Health Facility Electrification Digital Monitoring Reporting and Verification Platform

Incorporates telemetry timeseries data from A2EI and nLine, DHIS2 data from Division Provincial de la Santé Nord Kivu, and financial records aggregated by RCHA and the research implementation team.

Platform telemetry

Infrastructure reliability as a health systems intervention

This Overview tab explains why the pilot exists before users enter the detailed operational views. It frames health facility electrification as a reliability, maintenance, payment, and trust problem rather than a simple equipment-installation problem.

The problem

Nominal electrification does not guarantee clinical reliability.

Facilities may be connected to a grid, micro-hydro source, solar system, or generator and still face outages, unstable voltage, insufficient capacity, and poor maintenance. The dashboard therefore starts from service reliability for critical loads, not from whether a facility is simply marked electrified.

The solution

Protect critical circuits and monitor what happens over time.

The intervention combined modular solar PV and battery systems, circuit-level rewiring, selected biomedical equipment, remote telemetry, local maintenance coordination, and facility service payments through an Energy-as-a-Service model.

What is different now

The dashboard links performance evidence to action.

Power quality, outages, energy consumption, DHIS2 reporting, maintenance events, facility context, and repayment records are visible together. This makes the platform a trust layer for payment, subsidy, and future results-based financing decisions.

Study design 6 sites

Six intervention facilities are monitored in this platform. Six matched controls selected for feasibility and future longitudinal evaluation are evaluated in an accompanying manuscript.

Monitoring duration May 2024 - present

Period data backfills on-going.

Reliability signal >95%

Monitored uptime generally exceeded 95% on protected critical circuits.

Facility payment signal 96.2%

Recorded remittances received within 30 days.

Evidence for Payment Triggers

The key design principle is that payment triggers should not be a black box. Users need to see what was measured, what was inferred, what is missing, and which party is expected to act on the evidence.

1

Technical performance

High-frequency telemetry records uptime, voltage and frequency quality, outage duration, photovoltaic generation, telemetry coverage, and critical-circuit energy use.

2

Health service context

Facility type, ward mix, critical loads, oxygen, sterilization, cold chain, maternity, surgery, emergency care, and DHIS2 reporting quality explain why reliability matters.

3

Payment, subsidy, results-based financing, and digital MRV logic

Evidence can be matched to monthly service commitments, maintenance obligations, facility or district payment routes, subsidy shares, results-based financing rules, and digital monitoring, reporting, and verification claims.

4

Trust record

The dashboard should preserve the status of each claim: verified, estimated, missing, excluded because of conflict or telecom disruption, or requiring reconciliation.

Evidence Inputs

Telemetry

GridWatch and HOPmeter data capture availability, quality, consumption, sensor coverage, and abnormal behavior at high temporal resolution.

DHIS2

Facility-level admissions and deaths are available across treatment and control sites, with 94.4% facility-month reporting completeness overall initial 18 month evaluation.

Payments

Facility remittances are digitized in a transaction-level ledger with due dates, receipt dates, timing, revenue, and balance.

Implementation

Deployment milestones, equipment inventories, maintenance visits, sensor replacements, conflict disruptions, and telecom outages contextualize the data.

Operational Sustainability Snapshot

Summary of first 18 months of implementation.

MetricValueDashboard implication
Payment revenue$13,500Facilities demonstrated sustained participation in the service-payment model.
Remittances130Transactions can support payment-timing and arrears views.
Within 30 days96.2%Late does not always mean failed; timing logic should be visible.
Ending cash balance$7,011.05The ledger can show whether O&M revenue is covering observed outflows.

Trust architecture

Evidence is governed, interpreted, and made legible before it becomes the basis for payments, subsidy claims, or donor reporting.

Participatory design

Facilities, operators, researchers, funders, and public-sector users help define what counts as credible and useful evidence.

Equitable market shaping

Better evidence can reduce perceived risk, target subsidy, support maintenance, and prevent value from concentrating only around installation and procurement.

Live signal monitor

Installed telemetry, source-specific latest dates, and reporting status by facility. A2EI and nLine update on different schedules, so each card shows both the combined site-latest signal and each feed's own latest published signal.

Facility status

Combined A2EI and nLine sensor visibility, latest inspection date, and reconciliation flags.

Signal health

Combined HOPmeter and GridWatch reporting coverage.