 First I would start saying that as periodic I'm super nervous, so I don't know if it's excited excitement or what it is But I will try to do my best, okay? Okay, I will just start by saying Well that energy is key for MSF operations not only to provide to use biomedical equipment like oxygen concentrators, but also IT equipment or to store vaccines and drugs for example And now that we are moving on to more and more complex Operations, it's basic to ensure a reliable energy supply No and to provide as you can see there Technically, socially, environmentally and economically responsible energy solutions Adapted to contacts and needs and in order to offer the best setup to our operations But always by taking into consideration the three priorities that it's like Ensuring the safety of the people the protection of devices and the continuity of service And this is what we call the energy vision that is like a common vision or a common desire desired energy scenario But taking into consideration the challenges the operational challenges that we are facing right now And we can see this better in a The OCB energy vision Energy is essential for our projects Lights heating cooling Biomed water supply and IT equipment are all energy dependent Without them we couldn't provide an effective service to our beneficiaries at the logistics department We are constantly working to ensure that the electrical systems in our projects are safe and reliable for our patients and our staff However, we think there is the potential to expand our idea of electricity to include other energy sources The energy vision project is the first step in the transition towards appropriate energy concepts We have mapped the energy realities globally within our projects and Seeing that our operations are increasingly demanding Last longer and require growing amounts of energy to power not just our hospitals But also our offices Guest houses and warehouses Which also add to our carbon footprint We have asked each other how we approach energy challenges and needs and have seen the potential to create new and better solutions with broad interdisciplinary collaborations Together with the MSF Sweden innovation unit a roadmap has been formulated We are proposing future activities for how to better supply our field staff with the tools knowledge and equipment To deliver the best energy service possible to our beneficiaries So what are you waiting for join us on this journey today the energy vision team This was my strategy not to speak that much So what did we do with this with this energy vision? How did we apply it so we apply this vision in a practical case that it's the case that I'm going to present today It's the Kenema Pediatric Hospital So I would talk first like about the general energy vision on one hand and on the other hand about the Kenema Pediatric Hospital And how did we put a theory into into practice? So just to give you a little bit of background of the Kenema project or the Kenema Pediatric Hospital Is it a 140 beds hospital? With three main objectives that I use to reduce modern child mortality Provide safe quality health care in in Alasa and in K area, sorry and contribute to the development of competencies of our health It's a hospital that is going to be built when it's being built, but it's going to be built in three construction phases One of the first phase is the pediatric care. It's now been a build it Until at the end of this year then the second phase We will tackle the obstetrics care and neonatology and third phase, third, fourth and fifth phase and extension depending on the on the activities So now we are in the first phase until until the end of this year So how did we apply the energy vision or the vision that we saw in the In the video to the Kenema project? Well first what we wanted to do is just to know where are we in terms of energy within within MSF No, I mean, what is the MSF energy picture in order to after? evaluate and develop a Sustainable or more appropriate energy solutions So we took the data from the MSF operational central Brussels that it takes the 26% of MSF field operations And we did a research and we where we use a quantitative and qualitative methods Quantitative methods we use internal databases. We use several questionnaires And we use it in the field and qualitative. We did some interviews. We did also for five workshops And external literature review, etc. etc. No, and we work not only with the lock department But with several other departments within the organization So we in these in this process it was key the the collaboration or the participation the active participation of the Kenema Let's say the Kenema team or the what we call the Kenema unit because it gave us the opportunity to put directly Theory into into practice at the same time, no So what were the results what was the the energy picture picture that we that we found out Well, we saw based on the data of MSF ocb operational central Brussels, sorry that We are an organization that are very diesel dependent almost 80 percent of our energy needs are covered by by diesel And that means that over fuel consumption. It's it's five thousand Liters per year and we spend almost five million euros per year just in fuel consumption If we translate this to CO2 emissions, we see that the numbers are quite high And if these numbers doesn't say you anything We can see that this is equivalent to going one thousand times around the world with a Toyota Land Cruiser that is a MSF Normal vehicle, so I think it's within that are numbers that are quite astonishing, let's see With this what did we do with this this data? I it was very useful in order to design the Kenema energy strategy First we evaluate what were the what was the start install power that we have in the that we were going to have in the In the hospital and the average energy energy consumption and based on that We decided to go instead of a traditional MSF Energy setting that is centralized and using generators present it As we were dealing with a long-term solution because the hospital is Forcing to be we are planning to have it up for 10 years. Let's say We design a semi decentralized solution using generators, but also using solar panels solar photovoltaic solar panels So that give us a more diversity of the energy sources a more robust system Let's say and also it's not so field-dependent And for doing that also we took into consideration the what we call the energy system perspective So we don't we didn't put all all our focus in the energy supply We took into consideration all the all the steps of the all the yes All the processes of the energy chain from generation to consumption That means we study the demand side manager management the energy efficiency possibilities of energy storage and several power sources Finally what we decide what we design is we would have like five Five energy supply technologies that is a mistake here. This is the same but it's five So we have we would have Four generators three plus one Then then we will have generators and PV panels the possibility to have batteries energy storage The possibility also to have city power now. We don't have city power on in the Onside, but maybe it would come in two three years. We don't know so we would we have this possibility And also we do consideration to use solar water heaters for for heating the water for the laundry For example, that is very energy consuming With this what we have is We would have a return on investment of six years Being the total investment for the three construction phases or the three plus two constructs Construction phases of two point five five million euros just for the energy side But with this we would see that once we recover the investment We can have a running cost reduction in four years of two millions So we could even build another hybrid system And of course if we see the CO2 reduction if we compare it if we would you have the the business as usual MSF energy setting That's we generators. We have a CO2 reduction in 10 years of 75 percent Well, just to to finish a little bit We saw that for the energy vision gave us the framework or the conditions to to achieve innovative solutions to energy related challenges We put this into into place in the Kenema's energy setting and This gave us also the opportunity to improve the the current energy settings that we are facing in within the organization And what is more important? I would say also is to to have a stronger link between the final services and the energy systems Not to put only the focus on technology, but in everything that is beyond that Now what we have to do the next steps is to develop a proper follow-up strategy for the implementation And also for the operation and to see how are we going to capitalize all these lessons learned and we can Replicate and disseminate all the lessons that we would have But of course we need we have a lot of challenges to face First of all, I would say that is this short-term versus long-term vision We saw that even if the project was foreseen is foreseen for 10 years They recover the investment we will recover it in six-year moralize and this is a quite long term for MSF Even more than one year. So we need to this is a big challenge that we need to face That is linked also to a mindset change We need to go from a we are moving on from an electricity to an energy perspective So not just focusing on the energy supply, but on all that is beyond and from products to services now that That is based on the energy system perspective And finally one thing because this is even if it's not a new technology is quite new for MSF We need to find a specific expertise not only to design but also to do the operation on maintenance know of the of the energy systems I would like to finalize to finish this just Thank you and all the people that was involved in the in both projects the John Pearson from the innovation unit Also the team from the so from the Swedish innovation unit sorry all the team from the Kenema unit And I would like to say even if it's not here. Thank you for them The energy team that I was participating in that and especially one member that It was part of both project that is Augustine. So thank you very much