RESUMO
A recently completed randomized controlled study in Nigeria that transitioned pregnant women from traditional fuels to ethanol in their cook stoves demonstrated improved pregnancy outcomes in mothers and children. We subsequently conducted a pilot study of 30 households in Lagos, Nigeria, to determine the acceptability of blended ethanol/methanol as cooking fuel and willingness to pay for the Clean Cook stove. A third of the pilot participants expressed a willingness to purchase the stove for the minimum price of 42 USD or more. Fuel sales data suggest sustained, but non-exclusive, use of the CleanCook stove. These results will influence the final design and implementation of a planned 2500 stove commercial pilot that is scheduled to start in Nigeria in August 2018.
RESUMO
BACKGROUND: Approximately 80% of Ethiopia's energy consumption is dominated by woody biomass fuel use, resulting in 91.2 million tons of firewood and 4.2 million tons of charcoal consumed annually. Ethiopia's dependency on non-sustainable energy, especially for cooking, has been a major concern for the nation for the past 30 years, contributing to deforestation, climate change, and adverse human health impacts. OBJECTIVES: Our objective was to document the work of Gaia Association and the implementation of the ethanol CleanCook stove in the refugee camp and urban settings of Ethiopia. We then assessed the potential for the scale-up of ethanol as a household fuel. METHODS: We utilized the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework to evaluate the effectiveness and sustainability of the ethanol cookstove intervention. We obtained secondary data from a variety of sources to evaluate a.) The performance of the CleanCook ethanol stove; b.) Effectiveness of the ethanol cookstove implementation; and, c.) Barriers to scale-up and commercialization of ethanol use as a household fuel. In addition, we conducted primary analysis of qualitative surveys to evaluate the perceptions of the ethanol and adoption of the CleanCook stove. RESULTS: Our case study results provide critical insight into the 13-year implementation of the CleanCook ethanol stove in Ethiopia. Laboratory tests demonstrate that the CleanCook stove reduces harmful emissions compared to biomass stoves, and preliminary field tests show 24-hour average PM2.5 levels of 200 µg/m3. To-date 8,731 CleanCook stoves were distributed to refugee households, while an additional 500 were sold at a subsided price to low-income urban households. CleanCook stove users report the continued use of multiple stoves. CONCLUSIONS: The CleanCook ethanol stove has been implemented as an energy intervention for the vulnerable refugee population in Ethiopia for over 13 years. There has been limited success of a subsidized CleanCook stove among low-income households in Addis Ababa. This case study demonstrates the complexities of promoting a new fuel for household cooking, and the numerous obstacles and stagnations in implementation. Ethanol demonstrates some potential for scale-up and commercialization as a household fuel in Addis Ababa, but it may require simultaneous stabilization of ethanol supply, growth of a city-wide distribution infrastructure, and an affordably priced stove and fuel.
