaccesstomodernfuels,bycountry(nationalpopulation) 71 Table20. Fuelsusedforcookingandaccesstomodernfuels,bycountry(ruralpopulation) 78 Table21. Fuelsusedforcookingandaccesstomodernfuels,bycountry(urbanpopulation) 84 Table22. Useofimprovedcookingstoves,bycountry 90 Table23. Accesstomechanicalpower,bycountry 93 Table24. Numberofcountrieswithavailabledataonenergyaccess 94 Table25. Percentageofpopulationrepresentedbyavailabledataonenergyaccess 94 Table26. Numberofcountrieswithdataavailableoncookingfuels 95 Table27. Percentageofpopulationrepresentedbyavailabledataoncookingfuels 95 Table28. Targetsforelectricityaccess,bycountry 96 Table29. Targetsforaccesstomodernfuels,bycountry 99 Table30. Targetsforimprovedcookingstoves,bycountry 99 Table31. Targetsformechanicalpower,bycountry 100 Table32. Numberofdevelopingcountrieswithenergyaccesstargets 101 Table33. Populationofdevelopingregions,2007and2015 101 

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Contributors: Kamal Rijal, Minoru Takada, and Carlos Dora. November . Share of population relying on solid fuels for cooking with access to ICS, 2007. 21.
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