ADOPTING HEALTHIER COOKING PRACTICES IN DEVELOPING COUNTRIES Brenda DOROSKI U.S. Environmental Protection Agency 1200 Pennsylvania, Ave., NW, Washington, DC 20460 Doroski.brenda@epa.gov Overview The Partnership for Clean Indoor Air (PCIA) is a public-private partnership of more than 170 non-governmental organizations (55%), private sector companies (20%), government and multilateral agencies (14%), and educational institutions (11%) working together to improve health, livelihood and quality of life through reduced exposure to indoor air pollution (IAP) from household energy use in developing countries. The Partnership was launched at the 2002 World Summit on Sustainable Development by a handful of governments and non-governmental organizations (NGOs) including the United States Environmental Protection Agency (USEPA), the World Health Organization (WHO), and the Shell Foundation, to address the increased health risk faced by the three billion people worldwide who burn traditional biomass fuels and coal indoors for home cooking and heating, which results in an estimated 1.5 million premature deaths each year from exposure to indoor air pollution. More than half of the world’s population cook their food and heat their homes by burning coal and biomass, including wood, dung, and crop residues, over open fires or in rudimentary stoves. Indoor burning of solid fuels releases dangerous particulate matter, carbon monoxide, and other toxic pollutants; leads to IAP levels that are 20 to 100 times greater than the WHO air quality guidelines; and releases greenhouse gases into the air. Indoor air pollution from household energy is ranked fourth in the list of serious threats to health in less developed countries, after malnutrition, unsafe sex, and unsafe water. Women and children face the greatest risks. Breathing unsafe levels of smoke indoors more than doubles a child’s risk of serious respiratory infection and is associated with adverse pregnancy outcomes, such as stillbirth and low-weight babies. In addition to well known greenhouse gas emissions like methane, recent studies indicate that cook stoves may be the “dominant source” of black carbon emissions which also have an important climate impact. Black carbon has a warming effect 3-4 times more than prevailing estimates and contributes to the atmospheric brown cloud in Asia. This cloud has a regional warming effect that impacts food production via reduced rainfall and glacial melt. The health risks and threats to the environment are on the rise: the International Energy Agency estimates that 200 million more people will use coal and biomass fuels by 2030. Partners are responding by increasing the use of clean technologies and fuels such as improved biomass, charcoal and coal stoves, liquid petroleum gas (LPG), biogas, ethanol, methanol, solar, and retained heat cookers. Methods The PCIA is focused on four priority areas which have proved to be essential elements of sustainable household energy and health programs in developing countries: incorporating social and behavioral customs into household energy programs; developing and enhancing sustainable markets; improving stove design and performance; and monitoring the impact of interventions to demonstrate reduced exposure to indoor air pollution, reduced fuel use, and other socioeconomic and environmental benefits. The first priority area, incorporating social and behavioral customs into household energy programs, helps to ensure that the new cooking/heating practice meets the needs of and is valued by the end user, which in the long term is necessary for sustained use. A central theme of the Partnership is the need to effectively educate communities about the health impacts of indoor air pollution and the benefits of clean cooking fuels and technologies, as well as the proper use and maintenance of the new technology. The second priority area is to develop and enhance local business models and sustainable markets for clean, efficient, and affordable cooking/heating technologies, including development of micro-finance and other financial assistance options to develop local businesses and spur investments. Partners employing a business strategy framework that includes a customer needs driven solution supported by a sustainable business model are finding they are able to reach a larger number of people and are less reliant on donor funding for continued operations. Over the last five years, much progress has been made in the third priority area to design, evaluate and produce clean burning, efficient, affordable, safe, and reliable cooking technologies. One critical element of this has been to test new technologies being promoted by Partner organizations for heat transfer efficiency and emissions. The Aprovecho Research Center has conducted tests on dozens of stoves, providing written reports to the organizations outlining test results and recommendations for improving the stove design and performance. In addition, the testing protocol and results have been validated at the USEPA/Office of Research & Development (ORD) laboratory. The ORD test results have been accepted to be published in a peer reviewed journal. Partners have identified consensus-based voluntary stove guidelines for stove performance as another critical need to drive improvements in stoves. Such guidelines would, for the first time, set stove “benchmarks,” enabling the field to define an “improved” stove, and help ensure that Partners are promoting stoves that have defined parameters for lowering emissions and reducing fuel use. A small number of Partners already utilize some type of stove “benchmark.” This standard setting effort would develop consensus for stove performance around the world and would include methods of stove testing to confirm stove performance. Such a tool would revolutionize the field, providing particular usefulness to those stove programs seeking voluntary and formal carbon market credits. The PCIA has recently recognized the need to educate and enlist the participation of the code community in developing voluntary stove performance guidelines. These guidelines would vastly improve the performance of cook stoves being promoted so that they meet performance standards for emissions (particulate matter, carbon monoxide), combustion and fuel efficiency, and safety. Ultimately, this will expand the market for high quality stoves, and improve the health, livelihood, and quality of life of millions of people through reduced exposure to indoor air pollution from household energy use. Another key element for improving stove design and performance is greater attention to manufacturing specifications and quality control. Partners who are able to standardize stove production, or employ mass production techniques, are able to reduce production costs, increase production, and consistently maintain design specifications for optimum combustion efficiency. The fourth priority area of the Partnership is monitoring the impact of household energy interventions on such things as indoor air pollution levels, fuel use and costs, and time spent collecting fuel and cooking. This information is critical to understanding key indictors which can then inform ongoing program activities. More than thirty Partner organizations are actively implementing monitoring and evaluation programs. Recent feedback from meetings and regional workshops indicate that they are facing common problems and possible solutions. For instance, in almost all cases, the resources required to implement the monitoring (e.g., time, personnel, financial) were more than anticipated; and sample size selection had proven to be very challenging, leading to the recommendation to select more households than required for statistical significance in anticipation of some dropouts. There is excitement that initial findings indicate that IAP levels are being reduced in households using improved cook stoves; not just in isolated cases, but in every case presented. Partners also acknowledge that people are still using traditional stoves for select purposes. In fact, multiple uses are common and there is agreement that it is important to recognize and accept this fact. Other lessons learned include time and resources required for staff training and the need for simple and portable equipment. The Partnership will continue to advance the IAP monitoring work being implemented by Partners in the field by meeting the stated needs for technical training (e.g., calibration of instruments, data analysis) and international forums to compare and discuss results. Other next steps in this field include exploring ways to make monitoring less intrusive and make equipment more compact and sharing information on how groups are planning on correlating their IAP data with other key parameters (e.g. time/activity, ventilation, etc). Finally, there is significant interest in standardizing reporting mechanisms in order to better understand results among partners. Over the past six years, the U.S. Government has invested 5.5 million dollars and 15 million dollars of additional funds have been leveraged from other partner organizations to achieve this mission through a variety of initiatives: Capacity Building and Technical Assistance – The Partnership provides in-depth technical training in community outreach and education, stove design and performance, commercialization of stove programs, and indoor air pollution and socioeconomic impact monitoring, the four priority areas for sustainable programs. Over the past four years, more than 300 Partners in Africa, Asia and Latin America have participated in PCIA regional workshops to learn new skills in these priority areas. These workshops have resulted in more data available on the performance of innovative technologies and the impact of interventions throughout the world; an increased number of new, improved technologies being promoted; robust business strategies with which to evaluate, roll out and monitor household energy programs; and commercially viable markets for improved technologies. Participant feedback from PCIA workshops indicate that participants appreciated the hands-on, participatory formats of the workshops, and found the interaction and networking with other regional experts essential in identifying solutions and effective approaches for their individual stove programs. The Partnership will continue to provide Partners with regional training opportunities to strengthen vital components of their household energy and health programs. The Partnership also actively facilitates information exchange to help researchers, entrepreneurs, project implementers, and program directors learn from one another through regional workshops and international meetings and forums. The Biennial Partnership Forums give Partners an outstanding opportunity to share results, best practices and lessons learned, and set goals for reducing indoor air pollution globally. The next PCIA Forum will be held in Kampala, Uganda March 23 – 28. In addition, the Partnership publishes technology design and performance guides such as “Design Principles for Wood Burning Cookstoves” and “Guide to Retained Heat Cookers” to increase the capacity of Partners to design and manufacture clean, efficient, and safe cooking and heating technologies. Knowledge Management – The Partnership publishes the quarterly PCIA Bulletin, which highlights the activities of the Partnership and its Partners around the world, and aims to raise awareness about issues related to indoor air pollution, household energy and health. Many of the Bulletins have had a thematic focus on such things as Partner activities in Africa, Latin America and the Caribbean, Asia; government policies and incentives; effectively using volunteers; humanitarian assistance; cooking and carbon; and best practices related to technology, commercialization, education, and monitoring. Past issues of the Bulletin are available online at www.pciaonline.org/bulletin. In addition, the PCIA website provides background information on household energy and health, access to PCIA technical publications and other important resources, relevant news and events updates, and highlights of Partner accomplishments. Implementation – Partners are implementing projects in Asia, Africa, and Latin America to identify and demonstrate effective approaches for increasing the use of clean, reliable, affordable, efficient, and safe home cooking and heating practices that reduce people’s exposure to indoor air pollution. Partners aim to scale up projects that promote improved cooking and heating practices that are more fuel efficient, meet users’ needs, reduce exposures, and can be produced locally. These projects integrate successful approaches and models for conducting outreach and education, developing local businesses and markets, and monitoring exposure reductions and other benefits. For example, the USEPA has recently awarded $1.5 million to support eight scale-up projects in Bolivia, China, Ethiopia, Ghana, Kenya, Nepal, and Pakistan. Awardees successfully met program requirements through demonstrating that their proposed technology to be scaled up 1) reduces people’s exposure to particulate matter and carbon monoxide by a minimum of 50%, and reduces fuel use by a minimum of 30% over current local practices; 2) meets the needs of the target population (e.g., is affordable, reliable, clean, efficient, and safe); 3) provides a social benefit (e.g., has a positive impact on health, local employment and income generation, environment, and/or family finances); and 4) utilizes a financially sustainable business model. These projects will manufacture and sell more than 160,000 stoves during the two-year project period, and will serve as models for scaling up commercially viable and sustainable programs. Ultimately, the combined effects of these initiatives will lead to improved health, family economics and quality of life; reduced poverty and impact on environment; and increased job opportunities throughout the world. Results The Partnership has grown from a handful of Partners to more than 170 organizations working in 67 countries worldwide. In March 2007, more than 130 partners gathered at the 3rd Biennial PCIA Forum in Bangalore, India to celebrate outstanding achievements and commit to future action. Already, key PCIA Partners have reported helping 1.4 million households to adopt clean and efficient cooking practices, reducing harmful exposures for more than 7.6 million people around the world. By 2010, these Partners plan to reach another 6 million households. As more PCIA Partners establish goals and report progress, these results will grow. To assist in achieving the results above, the USEPA supported 10 pilot projects, two in China and India, and one each in Guatemala, Honduras, Mauritania, Mexico, Nigeria, and Uganda, to demonstrate effective approaches that increase the use of clean, affordable, efficient, and safe home cooking and heating practices. Projects included a wide range of fuels and stove types, including solar, biomass, biogas, coal, charcoal and methanol. These pilot projects achieved the following results: 1.1 million households educated about the health impacts of indoor air pollution; 61,000 homes using improved cooking and/or heating practices, resulting in 250,000 people with reduced exposure to indoor air pollution; and 700 new small businesses producing and marketing improved cooking and/or heating technology. Conclusion In addition to the significant health benefits for women and children, improved cooking and heating technologies and fuels have social, economic and environmental benefits. Women and children spend less time collecting fuel, allowing more time for important educational, economic and family activities. Clean burning and fuel efficient cooking and heating practices also reduce carbon emissions, deforestation, erosion, and desertification caused by burning solid fuels. Globally, improved household energy practices contribute to achieving the Millennium Development Goals to reduce child mortality, improve maternal health, eradicate poverty, promote gender equality, and ensure environmental sustainability. The formation of the PCIA has resulted in greater visibility of and support to address this public health risk, increased networking among key stakeholders, leveraging of expertise and resources, sharing of best practices among partners, and filling information gaps through the development of expert-reviewed tools and resources. Access to and interaction with experts in other sectors through workshops, forums, and electronic media has strengthened household energy programs and encouraged them to build on effective approaches. Ultimately, this has enabled each Partner to achieve greater results -- more people using clean and efficient cooking and heating technology, reduced exposure to indoor air pollution, and improved health and socio-economic conditions. Additional global participation and funding will expand the progress and success of the Partnership and its’ members to fully address the serious health risks associated with indoor air pollution from household energy use, and overcome the barriers to the transition to clean, efficient, and affordable fuels and technologies. You can be an integral part of this campaign by: joining the Partnership online at www.PCIAonline.org; sharing information and best practices from your work with Partners around the world; participating in Partnership workshops and activities; utilizing Partnership protocols and guidance in your household energy and health programs; and sponsoring a PCIA workshop or activity.