Clean Cooking and
Child Survival Workshop
Haatiban, Pharping, Nepal
March 28 - 29, 2015
1 |
CLEAN
COOKSTOVES
AND
FUELS
The Global Alliance for Clean Cookstoves will create a
thriving market for clean cookstoves and fuels.
PROBLEM
MISSION
Every day,
- SAVE LIVES
3 BILLION
PEOPLE
(500 million households)
rely on solid fuels to
power their rudimentary
stoves
GOAL
- IMPROVE
LIVELIHOODS
which leads to…
- 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
2 | CLEAN COOKSTOVES AND FUELS
- EMPOWER WOMEN
- PROTECT THE
ENVIRONMENT
100
MILLION
HOUSEHOLDS
ADOPT CLEAN AND
EFFICIENT
COOKSTOVES &
FUELS BY 2020
Our market based approach is built on three core strategies …
Strengthen Supply
Enhance Demand
Innovation
Awareness
Capacity Building
Accessibility
Financing
Affordability
Inclusive Value Chain
Enable Markets
Standards &
Testing
Research
Advocacy & Policy
3 | CLEAN COOKSTOVES AND FUELS
Strengthening the Impact of Clean Fuels
Across the Value Chain
Resource
Availability
Production/
Processing
Improve
understanding of
global clean fuels
supply and
demand
Distribution
Use
Impacts
Expand access and affordability of
LPG in Ghana, India and Kenya
Improve access and scale to LPG
and electricity in India through
market research, awarenessraising and demand creation
Coordinate activities, including capacity building, with bioenergy/ethanol global strategic
partnership networks
Evaluate social, economic and environmental impacts and research gaps across fuel value chain
Fuel Enterprise Innovation, Scale, and Capacity Building
4 | |C C
LE
OO
OO
KS
L EA AN N C C
K ST TOOV VE ESS AANNDD FFUUEE LL SS
Improve understanding of drivers of
adoption of clean fuels and resulting
impacts on pollution, exposure and
health
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
5
|
CLEAN
COOKSTOVES
AND
FUELS
≠
Clean Cooking Exposure and Adoption: Network for Evaluation
Research (CLEANER)
PHASE 2
PHASE 3
Demonstration Phase and
Infrastructure Development
Coordinated Collaborative Network for
Evaluation Research
PHASE 1
Ensuring Sustained Adoption
Measuring Exposure
Reductions
• Coordinated, multi-country applied
research
• Coordinated evaluations of scale up
– exposure and health effects
Impacts on Child Survival
Impacts on Adult Chronic Disease (Cardiovascular and
Pulmonary) Indicators and Outcomes
Approaches to Measuring
Cognitive Effects
Household
Ambient Pollution
Burns Research and Prevention
Health Effects of Air Pollution
2012
6 |
CLEAN
2013
COOKSTOVES
2014
AND
FUELS
2015
2016
2017
+more…
2018
2019
2020
Are We Getting Clean Enough to Impact Child Survival?
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
•
•
 When people have access to very clean fuels, they use it every

7 |
day, and they stop using lesser technologies
‘Intensive’ adoption of clean fuels can bring exposures down to
WHO air quality guideline levels
C L E A N 7 C| OC O
L EKA S
N TCO
OV
OE
K SST O A
V ENS DA NFDU FEU LE S
LS
Ensuring Widespread Relevance of Research Results
Research Prioritization
Research to Inform Key Evidence Gaps
Commission Research
Integrate Results into Global Evidence Base
Broad Communication Ensures Impact of Results
Guidelines and
Standards
8 |
CLEAN
Enterprise
Development
COOKSTOVES
AND
FUELS
Strengthening
Fuel Supply
Demonstrating
Adoption / Evaluation
Advocacy and
Awareness
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
9 | CLEAN COOKSTOVES AND FUELS
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 Health
Clinical 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…)
10 | C L E A N C O O K S T O V E S A N D F U E L S