Solar DPR of 3 DHs
Solar DPR of 3 DHs
Solar DPR of 3 DHs
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
TABLE OF CONTENTS
List of Tables .......................................................................................................................................... 5
Glossary .................................................................................................................................................. 7
Preface ................................................................................................................................................... 9
Background .......................................................................................................................................... 12
Category of loads at the Health Centers Considered for Solar PV Backup ...................................... 21
Introduction ..................................................................................................................................... 27
Scenario 1 .................................................................................................................................... 27
Scenario 2 .................................................................................................................................... 27
Scenario 3 .................................................................................................................................... 28
Scenario 4 .................................................................................................................................... 28
Scenario 5 .................................................................................................................................... 29
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Soiling........................................................................................................................................... 37
SLDs of the Designed Proposed Solar Power Generation Systems for Nagaland Health Centres
..................................................................................................................................................... 41
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Condition of Roof where Solar Power System has been Installed .............................................. 52
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
LIST OF TABLES
Table 1: Utility Power Scenario in Nagaland ........................................................................................ 13
Table 2: Type of Equipment Considered for Calculating Solar PV Supported Emergency Electrical
System .................................................................................................................................................. 18
Table 3: Connected Critical Load Considered for Solar PV Hybrid Support in District Health Centre &
Community Health Centres .................................................................................................................. 21
Table 4: Connected Critical Load Considered for Solar PV Support in Primary Health Centres & Sub
Centres ................................................................................................................................................. 22
Table 6: Final Loads Considered for Each Type of Health Centres ...................................................... 24
Table 7: A Projection of Installed Capacity as per Land/Roof Area Available for Solar Project in
Surveyed Health Centres and Health Centres ..................................................................................... 25
Table 8: Recommendations for the Pilot Project ................................................................................. 26
Table 9: Proposed Solar Power Generation System ............................................................................ 30
Table 10: Daily Solar Insolation ............................................................................................................ 30
Table 11: Monthly and Averaged Annual Solar Insolation .................................................................. 30
Table 12: The Technical Parameters of PV Modules ........................................................................... 31
Table 13: Type of PCUs Considered for Systems to be Installed at Sub Centres and Primary Health
Centres ................................................................................................................................................. 33
Table 14: Type of PCUs Considered for Systems to be Installed at Community Health Centres and
District Health Centres ......................................................................................................................... 34
Table 15: Battery Banks Considered for Each of the Solar PV Power Generation Systems ................ 35
Table 16: Derate Factors for AC Power Rating .................................................................................... 39
Table 17: Final System Designed Size and Configuration .................................................................... 40
Table 18: Capital Cost Estimation for the Proposed Solar PV Power Generation Systems in District
Health Centre and Community Health Centres ...................................... Error! Bookmark not defined.
Table 19: Capital Cost Estimation for the Proposed Solar PV Power Generation Systems in Primary
Health Centres and Sub-Centres ............................................................. Error! Bookmark not defined.
Table 20: Maintenance Schedule ......................................................................................................... 51
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
LIST OF FIGURES
Figure 1: Population Coverage under each Health Centre in Nagaland .............................................. 12
Figure 2: Electricity Availability in Health Centres across Nagaland .................................................... 13
Figure 3: Total Connected Loads in DHCs in Surveyed Health Centres ............................................... 13
Figure 4: Total Connected Loads in CHCs in Surveyed Health Centres ................................................ 14
Figure 5: Total Connected Loads in PHCs in Surveyed Health Centres ................................................ 14
Figure 6: Total Connected Loads in Sub Centres in Surveyed Health Centres .................................... 15
Figure 7: Technical Design- Scenario 1 ................................................................................................ 27
Figure 8: Technical Design- Scenario 2 ................................................................................................ 28
Figure 9: Technical Design- Scenario 3 ................................................................................................ 28
Figure 10: Technical Design- Scenario 4 .............................................................................................. 29
Figure 11: Technical Design- Scenario 5 .............................................................................................. 29
Figure 12: Technical Design for DHC System Type-1 ........................................................................... 41
Figure 13: Technical Design for DHC System Type-2 ........................................................................... 42
Figure 14: Technical Design for CHC System Type-1............................................................................ 43
Figure 15: Technical Design for CHC System Type-2............................................................................ 44
Figure 16: Technical Design for PHC System Type-1............................................................................ 45
Figure 17: Technical Design for PHC System Type-2............................................................................ 46
Figure 18: Technical Design for Sub Centre System Type-1 ................................................................ 47
Figure 19: Technical Design for Sub Centre System Type-2 ................................................................ 48
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
GLOSSARY
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
PREFACE
The National Rural Health Mission (NRHM) was launched with the aim to provide for an
accessible, affordable, acceptable and accountable health care through a functional public
health system. It also aims to expedite achievements of policy goals set under the National
Health Policy and the Millennium Development Goals. The key features, in order to achieve
the goals of the Mission, include making the public health delivery system fully functional and
accountable to the community, human resources management, community involvement,
decentralization, rigorous monitoring & evaluation against standards, convergence of health
and related programmes from village level and upwards, innovations and flexible financing and
also interventions for improving the health indicators.
The mission has led to the formation of India Public Health Standards (IPHS) for various levels of
health centers namely – District Health Centers (DHC), Community Health Centers (CHC),
Primary Health Centers (PHC) and Sub-Centers (SC) – which are upgraded regularly; such
standards are used as reference for planning and up-gradation of public health care
infrastructure. The norms are designed to ensure strengthening of infrastructure facilities such
as essential equipment, supply of essential drugs & consumable, availability of uninterrupted
power supply, construction of buildings, storage facilities (refrigerators), etc. Each of these
centers is designated to cater a specific band of facilities and populace:
SC and PHC provide basic services such as immunization, basic curative & preventive
services, maternal and child health services with a small population coverage. Observing
the pattern of resource utilization in these two types of health centers, it can stated that
the primary usage of electricity is for two purposes only – Refrigeration and
Illumination.
CHC and DHC is established to cater to larger communities (towns/villages) in a district
and hence planned to have centralized facilities providing secondary referral level
treatments. In addition to the facilities offered by PHC and SC, CHCs and DHCs also
provide diagnostic and therapeutic services, laboratory (and testing) services and super-
specialty services for high risk diseases such as pulmonary ailments, HIV, cancer etc.
These health centres also need to be ready for epidemic and disaster management at all
times. The electrical demand for such centres is much higher and diverse than SC & PHC,
both in terms of energy (due to presence high power equipment such as X-ray, CT scan,
and MRI etc.) and quality of supply (to be able to undertake critical procedures at any
given time).
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
EXECUTIVE SUMMARY
This report provides a technical assessment for deploying Off-Grid Solar Power to improve
Health Service Delivery in Nagaland, as part of World Bank’s Health Nutrition and Population
(HNP) Technical Assistance to North Eastern States. A detailed assessment was carried out
based on field survey of 24 health centers across 4 districts of Nagaland, to determine the
status, gaps and needs assessment of the energy situation in the identified health centers.
The objective of this report is to define and recommend the technical requirements, design
imperatives and planning investments required to provide appropriate solar power back-up for
the health centers.
Nagaland has a population of approximately two million, an estimated infant mortality rate of
21 per 1,000 (2011), an estimated maternal mortality ratio of 240 per 100,000 births (2007),
and an estimated 39% of under-five children are malnourished (stunted) (2005-06). An
assessment of the health centers revealed a direct connection between deficient supplies of
quality power with a deficient delivery of health services.
The connected load, location and patient footfall in the 24 health centers were studied to
assess the shortfall which could be met by installation of solar hybrid power back up system.
Further benchmarking against equipment, infrastructure and facilities as outlined by the Indian
Public Health Standards (IPHS) revealed that none of the centers met the standard
requirements that would fulfill these parameters. Solar power, if tailored to meet the
fluctuating demands of the health centers can provide reliable, affordable, clean and de-
centralized power supply.
Based on a collaborative consultation with World Bank and the Directorate of Health Services &
Family Welfare (Govt. of Nagaland), the emergency load requirements were categorized into 4
groups of load combinations – Base load and Critical load 1, 2, 3, thus leading to two types of
solar system design for each category of health center.
A detailed load assessment has been carried out to determine various types of load levels
across different categories of health centers as well as load characteristics of various equipment
types and corresponding health services.
For example, the District Health Centers have a higher load requirement for each of the
categories since these centers handle medical emergencies and more complex, super-specialty
and life saving procedures. It has been surmised that energy management by means of
minimizing phantom loads (stand-by load) and energy saving settings for all types of
equipment, primarily imaging equipment, are important considerations for optimization of the
solar power system. Various other design considerations include RF noise, continuous power
demand of critical load etc.
Power failure in a health centre would result in life threatening conditions for patients
undergoing surgery or on life support, i.e. procedures that are reliant on a consistent power
supply. Hence, the battery backup power to critical equipment has been incorporated in the
design to sustain the critical supply for a reasonable period of time. Battery banks provide
additional power during surges created by large medical imaging equipment.
A PV Syst software base analysis has been carried out for each of the system configuration,
considering the mean of the meteorological and solar data spectrum available for Nagaland.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
In general, renewable energy options (e.g., photovoltaic (PV) system, in this case) will have
higher capital costs than diesel or other fuel-based electricity generating options. However,
over the long-term, solar PV systems will have lower operating costs and produce no emissions.
However, battery maintenance, occasional cleaning, and theft-prevention will be the recurring
costs. A hybrid system using a solar PV system and a traditional diesel generator will have a
higher up-front capital cost than a renewable-only system; but shall provide greater flexibility,
including the ability for one system to support the other.
For illustrative purposes, a PV/diesel hybrid is represented in report below. Indicative capital
cost estimation for battery backup solar PV system has also been provided for each of the
recommended models. However, it is to be noted that actual price at a specific location may
vary considerably from the figures presented in the report.
In order to ensure a smooth interface between the proposed solar power installation and the
existing electrical circuit, it may be required to undertake partial re-wiring of the current
electricity distribution network within the specific health center. For the same purpose certain
retro-fit equipment may also be required to enable manual/semi F automatic power
management systems. It may be stated that such re-wiring or retro-fits will not have any major
cost implication to the project. The exact requirement can only be evaluated and thereafter
defined during the actual installation work.
Health centers and hospitals are also a major hot water consumer and the demand is round the
year. The predominant way of heating is individual geysers in operation theaters, wards etc.
Major consumption of hot water in health centres is for bathing of patients and their
attendants in wards, hand washing and sterilization of equipment in operation theatre and
kitchen purposes. The power supply scenario in the urban areas is unsatisfactory and,
considering the demography, cost of electricity is as high. In view of these observations,
installation of solar water heaters has been proposed for the identified health centers.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
BACKGROUND
Currently, Nagaland has a total of 554 public health centers with 396 SCs, 125 PHCs, 21 CHCs
and 11 DHCs. While, SC and PHC serve as the first point of contact with community (offering
services such as medical consulting, family welfare, vaccination, etc.), CHCs and DHCs serve to
deliver critical health services (such as surgeries, diagnostic services, specialty consulting,
treatment of high risk ailments, etc.). Also, while the SC and PHC are evenly distributed across
the state, CHC and DHC are located in comparatively developed towns of a district, and hence,
cater to a larger population. Figure 1 provides details of population coverage under each health
centers and is benchmarked against IPHS standard (shown as horizontal line for each health
center).
140,000
136000
120,000
108000
100,000
80,000
81000
95000
98000
71000
69000
68000
60,000
39000
27000
25000
12000
51000
11000
11000
11000
48000
40,000
14000
15000
18000
6000
20,000 15000
5000 4000 4000 5000 3000 4000 4000 3000 5000 0 6000
0
CHC DHC SC
As per Central Electric Authority (CEA), Ministry of Power, power requirement in Nagaland in
the concurrent period of 2013-2014 would jump to at least 125MW from the current demand
(2012) of 80-110MW. As on March 2012, Nagaland has only a small unpredictable hydro peak
power generation capacity of 28.67 MW1. Further, about 382 villages in Nagaland are yet to be
electrified as on August 2013.
1
Energy Statistics-2013-book by MINISTRY OF STATISTICS AND PROGRAMME IMPLEMENTATION GOVERNMENT OF
INDIA
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
2
Table 1: Utility Power Scenario in Nagaland
Therefore, the state has frequent load shedding, with health centers observing long power
outages. As shown in Figure 2, of the 24 health centers3 surveyed, at least 18 of them observe
power outages of above 18 hours per day.
1
5
18
The survey indicated that the current loads available at the health centres were far below the
required standards across medical procedures as prescribed by the IPHS. The load pattern
summary shown in the Figures below demonstrate a severe shortfall particularly in equipment
and connected load.
2
Source-http://www.cea.nic.in/reports/yearly/lgbr_report.pdf
3
The survey was carried out for 3 district DHC, 3 CHCs, 9 PHCs and 9 SCs, located in four districts- Mokokchung,
Kohima, Wokha and Tuensang.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
400
357
300
Load (in kW)
327.95
200
178.16
28.84
163.39
14.77
10.92
100
78.37
89.28
99.39
108.8
9.41
0
IPHS Standard Mokokchung DHC Tuensang DHC Wokha DHC
60
50
50.25
40
Load (in kW)
42.53
30 27.16
20
23.43
22.61
7.72
20.76
3.73
3.72
11.37
15.09
1.85
10
0
IPHS Standard Changtongya CHC Noklak CHC Longkhim CHC
Total connected illumination load (in kW) Total connected equipment load (in kW)
Total connected electrical load (in kW)
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
20
18
18
16
14
Load (in kW)
14.6
13.93
12
10
8 11.82
8
6
6.41
6
4
2.11
3.16
2.55
5.15
2.05
5.11
3.85
2.91
0.77
3.32
1.27
0.66
2.75
5
5
1.2
1.3
2.1
4
4
2
2
0
3.5
3
3.09
2.5
2.71
Load (in kW)
2
1.5
1.62
1.46
1.3
1
1.05
0.38
0.16
0.18
0.16
0.41
0.11
0.28
0.18
0.13
0.22
0.5
0.7
0.2
0.4
0.1
0.3
0.2
0.1
0.3
0.2
0.5
0.2
0.4
0.2
0.2
0.2
0.4
0
Based on the above figures, it may be concluded that there is lack4 of medical equipment and
illumination infrastructure across health centres in Nagaland. The above trend is partially due to
lack of reliable power availability to health centres in Nagaland. For example, in Tuensang
District, while the DHC has CT scan machine installed for last 5 years, it has never been used as
4
Details of equipment for each health center can be referred in Annexure II, III and IV.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
there was lack of quality of power (and uncertainty of availability of power) in the Health
Centre.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
ENERGY REQUIREMENTS
In health centers, poor infrastructure leads to poor delivery quality of health services and an
unreliable energy source further adds to such challenges. Lack of readily available and assured
supply of energy, impedes the efforts of the state government to upgrade the infrastructure
and facilities of the health centers. Currently, each health center covers the gap in energy
requirements through Diesel- only during extremely critical activities such as surgeries, and
inverter/battery system is installed for cold storage. However, such energy sources are either
high in operational cost or unreliable in case of large outages. In order to meet the critical and
urgent requirements of assured, affordable and universal access to health services, particularly
in the far reaches of districts in Nagaland, it is imperative that the current energy deficits be
met using solar energy, which was identified as the sustainable energy source appropriate for
mitigating the challenges inherent in operating a health center in Nagaland 5.
Load Segments
On analyzing energy systems and electrical loads of various health facilities in Nagaland, a need
to divide loads into different levels based on their medical significance arose, so as to facilitate
sound management of energy. Further, each load has a unique demand with respect to quality
of power required, for instance some loads can endure minor voltage fluctuations, while some
cannot. Hence, to develop a sustainable solution aiming to provide an un-interrupted supply, a
detailed load assessment was carried out to categorize loads considering all the stated factors.
As an outcome, loads were categorized into two groups across different categories of health
centres based on collaborative consultation with World Bank and the Directorate of Health
Services and Family Welfare (Govt. of Nagaland). Following are the categories:
1. Non-critical loads: Loads which do not pose immediate risk to patients or substantially
disrupt facility operation in case of no power supply. Equipments such as room heaters,
air conditioners and similar peripheral equipments are categorized under ‘Non-critical
loads’.
2. Critical loads: Loads which are critical in operations of a health facility, such as lighting,
laboratory equipment, emergency and operating rooms, information systems and
computers are categorized under ‘Critical Loads’. Critical loads are further categorized
by their need for high-quality, uninterrupted power:
Contact critical loads: Loads which can endure minor fluctuations in voltage and
brief loss of power are categorized under ‘Contact critical loads’. Loads in this
category can include lighting or vaccination refrigeration and some labor room
equipment.
No-contact critical loads: Loads for which any interruption in power will result in
damage to the equipment or loss of data are categorized under ‘No-contact
5
Kindly refer to technical assessment report for the analysis between various alternate power sources.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
An identification of every facility's total load as contact or no-contact load is made to envisage
the backup solar PV power system for an uninterruptible power supply sized to cover all
essential no-contact loads. Under the real life scenario it is unlikely that all electrical equipment
at a health facility will be turned on at the same time.
It is generally observed that different equipment operate at different times of the day. During
health facility's normal operating hours (usually between 10am- 5pm), the load profile shows
higher total loads, because computers, lab equipment and other devices are being used at the
same time. In the evening (usually after 5pm), or during off-peak hours, loads are reduced
because the facility is supporting less activity.
To provide quality health service under above stated- varied power requirement situations, and
load analysis it is essential that power support system with degree of reliability, durability,
maintainability, efficiency, and economy as appropriate are developed such that minimum
emergency un-interrupted power supply for following types of equipment/facility are
maintained in each type of health center:
Further, an assessment was carried out to determine the required load levels across types of
health centers. As it is evident from table below, DHCs have a much higher requirement of
critical load (level 1 and 2) as they cater to health emergencies and life saving procedures such
as child birth, neo-natal care, cardiac incidents etc.
Table 2: Type of Equipment Considered for Calculating Solar PV Supported Emergency Electrical System
Sub Centres
DH Type I & Type II CHC Type I & Type II PHC Type I & Type II
Cat-A Cat-B
Base Load:
Emergency lighting load (about 40% Emergency lighting load Emergency lighting load 8 No’s 36 3 No’s 22 W CFL
of total lighting load) (about 35% of total lighting W CFL
load)
Administrative load (80% of total load Comp+Xerox+FAX+TV Administrative load (Refrigerator, Mobile charger 7 DTH
including Teaching) Computer, Modem)
Pump and auxiliaries One small pump of 1/2 HP Pump 200W & 50 W auxiliary) Pump 200W
(0.375+overload of 30%)
Critical Load Level 1:
Blood bank, DF, ILR, Refrigerator & Blood bank DF large & Blood bank DF large & Small Refrigerator
AC Refrigerator 200L Refrigerator
OPD (only emergency load)
Slit Lamp Suction Syringe Needle Destroyer
Distant Vision Charts Otoscope
Dental Chair motorized
Air Rotor
Compressor oil free medical grade
(noise-free)
Needle cutter/Hub cutter
Dental X-ray IOP/OPG X-ray viewer
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Sub Centres
DH Type I & Type II CHC Type I & Type II PHC Type I & Type II
Cat-A Cat-B
with LED light.
Labour room (Normal delivery)
Pulse Oxymeter baby & adult Incubator Water Heater (immersion) small immersion
water heater
Baby Incubators Shadow less lamps for labour Suction machine
room
Radiant Warmer Resuscitator Oxygen generator
Vacuum extractor metal Laproscope Resuscitator
Suction Machine Infant radiant warmer-2 Infant radiant warmer-1
Cardiopulmonary Equipment
ECG machine computerized ECG ECG machine ordinary
ECG machine ordinary ECG machine ordinary
12 Channel stress ECG test Cardiac Monitor with
equipment Tread Mill* defibrillator 1
Echocardiography Machine Infusion pump 1
Cardiac Monitor Water Heater (immersion)
Cardiac Monitor with defibrillator Diathermy machine
Ventilators (Adult)
Ventilators (Pediatrics)
Pulse Oximeter
Pulse Oximeter with NIB.P*
Infusion pump
Incinerator and mortuary including
waste management
Critical Load Level 2:
USG
Color Doppler Ultrasound machine Incubators Incubators Infant warmer
with 4 probes: Abdomen, Pediatric, (Only in Cat-A)
So. Parts and Intra-Cavitory Ultra
Sonogram
Portable ultrasound
Incubators
OT
Anesthesia Equipment Anesthesia Surgical cutter
Auto Clave HP Horizontal Lamps shadow less Shadow less lamps for labour
room
Operation Table Hydraulic Major Sterilizer Anesthesia
Shadow less lamp ceiling type major* Suction pump
Sterilizer (Big instruments)
Computer+printer+UPS+TV, etc Computer, printer, Two Computer, printer, Fax Computer, printer
communication system
Critical Load Level 3:
Labour & SNCU ward advanced equipment
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Sub Centres
DH Type I & Type II CHC Type I & Type II PHC Type I & Type II
Cat-A Cat-B
Double Sided Blue Light Water Heater (immersion) Photo therapy Unit
Phototherapy
Pulse Oxymeter baby & adult Lamp for new born baby
Infusion pump or syringe pump
Cardiac monitor baby & adult
CFL Phototherapy
Phototherapy Unit
Cardio Toco Graphy Monitor
Nebulizer baby
Newborn Care Equipment
Suction Machine
Infantometer
Servo-controlled Radiant Warmer
Operation additional
Auto Clave HP Vertical (2 bin) Drum, sterilizing cylindrical -
275 mm Dia x 132 mm
Autoclave vertical single bin
Shadow less lamp ceiling type minor*
Sterilizer (Small instruments)
Bowl Sterilizer Medium
Diathermy Machine (Electric Cautery)
Suction Apparatus - Electrical
Dehumidifier*
Ultrasonic cutting and coagulation
device
Laboratory
Electric microscope Bath, water, serological, with
racks, cover, thermostat, 240
v
Lab Incubator Microscope, binocular
Electricentrifuge, table top-3 Illuminator
Blood gas analyser Microscope Microscope
(Only in Cat-A)
Electrolyte Analyser Hematology
Laboratory Autoclaves Pathology
automatic blood gas analyzer-2 Serology
Blender Biochemistry
Hot Air oven Binocular Microscope with oil
immersion
Table top centrifuge Table top centrifuge
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
To proceed further with the categorization of loads (in levels of criticality), inputs from load
assessment based on their characteristics (as shown below) is carried out. This can further
support in sound management of energy and is required to envisage the solar PV power
system. Following are characteristics of connected loads in health centres across Nagaland:
Resistive type: These equipments are mostly used in labour room, OPDs, operation
theatre and in emergency mode. Majority of loads at the health center are of the
resistive type. These include infant warmer, photo therapy unit, autoclave, sterilizers,
heaters, boilers, etc. These loads are continuous and each of the equipment may remain
plugged for continuous stretches of time as per requirement. Sum of all such loads
range from 600–6000 Watt.
Inductive and Capacitive load (in combination): Include diagnostic equipments. The
connected load of such equipment are usually <1,500 Watts.
Others: Highest connected load centres are in the imaging section, which consists of a
combination of MRI, CT Scans and X-Ray machines. This unit normally draws the
maximum energy and the connected load can range from 6 kW to 60 kW. It is to be
noted that the typical energy consumption characteristic of these equipment are of
short and intermittent usage but with very high draw of current.
Following assessment of all stated factors (medical criticality and characteristics of load type), a
final table has been prepared enlisting categories of loads in each of the health centres. The
same will be used for designing for solar PV Solar PV hybrid power generation system.
Table 3: Connected Critical Load Considered for Solar PV Hybrid Support in District Health Centre &
Community Health Centres
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Table 4: Connected Critical Load Considered for Solar PV Support in Primary Health Centres & Sub
Centres
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
major energy consumers because while they draw moderate amounts of power, they
are used quite frequently.
Envisage: Where applicable, it would be ideal to reduce medical equipment loads by
using energy-saving settings during working hours and by turning off devices during any
appropriate non-working hours.
System Sizing
X-ray, MRI, and CT present some interesting problems that are considered to size the system.
Each of these equipments has very dynamic load characteristics and voltage regulation
requirements that have to be considered. As an example, a typical CT system will have a
“Continuous” power demand of 20 kVA but a “Maximum” power demand of 90 kVA for a few
milliseconds or possibly 10-20 seconds. During this time frame the voltage has to stay within 6%
of the nominal line voltage value. As can be seen the CT system has a very dynamic power
demand but some imaging systems are even more dynamic. A vascular X-ray generator capable
of delivering 100kw of energy to an x-ray tube requires 171 kVA of input energy. This is also a
very dynamic load because the vascular system will only have a “Continuous” power demand of
5-10 kVA. The power demand for a vascular system could go from 5 kVA to 171 kVA for 10-40
milliseconds and back to 5 kVA, this will be repeated up to 12 times/second. Other diagnostic
imaging systems do not have dynamic power demands. Positron Emission Tomography (PET),
Ultrasound, and Information Technology systems have a fairly constant power demand.
Other design requisites to be considered while sizing the solar power system:
1. Ultrasound systems are very sensitive to RF noise. RF noise could compromise the
operation of the Ultrasound system, can be either radiated or conducted. The inverters
in the solar system can potentially be a major source of RF interference for the
Ultrasound system and cause imaging problems.
2. Continuous power demand of critical loads.
3. Instantaneous or maximum power demand.
4. The cycle time for these load demands:
a. Time for which the maximum load demand will be required
b. The number of times the maximum demand will be repeated
5. Voltage regulation required for specific imaging system.
6. Solar power generation systems envisaged through battery/inverter will always remain
24 hours connected to critical care loads through separate Distribution Boards.
7. While deciding on the storage battery, true hybrid Power Conditioning Units are
considered such that battery should have alternative charging system i.e., from solar
source & utility supply, such that the battery through inverter can be treated as reliable
UPS for critical equipment any time.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Final designing is done based on load categories presented above, separately for two types for
respective health centres, i.e. Type-1 and Type-2 for each DHC, CHC, PHC and SC. As connected
loads in health centres are not same, even for same category of health centre. For instance,
Noklak CHC has an X-ray machine whereas Changtongya CHC does not. Hence, to incorporate
diversity in final design, Solar PV system designing is done for two types (I and II) in each
category of health centre, i.e. one which have certain essential equipments already connected,
and others which do not have the same. Following two options for each type of health centres
are considered for solar power system:
Table 5: Options for Each Type of Health Centres Considered for Solar Power System
Type Details
District Health Centres
Type I Solar system for Health Centre can support load of one C.T. Scan, 64 slice (20 kW)
and one 500MA X-Ray machine (14.4 kW) along with several essential services.
Type II Solar system can support only one 500MA X-Ray machine (14.4 kW) along with
several essential services.
Community Health Centres
Type I Solar system can support load of one 100mA X-Ray machine (10 kW) along with
labour ward and OT essential services.
Type II Solar system can support one portable X-Ray machine with some essential
services.
Primary Health Centres
Type I Solar system can support full load of labour ward and OT essential services.
Type II Solar system can support partial load of labour ward and OT essential services.
Sub Centres
Average connected load of all the nine surveyed Sub Centres is only 0.5 kW except Wokha where it
is 1.3 kW. The reason of the low connected load is due to the fact that most of the Sub Centres lack
full compliment facilities of a labour room. It is envisaged that under NRHM slowly all the Sub
Centres will install at least one infant warmer (750 W) and water heater (1000 W) apart from DF or
refrigerator (150 to 300W).
Category A 2.0 kW
Category B 1.0 kW
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
The ground/roof area available in each health centre will cater to capturing of solar energy. A
projection of capacity of the plant can be made as per the land/roof available. Following table
maps the two for the health centres surveyed:
Table 7: A Projection of Installed Capacity as per Land/Roof Area Available for Solar Project in Surveyed
Health Centres and Health Centres
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Based on the critical load and emergency power requirement following Health Centres, two
options provided from each category, are found most suitable for initial pilot projects. The
choice of the projects is based on the location, grid supply condition, installed facilities, patient
foot fall and road connectivity:
S.No Facility & location Connected Approx Solar PV project capacity Installed critical load
load in KW which can be installed (KW) considered
in KW
1 Mokokchung District Health 178 100 60
Centre
2 Wokha District Health Centre 109 292 45
3 CHC, Longkhim 22.6 100 17
4 CHC, Changtongya 15.1 85 11
5 PHC, Longjang 7.7 83 6
6 PHC, Chare 3.37 83 4
7 Wokha village Sub Centres 1.27 2 2
8 Phezhujotsoma Sub Centres 0.67 10 1
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
TECHNICAL DESIGN
Introduction
Based on the above analysis of connected load, type of demand and grid power quality true
solar hybrid systems are envisaged for all types of health centres to ensure that that in every
situation of grid power status the emergency and critical care sections of the health facility will
remain operational.
The PV-Battery-Diesel Hybrid systems employ a number of different technologies. With reliable
solar resources and reasonable grid availability, this system would rarely need to rely on a
generator. Since the generator can recharge the batteries during prolonged periods of
inclement weather, the battery bank in a hybrid system can be significantly smaller than a PV-
battery system, perhaps only needing to store a few hour worth of energy. As an additional
benefit, the low duty cycle extends generator lifetime.
Schematic possibilities of the proposed Solar True Hybrid Power Generation System in all grid
power situations are depicted below:
Scenario 1
SPV present
Mains available
Battery charged through (MPPT charger + Mains)
Load supplied through Mains.
Scenario 2
SPV available
Battery charged
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Scenario 3
SPV not available
Mains available
Battery charging through mains.
Scenario 4
SPV not available
Mains OFF
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Scenario 5
SPV & Mains not available Battery discharged
Start DG command
Battery charging through DG, & Load through DG
Basis the above configurations for power backup, in various situations, following eight types of
Solar Power Generation systems are designed for erection and commissioning in any type of
health centre in Nagaland.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
District Health
Parameters CHC PHC Sub Centres
Centres
T-1 T-2 T-1 T-2 T-1 T-2 T-1 T-2
Connected load (kW) 62.25 46.40 17.00 11.00 6.00 4.00 2.0 1.0
Estimated energy demand (in kWh) 280 213 85 57 33 25 14 5.0
PV Syst simulation analysis was carried out for each of eight system possibilities considering the
following mean of available solar data for Nagaland:
Station Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Annual
6 2
Mean of Nagaland kWh/m /day
Month wise Averaged daily Insolation Incident On A
4.1 4.61 5.1 5.09 4.9 4.6 4.3 4.3 4.01 4.3 4.4 4.05 4.47
Horizontal Surface
Month wise Averaged daily Clear Sky Insolation
4.8 5.75 6.9 7.79 8.2 8 7.5 7.3 6.34 5.8 5 4.53 6.49
Incident On A Horizontal Surface
Month wise Averaged daily Insolation Incident at OPT 5.8 5.74 5.5 5.06 4.9 4.6 4.3 4.3 4.08 5 5.9 6.14 5.1
Month wise Averaged daily Mean 4.52
Monthly Averaged Clear Sky Days 10 6 4 2 1 0 0 0 1 6 11 15
Monthly Averaged Daylight Hours 11 11.3 12 12.7 13 14 14 13 12.3 12 11 10.5 12.1
Station Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Annual
7 2
Mean of Nagaland kWh/m
Monthly Averaged Insolation Incident On A
128 129 158 153 152 138 133 133 120 133 131 126 1633.44
Horizontal Surface
Monthly Averaged Clear Sky Insolation Incident On
150 161 214 234 254 240 231 225 190 179 150 140 2368.64
A Horizontal Surface
At OPT 180 161 170 152 151 137 133 133 122 153 177 190 1860.37
Mean 150 161 170 153 152 138 133 133 122 153 150 140 1756.12
Average yearly Global Solar Radiant Exposure Average of values above from S.No. 1 to 4 1904.64
Median yearly Global Solar Radiant Exposure - Median of values at S.No. 1 & 4 1808.25
Mean of lowest and average values Mean of values S.No. 5 & 6 1856.44
Value considered for energy generation 97% of value at S.No.-7 1800.00
6
Latitude: 26.3187, Longitude-94.5208, Elevation-1217
7
Latitude: 26.3187, Longitude-94.5208, Elevation-1217
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Although C-Si modules has a higher temperature co-efficient, this has higher impact only
in high temperature zones. Nagaland’s ambient temperature is low, hence this effect is
minimized
C-Si modules are robust and easy to handle, whereas thin film modules are fragile and
easily breakable. Polycrystalline module comes with Anodized Aluminium frame, but
thin film is frameless, sandwiched between glasses. Installation of this film module
requires higher level of expertise
Thin film module requires special clips and structures.
Thin film module require more number of circuit combiners and fuses.
Most importantly, there are several C-Si module manufacturers in India and the same is
preferred by MNRE, while thin film hardly has a domestic content in India.
Hence, other than being more expensive, C-Si technology is certainly a better choice for
the project under discussion.
For ground mounted systems, the mounting arrangement will have provision for tilting in to
three angular position viz. latitude angle, -15º latitude angle and + 15º latitude angle position.
For the project, fixed tilt structures are recommended for the following reasons:
DC Side Equipment
Array junction/combiner box: Junction boxes considered are conforming to IP 54 protection
class II. Every box will be consisting of DC side disconnect switch, fuses and a Type II surge
protection device.
termination shall have suitable marker ferrules for easy identification. All doors and covers shall
be fitted with suitable gaskets or otherwise designed to limit the entry of dust, vermin &
moisture. The doors shall be fitted with suitable locking arrangement.
The following types of PCUs are considered for systems to be installed at Sub Centres and
Primary Health Centres
Table 13: Type of PCUs Considered for Systems to be Installed at Sub Centres and Primary Health
Centres
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Following types of PCUs are considered for systems to be installed at Community Health
Centres and District Health Centres:
Table 14: Type of PCUs Considered for Systems to be Installed at Community Health Centres and District
Health Centres
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Battery Banks
Battery considered are of 2V cells of varying AH in different numbers in series and parallel
having excellent cycle life, say 1500 Cycles at 60% DOD and 7500 Cycles at 20% DOD
conforming to IS 1651.
Average DOD (Depth of Discharge) allowed at 60% and battery efficiency considered at 80%.
Battery banks considered for each of the Solar PV Power Generation systems are as follows:
Table 15: Battery Banks Considered for Each of the Solar PV Power Generation Systems
For the project, VRLA battery has been recommended over other technologies such Li-Ion,
Vanadium Redox, etc for cost considerations and better access in far-flung areas. However,
please note that Li-ion and Vanadium Redox technologies are superior technologies but are still
not economical in current market scenario against VRLA technology.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Sr.
Particulars Reason to select these makes
No.
1 Solar Photovoltaic 1.) Annual degradation 0.7 %.
modules 2.) 7 % degradation in 10 years
3.) Linear degradation warranty
4.) Positive PMPP tolerance range is 0 ~ + 3% offered.
External Circuit MC4 - IP65 with optimized current and voltage rating compatible
6 with external circuit and solar system
Interconnection Box
The performance of proposed solar power generation systems/plants will be the Capacity
Utilization Factor (CUF), which is the ratio of the actual electricity output from the system, to
the maximum possible output during the year. The estimated output from the proposed solar
power systems/plants are calculated, using standard PV Syst software. But since there are
several variables which contribute to the final output from a plant, the CUF varies over a wide
range. These could be on account of poor selection /quality of panels, derating of modules at
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
higher temperatures, other design parameters like ohmic loss, atmospheric factors such as
prolonged cloud cover and mist.
Therefore performance of the proposed PV power systems/plants however will depend
on following several parameters:
Site location, solar insolation levels, climatic conditions specially temperature, technical
losses in cabling, module mismatch, soiling losses, MPPT losses, transformer losses and the
inverter losses.
There could also be losses due to module degradation through aging. Some of these are
specified by the manufacturer, such as the dependence of power output on temperature,
known as temperature coefficient.
Of all above mentioned parameters following factors are considered as key performance
indicators:
1. Radiation at the site
2. Losses in PV systems
3. Temperature and climatic conditions
4. Design parameters of the plant
5. Inverter efficiency
6. Module Degradation due to aging
7. Operation and Maintenance practices (such as module cleaning)
8. Plant uptime
Reflection Losses
PV module power ratings are determined at standard test conditions, which require
perpendicular incident light. Under field conditions larger incidence angles occur, resulting in
higher reflection losses than accounted for in the nominal power rating. Calculations show
that for modules faced towards the equator, and with a tilt angle equal to the latitude, yearly
reflection losses relative to STC are about 1.
Soiling
Soiling of solar panels can occur as a result of dust and dirt accumulation. In most cases, the
material is washed off the panel surface by rainfall; however dirt like bird droppings may stay
even after heavy rains. The most critical part of a module is the lower edge. Especially with
rather low inclinations, soiling at the edge of the frame occurs. By often repeated water
collection in the shallow puddle between frame and glass and consecutive evaporation dirt
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
accumulates. Once it causes shading of the cells, this dirt reduces the available power from a
module. The losses are generally 1; however the power is restored if the modules are cleaned.
Mismatch Effects
Mismatch losses are caused by the interconnection of solar modules in series and parallel. The
modules which do not have identical properties or which experience different conditions from
one another. Mismatch losses are a serious problem in PV modules and arrays because the
output of the entire PV array under worst case conditions is determined by the solar module
with the lowest output. Therefore the selection of modules becomes quite important in
overall performance of the plant.
Inverter Efficiency
A solar PV inverter is a type of electrical inverter that is made to change the direct current
(DC) electricity from a photovoltaic array into alternating current (AC) for feeding into the
utility grid. These inverters may be stand alone inverters, which are used in isolated systems,
or grid tie inverters which are used to connect the power plant to the grid. The efficiency of an
inverter has to do with how well it converts the DC voltage into AC. The currently available
grid connected inverters have efficiencies of 93 to 98.5, and hence choosing the correct
inverter is crucial to the design process.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Mounting Position
Proper mounting arrangement is essential to ensure the structural integrity of the installation
is not breached, by reducing the wind uplift effect. Also optimized layout and mounting of
panel can reduce the footprint of the installation, thus increasing the installed capacity for the
same available area.
Inclination Angle
This is the angle of the PV modules from the horizontal plane, for a fixed (no tracking)
mounting. It is also noted that the global radiation measurements are done on horizontal
surface. The maximum radiation can be obtained by tilting the surface at an optimum angle,
which is determined by the latitude of the location.
Parameters Values
Horizontal global irradiation Global incident in coll. plane +10.7%
IAM factor on global -3.0%
PV loss due to irradiance level -3.5 to -4.0%
PV loss due to temperature -7.5 to 9.0%
Array Soiling loss -2.0 to 3.0%
Module quality loss -0.5 to -1.0%
Module array mismatch loss -1.5%
Ohmic wiring loss -0.5 to 1.5%
Loss by respect to the MPP running -0.0%
Unused energy (full battery) loss -22.0 to 25.0%
Converter Loss due to power threshold -0.0%
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Parameters Values
Converter Loss during operation (efficiency) -8.0%
Converter Loss due to voltage threshold 0.0%
Converter Loss over nominal conv. voltage -0.2 to -0.5%
Battery Stored Energy balance +0.2 to +0.5%
Battery efficiency loss -5.0 to 7.0%
Gassing Current (electrolyte dissociation) -1.5%
Battery Self-discharge Current -0.2%
Missing Energy 1.0 to 5.0%
Overall loss -42.0 to -50.0%
System Design
District Health
Parameters CHC PHC Sub Centres
Centres
T-1 T-2 T-1 T-2 T-1 T-2 T-1 T-2
Connected load (kW) 62.25 46.40 17.00 11.00 6.00 4.00 2.0 1.0
Estimated energy demand (in kWh) 280 213 85 57 33 25 14 5.0
Solar Power generation System designed size
Solar PV module and array details
Module Maximum power in STC (Vmax) 250 250 250 250 250 250 250 250
Proposed Installed Solar PV capacity (kWp) 65 48 20 15 7.5 5.0 3.0 1.5
Module in series (Nos) 13 12 8 6 5 4 4 2
Module in Parallel (Nos) 20 16 10 10 6 5 3 3
Total modules 260 192 80 60 30 20 12 6
PV array Voltage (VDC) 390 360 240 180 150 120 120 60
PV array (Amp) 160 128 80 80 48 40 24 24
Energy to charge controller (kWh) 277 188 79 58 30 20 12 6.5
Power conditioning Unit
MPPT input Max voltage (V) 400 400 400 400 360 288 90 90
MPPT output Max voltage (V) 240 240 240 240 180 144 48 48
Max charging current (A) 320 200 80 60 40 40 60 40
Inverter capacity (KW/kVA) 75/80 50 20 15 6 4 3 1
440 V, AC, 3 Ph, 4 wire,
Inverter Output Voltage (V AC) 230 V, AC, 1 Ph, 2 wire, 50 Hz
50 Hz
Battery details
Cell Voltage (V) 2 2 2 2 2 2 2 2
Battery Voltage (V) 240 240 120 120 120 120 120 120
Bank capacity in AH 2000 1500 1200 1000 500 300 200 100
Number of batteries considered in series 120 120 60 60 60 60 60 60
Number of batteries considered in parallel 1 1 1 1 1 1 1 1
Total Number of batteries considered 120 120 60 60 60 60 60 60
Total Energy to be stored (kWh) 480 360 144 120 60 36 24 12
Energy can be drawn (60% DOD)-kWh 288 216 86.4 72 36 21.6 14.4 7.2
Energy can be converted after losses (kWh) 230.4 172.8 69.1 57 28.8 17.2 11.5 5.8
Ultimate energy available at AC side Load DBs
214.3 160.7 64.2 53 26.7 16 10.7 5
(kWh)
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
SLDs of the Designed Proposed Solar Power Generation Systems for Nagaland Health
Centres
DG SET
Charging by charge
controller
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Based on afore indicated final system design and configuration- a budgetary capital cost
estimated has been calculated for each type of solar photovoltaic installation, as mentioned in
the tables above. The estimate has been segregated broadly as per standard sub activity. The
generic description of components and their technical specifications are already detailed above.
The transportation cost for supplied components have been considered till Siliguri only. The
Ministry of Commerce and Industry, GoI, provides a transport subsidy for the north eastern
region which shall be availed in this case.
Prior to commencement of an installation, a detailed survey for the site is to be carried out for
understanding the existing electrical circuit and layout of the health centre. Any internal up
gradation to the internal electrical network necessary for incorporating the solar hybrid
installation is to be evaluated. The price for such up gradation is not included in the above
estimate. Furthermore, in case of roof top installation is being considered for a specific centre,
the load bearing capability of that particular roof is to be checked and any reinforcement
required shall be undertaken as an independent exercise.
O&M Costs
The O&M cost is based on the service type to be undertaken contractually. Currently, there are
4 different kind of services included in the O&M Contract shown below:
Based on the above, it is recommended that O&M services be undertaken through Online
Support/Call Support for the project which is estimated at 2% of the project cost.
This is due to the fact (as indicated in the O&M section of the report) that general scheduled
maintenance of solar system is a simple process and hence it is recommended that local health
centre undertake O&M on a daily basis at the health center. Further, entrepreneurs in central
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
For the recurring capital costs, the batteries will require replacement every 5 years on an
average and hence, additional cost of battery storage (as shown in above table) will be incurred
every 5 years throughout the lifecycle (25 years) of the project.
Table 18: Recurring O&M Cost Estimation for the Proposed Solar PV Power Generation Systems in
District Health Centre and Community Centre
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
a. Routine operation & maintenance of the solar PV power plant including its
associated array, inverters, power control units, and all civil structures, control room
buildings, Battery etc. on day to day (24x7) basis
b. Scheduled and unscheduled maintenance of the facility,
c. Civil maintenance
d. Security of the facility
e. Data collection and analysis
Scheduled Maintenance
Scheduled maintenance ideally includes regular cleaning of modules, checking connections and
combiner box, inverter servicing, checking structures etc.
It is required to scheduled maintenance as scheduled below
Unscheduled Maintenance
Unscheduled maintenance is carried out in response to failures. As such, the key parameter
when considering unscheduled maintenance is diagnosis, speed of response and repair time.
Although the shortest possible response is preferable for increasing energy yield, this should be
balanced against the likely increased contractual costs of shorter response times.
The agreed response times should be clearly stated within the O&M contract and will depend
on the site location— and whether it is manned. Depending on the type of fault, an indicative
response time may be within 48 hours, with liquidated damages if this limit is exceeded.
The majority of unscheduled maintenance issues are related to the inverters. This can be
attributed to their complex internal electronics, which are under constant operation.
Depending on the nature of the fault, it may be possible to rectify the failure remotely – this
option is clearly preferable if possible.
Other common unscheduled maintenance requirements include:
Tightening cable connections that have loosened.
Replacing blown fuses.
Repairing lightning damage.
Repairing equipment damaged by intruders or during module cleaning.
Repairing mounting structure faults.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Refer to the inverter manual for more information about inverter maintenance and
electrical work.
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Assessment of Technical Requirements for Deploying Off-grid Power Solutions in Health Centers in Nagaland
Check that all rafters, trusses and other materials are in good
condition.
Check for indication of previous water leaks.
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Mon District Hosiptal DPR
GAPS ASSESSMENT REPORT
Of
NAGALAND
DISTRICT HOSPITAL
LIST OF ABBREVIATION S
CAPTIVE USER End User Of The Electricity Generated In A Captive Generating Plant
SOLAR PV The Solar Photo Voltaic (PV) Power Project That Uses Sunlight For
POWER Direct Conversion Into Electricity Through Photo Voltaic Technology.
SOLAR Solar Thermal Power Project That Uses Sunlight For Direct
THERMAL Conversion Into Electricity Through Concentrated Solar Power
POWER Technology Based On Either Line Focus Or Pointy Focus Principle.
AH Ampere Hour
MW Mega Watt
WP Watt Peak
Table of Contents
List of Abbreviations ....................................................................................................................................................... ii
1. About the PROJECT ................................................................................................................................................ 4
2. Objectives of the assignment ............................................................................................................................. 7
3. Methodology ............................................................................................................................................................. 8
3.1 Process Flow .......................................................................................................................................................... 8
3.2 Checklist /Key Information Areas ................................................................................................................. 9
4. Findings from Hospital Assessment ............................................................................................................. 12
4.1 Current Status on Infrastructure and Gaps ...................................................................................... 12
4.1.1 Electricity.............................................................................................................................................. 13
5. CONCULSIONS, RECOMMENDATIONS AND COSTING .......................................................................... 26
Annexure I: LIST OF DOCUMENTS REFERRED .................................................................................................. 28
Annexure II: LIST OR PEOPLE MET ........................................................................................................................ 30
Annexure III: TERMS OF REFERENCE ................................................................................................................... 31
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Gaps Assessment for District Hospital MON Draft Final Report
1. ABOUT THE PROJECT
The District of Mon, which covers an area of 1786 Sq. km, is bounded on the North by Sibsagar District of
Assam, on the South by Tuensang District of Nagaland and Myanmar (Burma), on the East by Myanmar
(Burma) and on the West by Tuensang and Mokokchung Districts of Nagaland. On the Northeast lies the Tirap
District of Arunachal Pradesh. The altitude of Mon district headquarters is 897.64 meters above sea level.
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Gaps Assessment for District Hospital MON Draft Final Report
Of all seven sisters in North Eastern India, each state has their distinct features which differentiate them from
each other.
Assam and Tripura, which is rich in petroleum resources, Arunachal Pradesh has a hydro power potential of
50000 MW according to CEA. Meghalaya has coal and uranium resources, while Mizoram has rich Biomass,
Sikkim and Nagaland also have hydro potential. Nagaland has a huge potential to generate power from solar
installations.
Anticipated demand of the state by the end of 2020, could be 500MW. To meet the requirement, the
department has been exploring ways and means to harness different sources of energy in the state, the report
said. During the current financial year (as on February 2011), 24MW Likimro Hydro Electric Project has
generated 60.72 MU which has supplemented the state’s power requirement as well as resources to a large
extent.
1MW Lang Hydro Electric Project is scheduled to be completed in 2012 while 1 MW Tehok Hydro Electric
Project is scheduled to be completed by 2012-13.
Executed Projects:-
Total - 275 MW
Kopili Hydro Electric Power Plant.
Comprises of three power stations (North Cachhar Hills District, Assam)
o Khandong power station (2x25 MW) – 50 MW
o Kopili power station (2x50 MW + 2x50 MW) – 200 MW
o Kopili power station, Stage-II (1x25 MW) – 25 MW
Ranganadi Hydro Electric Project – Arunachal Pradesh – biggest power plant – 405 MW
Doyang Hydro Electric Project – Nagaland – 75 MW
Assam Gas Based Power Plant – 291 MW – Combined cycle power station comprising 6 gas and 3 steam
turbines
Agartala Gas Turbine Plant – 84 MW – Open cycle with 4 gas turbines
5
Gaps Assessment for District Hospital MON Draft Final Report
138 8 271*1000 69 9 3
Category DISTRICT CHC PHC SUB CENTRE
HOSPITAL
MON 1 2 15 50
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Gaps Assessment for District Hospital MON Draft Final Report
2. OBJECTIVES OF THE AS SIGNMENT
The objective of the study is to support the Nagaland health department, in accessing the needs, defining
technical requirements and planning investments to provide appropriate technology for health facilities of
different districts.
The technology-driven hybrid power systems are characterized by high initial investments and low
switching cost. The abundant availability of component manufacturers as well as numerous
government incentives has fuelled the demand for and adoption of hybrid power systems across
developing economies. The lack of grid connectivity in remote and rural areas and its sheer unreliability
has boosted the installation of these power systems in recent years.
Hybrid power systems combine renewable energy sources such as wind and solar and energy produced
by conventional means such as diesel generators. By type, hybrid power systems include wind-solar-
diesel hybrid, PV-diesel hybrid, and others such as wind-hydro-diesel hybrid, solar thermal, and hybrid-
solar biomass. It will retain its dominance over other segments. Over the past few years, wind-solar-
diesel hybrid systems for rural electrification have been enormously developed by various stakeholders
across developing countries such as Indonesia, India, China, and South Africa.
The integration of renewable energy production with the electricity mix also reduces the cost of
transporting fuel to remote areas in the region. Japan is the leading contributor in the APAC hybrid
power systems, with the surge in utility-scale and commercial projects expected to drive demand in the
coming years. Over the past few years, the country has witnessed a rapid increase in the number of
companies registering to sell retail power
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Gaps Assessment for District Hospital MON Draft Final Report
3. METHODOLOGY
Data collection for the systematic review was done by extracting relevant research studies from the site
surveys by various technical experts. Data extraction allowed the researchers to determine which data was
most important in answering the problems faced by various staffs at the hospital.
The poor working conditions are attributed to poor infrastructure, inadequate resources, lack of safety and
security, poor interpersonal relationships, lack of involvement in decision making and lack of support from
governing body. The study revealed that effective management at hospital level may create an enabling
working environment modifying the impact of resource shortfalls.
The complete area was surveyed, MS and staffs took us around the entire area, explained few things what
they go through because of the poor infrastructure facilities and policies.
The area was studied; proper checklist sheet was worked on as per the data available. There were certain
parameters which were not available, few things were not even known to the staffs.
Each and every small detail was considered and every site was not only surveyed but also analysed, worked
upon, to finally prepare the draft.
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Gaps Assessment for District Hospital MON Draft Final Report
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Gaps Assessment for District Hospital MON Draft Final Report
IPHS GUIDELINES
There shall be provision of adequate light in the night so hospital is visible from approach road.
Signage
The building should have a prominent board displaying the name of the Centre in the local language at the gate
and on the building.
Signage indicating access to various facilities at strategic points in the Hospital for guidance of the public
should be provided.
Florescent Fire Exit plan shall be displayed at each floor.
Roads shall be illuminated in the nights
The Hospital should be, as far as possible, environment friendly and energy efficient. Rain-Water harvesting,
solar energy use and use of energy-efficient bulbs/ equipments should be encouraged. Provision should be
made for horticulture services including herbal garden.
Emergency Unit
Emergency block should have ECG, Cardiac Monitor with Defibrillator, Multi parameter Monitor, and Ventilator.
OPERATION THEATRE
This unit also needs constant specialized services, such as piped suction and medical gases, electric supply,
heating, air-conditioning, ventilation and efficient lift service, if the theatres are located on upper floors.
III) Central Sterile and Supply Department (CSSD) As the operation theatre department is the major consumer
of this service, it is recommended to locate the department at a position of easy access to operation theatre
department. It should have a provision of hot water supply.
Hospital Laundry
It should be provided with necessary facilities for drying, pressing and storage of soiled and cleaned linens. It
may be outsourced.
Medical stores
For Storage of Vaccines and other logistics Cold Chain Room: 3.5 m × 3 m in size Vaccine & Logistics Room: 3.5
m × 3 m in size
Mortuary
It provides facilities for keeping of dead bodies and conducting autopsy. The Mortuary shall be located in
separate building near the Pathology on the Ground Floor, easily accessible from the wards, Accident and
emergency Department and Operation Theatre. It shall be located away from general traffic routes used by
public. Post-mortem room shall have stainless steel autopsy table with sink, a sink with running water for
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Gaps Assessment for District Hospital MON Draft Final Report
specimen washing and cleaning and cup-board for keeping instruments. Proper illumination and air
conditioning shall be provided in the post mortem room. A separate room for body storage shall be provided
with at least 2 deep freezers for preserving the body.
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Gaps Assessment for District Hospital MON Draft Final Report
4. FINDINGS FROM HOS PITA L ASSESSMENT
Categories Findings
Grid Power 3phase Power – Yes with proper phase marking and proper phase
change over switch
Power Availability Power Availability – 8-10 Hours (Average) (Weather Issues, At Times
No Power For 30 days)
Generator Generator set Kirloskar - 125 Kva / 25 Kva / 7.5 Kva – 2nos
[Kirloskar]
Transformer 125 KVA required minimum
Inverter Inverter Battery Set – 6.5 Kva *3 Inverter Sets Provided By MSF
(Non-Working)
Portable Generator set 1 Set – New
Solar water Heater 1 water heater not working
Water Pump 1 Bore well available, rain water harvesting available. No running
water.3 Reservoirs available.
Area & Compound Lighting CFLs & T8 Tube lights & Incandescent bulb available
From this survey, it is clear that provision of a positive working environment is crucial for the wellbeing
of the employees, the patients as well as the organisation. In facilities experiencing equipment problems
that appear to be power related, on-site surveys generally are required in order to verify that power
disturbances are the cause of electronic equipment malfunction or failure.
Re-Wiring problems listed are detectable through effective testing and analysis of the wiring and
grounding system.
Provision of adequate infrastructure is of high importance. Mechanical and electrical systems act as
vital organs to a hospital, providing power, water, fresh air and other important elements that keep the
hospital running efficiently and safely.
Please find the infrastructure requirements of a district hospital and also do go through the Findings at
the site.
Our high accuracy meters are used by many of the largest utilities to measure and analyze bulk power
flow, both in intra- and inter-utility applications.
These meters have been designed keeping in mind utility requirements of high accuracy over a wide
power range. With a low level of current required for starting the measurement of power, these meters
have become the preferred choice of utilities in monitoring and billing power flows.
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Gaps Assessment for District Hospital MON Draft Final Report
4.1.1 Electricity
LIGHTING LOAD DISTRIBUTION OF MON
3000
2500
2000
1500
1000
500
0
Total wattage (W)
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Gaps Assessment for District Hospital MON Draft Final Report
16000
14000
12000
10000
8000
6000
4000
2000
0
1
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Gaps Assessment for District Hospital MON Draft Final Report
Imaging Equipment
60 M.A. X-Ray Machine (mobile) Specification discussed with Siemens 5000
Portable Ultrasound 1000
Cardio Pulmonary Equipment
ECG Machine ordinary 350
Cardiac Monitor 150
Ventilator ( Adults) 650
Nebulizer 150
Labor ward, Neo Natal & Special Newborn Care Unit( SNCU)
Baby Incubators(3) 450
Photo therapy Unit 150
Emergency Resuscitation Kit-Baby 450
Radiant Warmer (3) 2250
Suction Machine 320
Immunization Equipment
ILR with stabilizer 550
DF with Stabilizer 650
OPD EQUIPMENT
Dental Chair motorized with panel with compressor, ultrasonic scaler and
suction & Filler 2300
OT Equipment
Shadow less lamp ceiling type (major) 1500
Shadow less lamp ceiling type (minor) 500
Diathermy machine 4000
Sterilizer(Medium) 250
Suction Machine 1280
LAB EQUIPMENTS
Hematology Analyzer with 22 parameters 250
Anesthesia Equipment
Multi parameter Monitor 350
Infusion pumps 100
ADMIN
Computer with modem with ups, printer & Internet connection 1000
TOTAL 23650
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Gaps Assessment for District Hospital MON Draft Final Report
Electrical Works
Before recommending any change, a survey has to be conducted to identify distribution and grounding
problems, an initial physical site examination is recommended. It typically begins at the location of the sensitive
electronic load equipment and progresses back to the service entrance through the following sequence:
sensitive load equipment, branch circuit wiring, breaker panel, feeder wiring, main breaker panel,
switchboard, and service entrance.
Start at the load equipment to check the wiring for code violations, adequate insulation, visible damage,
miswired connectors (e.g., phase and neutral-reversed or phase sequence reversed); secure connections; and
measure the phase, neutral, and ground voltages and currents.
Verify that the breakers in the panel feed the sensitive electronic load. Check that no other loads are on a
dedicated circuit. Visually check for any code violations, the use of wire nuts, insulation, other visible damage,
and for secure connections. Look for signs of burnt areas or carbonization, which indicate previous faults,
flashovers, arcing, etc. Note the size of incoming and outgoing conductors and make sure that they are
adequately sized for the load, especially the neutral. Check for shared neutrals and possible overloads with high
harmonic loads. Check the temperature of the insulated face of circuit breakers and for visual signs of
overheating. Smell the panel, which may indicate overheating conditions. Measure phase, neutral, and ground
voltages and currents, as well as the voltage drop across each critical breaker. More than about 0.1-V indicates
a possibly bad unit. Look for signs of previous faults such as burnt areas, flashovers, arcing, etc. Note the size of
incoming and outgoing conductors. Check for visual signs of overheating. Use an infrared camera, if available,
for examining the hot spots in the main breaker panel and switchboard.
Measurements of load-phase current and neutral current are necessary to determine whether the load is
sharing a neutral conductor with other loads. They also determine whether the neutral conductor sizing is
adequate. When sizing neutral conductors, remember that the current in the neutral can exceed current in the
phase conductor in three-phase circuits supplying single-phase loads with nonlinear current characteristics. A
true RMS reading clamp-on ammeter must be used to make phase and neutral conductor measurements. To
determine whether the neutral serving the sensitive electronic load is shared with other loads, check the
neutral current with the sensitive load turned off. If the current is not zero, a shared neutral is being used.
Panel description, feeder description, branch circuit loads, branch circuit voltage, branch circuit currents and
other above mentioned details once compiled can make it easy for implementation of Re-wiring or Renovation
work of complete electrical system at the district hospital.
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Gaps Assessment for District Hospital MON Draft Final Report
Servo Stabilizer
The Servo Stabilizers uses an advanced electronic servo-motor concept to control a motorized variable
transformer. Because of the motorization, there is a small delay in voltage correction. However, output voltage
accuracy is usually ± 1% with input voltage changes up to ± 50%. These machines are not affected unduly by
power factor or frequency variation. This type of technology tends to be extremely effective when considering
large three phase applications, as it is able to maintain its accuracy of all three phases, both line to line and line
to neutral, irrespective of input voltage balance and load balance at any power factor. They are also able to
withstand large inrush currents, normally experienced with inductive loads. However due to the mechanics of
this type of stabilizer, periodic maintenance is required.
Various Design Topologies:-
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Gaps Assessment for District Hospital MON Draft Final Report
PV systems have been the focus of numerous efforts for rural electrification. The panels themselves
typically have a very long lifetime (20-30 years). Unfortunately, installation programs do not always
include a sufficient service component. Regular maintenance on batteries is essential while training
local hospital staff in system maintenance is essential for routine maintenance; a professional
technician should also perform an annual maintenance check, examining wiring connections, mounting
bolts, and inverter operation.
PV systems typically have higher capital costs, but lower operating costs when compared to other
energy generation options. The availability of replacement components (model and brand) from local
vendors should be considered when procuring initial system components. End-user expectations of
solar systems are often unrealistic – education on the practical application of solar systems must
accompany system design and installation.
National standards for the placement, design, procurement, installation, and servicing of Photovoltaic
systems can help improve sustainability. Donor-funded PV systems often fail for lack of operating funds
and local service infrastructure. Detailed user manuals are critical – especially in cases where staff
turnover is high. Local ownership, often established through a contribution to initial system cost, is
critical for system sustainability.
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Gaps Assessment for District Hospital MON Draft Final Report
SPV Modules
a. Modules of Hybrid Power Plant shall be made of poly crystalline Silicon Solar Cells.
b. Each module shall have low iron tempered glass in front for strength and superior light transmission. It
shall have back sheet for environment protection against moisture and high voltage electrical insulation.
c. The module frame shall be made of aluminium or corrosion resistant material, which shall be electrically
compatible with the structural material used for mounting the modules.
d. Solar module shall be laminated using lamination technology using established polymer (EVA) and
Tedlar/Polyester laminate. The solar module shall have suitable encapsulation and sealing arrangements to
protect the silicon cells from the environment. The arrangement and the material of encapsulation shall be
compatible with the thermal expansion properties of the Silicon Cell and the module framing
arrangement/material. The encapsulation arrangement shall ensure complete moisture proofing during life
of solar modules.
e. Individual Solar Module rating shall not be less than 200W at standard test conditions. Test reports of the
modules should be submitted with the technical bid.
f. Power output Guarantee offered for the SPV Module shall not be less than 25 years.
g. The modules would be warranted for output wattage not less than 90% at the end of 10 years and 80% at
the end of 25 years.
h. SPV module conversion efficiency should be greater than 14%.
i. Peak Power Point Voltage and Peak Power Point Current of any supplied module and /or any module string
(series connected module) shall not be more than 3% from the respective arithmetic means for the entire
module and/or for all module strings, as the case may be.
j. Module rating is considered under standard test conditions, however Solar Modules shall be designed to
operate and perform relative humidity up to 100% with temperature between 0o C and +50o C and with
gust up to 150km/hr from backside of the panel. the geological data for each health centre location of
Nagaland from standard source can be referred for design to get optimum generation.
k. Sample modules and production processes employed in the manufacture of the offered module shall be in
accordance with the requirements of IEC 61215/ IS14286 and IEC61730 Part-I & Part-II with appropriate
certificate. IEC / equivalent BIS Equivalent IS Standards
l. PV modules to be used in a highly corrosive atmosphere (coastal areas, etc.) must qualify Salt Mist
Corrosion Testing as per IEC 61701 / IS 61701.
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Gaps Assessment for District Hospital MON Draft Final Report
Array Structure
The supplier shall specify installation details of the PV modules and the support structures with
appropriate diagrams and drawings. Such details shall include, but not limited to, the following:
Determination of true south at the site;
Array tilt angle to the horizontal, with permitted tolerance;
Details with drawings for fixing the modules;
Details with drawings of fixing the junction/terminal boxes;
Interconnection details inside the junction/terminal boxes;
Structure installation details and drawings;
Electrical grounding (earthing);
Inter-panel/Inter-row distances with allowed tolerances; and
Safety precautions to be taken. The array structure shall support SPV modules at a given orientation
and absorb and transfer the mechanical loads to the rooftop columns properly. All nuts and bolts
shall be of very good quality stainless steel.
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Gaps Assessment for District Hospital MON Draft Final Report
PCU
A solar inverter, or converter or PV inverter, converts the variable direct current (DC) output of a
photovoltaic (PV) solar panel into a utility frequency alternating current (AC) that can be fed into a
commercial electrical grid or used by a local, off-grid electrical network. It is a critical balance of system
(BOS)–component in a photovoltaic system, allowing the use of ordinary AC-powered equipment. Solar
power inverters have special functions adapted for use with photovoltaic arrays, including maximum
power point tracking and anti-islanding protection.
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Gaps Assessment for District Hospital MON Draft Final Report
A 100 LPD Solar Water Heating (SWH) System having 2 square meter of collector area, can replace an electric
geyser of 2 KW capacities for residential use and may save up to 1,500 units of electricity and up to 1.5 tons of
CO2 per year depending upon the location of installation. The gross potential for solar water heating systems in
India has been estimated to be about 140 million sq. m. of collector area. However, we have achieved about 12
million sq. meter collector areas. There is a lot of potential for Solar Water Heating Systems in the country.
The main objective of the program is to promote the widespread use of solar water heaters in the country
through a combination of financial and promotional incentives, and other support measures so as to conserve
electricity and other fossil fuels, apart from peak load saving in cities and towns.
Heating water is very expensive as it requires a huge amount of energy. It is believed that 18% of domestic
energy is used to heat water. In most homes and businesses this energy is generated from fossil fuels – gas and
oil. Most modern domestic boilers will run on gas and heat water on demand. But many people still heat their
water using electricity which is the most expensive way to heat water.
Simple calculations on the energy output, savings on LPG and reduction of CO2 have been conducted.
Preliminary results indicated that the saving on LPG based on proposed system was more than 20%. With a
prospect of 100+ health facilities throughout the state, this project shall improve public awareness in energy
conservation in the hot water production of their buildings and increase the market of the solar energy systems
Solar thermal panels can only heat water and it requires space on roof top.
Annual maintenance is recommended.
Incorporating the Solar Hot Water System to the commercial hot water system heated by LPG boilers, there
would be a large potential in energy saving and greenhouse emission reduction.
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Gaps Assessment for District Hospital MON Draft Final Report
Solar street lights are independent of the utility grid resulting to lessened operation costs.
Solar street lights require lesser maintenance than conventional street lights. These have lower chances of
overheating. Since solar wires do not have external wires, the risk of accidents is minimized.
Solar street lights are environment-friendly because its panels are solely dependent to the sun hence
eliminating your carbon footprints contribution. Some parts of solar street lighting systems can be easily
carried to remote areas making these more efficient and handy solutions to lighting problems. Lighting up
streets and roads enhance the comfort, security and overall safety of our rapidly growing urban environments.
Standalone solar street lighting is designed to achieve better light uniformity and maximum spacing between
poles for both pedestrian and vehicle road applications, and higher efficiency to save panel size and battery
capacity in solar lighting system. With its die-cast aluminum housing, it is easy to maintain, has a long lifetime
and a consistency you can count on.
Light Source
The light source will be a white LED type. Single lamp or multiple lamps can be used. The colour temperature of
white LED used in the system should be in the range of 5500K–6500K. Use of LEDs which emits ultraviolet light
is not permitted.
The light output from the white LED light source should be constant throughout the duty cycle.
The lamps should be housed in an assembly suitable for outdoor use. The temperature of heat sink should not
increase more than 20oC above ambient Temperature even after 48 hours of continuous operation. This
condition should be complied for the dusk to dawn operation of the lamp while battery operating at any voltage
between the load disconnect and the charge regulation set point.
The make, model number, country of origin and technical characteristics (including IESNA LM-80 report) of
white LEDs used in the lighting system must
be furnished to the Test Centers and to the buyers. In absence of this data the solar street lights may not be
tested by the Test Center.
Battery
Lead Acid, Tubular Positive Plate Flooded or Tubular GEL / AGM VRLA, 12 V- 40 AH @ C/10 discharge rate.
Battery should conform to latest BIS standards. In view of non-availability of adequate test facilities for testing
as per BIS standard in the
country, existing facilities of battery manufacturers will be utilized by way of periodic quality audit by
MNRE/BIS or their representative to ensure conformance of BIS standards.
(i) Also initially for a period of six months from the date of the issue of these guidelines capacity test, Ampere-
Hour (Ah) & Watt-Hour (Wh)
Efficiency test and charge retention tests per BIS standards may be used to enable the program to continue.
(ii) It is also mandatory for the battery manufacturers/ bulk users to comply with batteries (Management and
handling) Rules 2001 of MOEF, as amended.
(iii) The manufacturer is required to submit the test report on Ah efficiency Wh efficiency and charge retention
test from an NABL accredited Lab
Whereas the capacity test of the battery will be conducted by the system testing lab.
(iv) At least 75 % of the rated capacity of the battery should be available between fully charged & load cut off
conditions.
Electronics
(i) The total electronic efficiency should be at least 85%.
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Gaps Assessment for District Hospital MON Draft Final Report
(ii) Electronics should operate at 12 V and should have temperature compensation for proper charging of the
battery throughout the year.
(iii) The light output should remain constant with variations in the battery voltages.
Pv module
The PV module (s) shall contain mono/ multi-crystalline silicon or thin film solar cells. In case of crystalline
silicon solar cell module it is required to have certificate for the supplied PV module as per IEC 61215
specifications or equivalent National or International Standards whereas in case of thin film solar cell module it
is required to have certificate for the supplied PV module as per IEC 61646 specifications or equivalent
National or International Standards. In case of thin film modules for each model the modules should fulfill the
wattage criterion after light soaking degradation.
In case the supplied PV module is not a module of regular production of the manufacturer and does not have
certificate as above then the manufacturer should have the required certification for at least one of the
irregular modules. Further, the manufacturer should certify that the supplied module is also manufactured
using same material design and process similar to that of certified PV module. In case of imported modules it is
mandatory to provide a copy of the international product qualification certificate to the test center.
Water Situation 1 Bore well available, rain water harvesting available. No running water
4 RCC rain water storage tanks
2 steel rain water storage tanks
3 RCC pipe type rain water storage tanks
5 Overhead tanks – 3 located on top of OPD Building and 2 located on Admin
building.
Solar Pump
A solar energy-powered water pump is a water pump running on the electricity that is generated by solar
photovoltaic modules.
Using solar energy as power source, such solar water pumps basically consist of three main
components:
Water pump
Solar Photovoltaic modules
Pump controller (and inverter)
According to the water table level, distance to move the water and the pumping quantity requirements,
different type sizes of water pumps apply. Shallow-well water pumping requirements are different from those
for deep-well water pumping.
Water is a precious resource. Wastage needs to be minimized
It is important for hospitals to monitor its water usage
Safe and adequate water is essential for effective hospital infection control and monitoring its
microbiological quality is of paramount importance
Water for drinking
Water for housekeeping
Cooking water supply
Water for Sterilization and cleaning of equipment and use in hospital laundry
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Gaps Assessment for District Hospital MON Draft Final Report
The district is basically a hilly one. Geomorphologically, the district comprises of high hills with steep gorges
and limited intermontane valley. The foot hills lie adjacent to the plains of Assam i.e., the Tizit and Naganimora
areas. Thus, the development of ground water is limited in nature. Moreover, logistic support in terms of
approachable road and non-availability of valley areas are one of the main hindrances to ground water
development.
During hot months and in hot areas the requirement for water is high. Solar water pumps are electrically driven
pumping systems, powered by photovoltaic panels. Solar water pumps use the generated electricity to pump
water. According to each individual need, solar water pumps can be applied for following purposes where
pumping water is needed:
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Gaps Assessment for District Hospital MON Draft Final Report
5. CONCLUSIONS & RECOMMENDATIONS
There are few drawings and survey reports required for complete implementation.
Determine condition and adequacy of the wiring and grounding system.
Determine ac voltage quality at the point of use
Determine sources of power disturbances and their impacts of power disturbances on equipment
performance
Analyse findings to identify immediate and long-term cost-effective solutions.
Structure Design work for Solar Power Plant requires approval by Civil & Structural Engineer.
NOTE**In absence of electrical single line diagram and in absence of any details to calculate the
costing of the electrical works in the facility. The costing has been done on the basis of
assumptions, of rate per square feet area. The rates have been discussed with the building
contractors working in the North-eastern region and cost estimate has been prepared and
provided. The cost estimate per square feet includes products from mentioned companies
[Polycab, Havells, KEI, L&T, C&S] **
As per the annexure attached, CPWD DELHI Govt. rates, the calculation can be done only on the
basis of number of points that can be calculated on the basis of single line diagram. Please find
the annexure attached with the document for the CPWD rates. In absence of any diagram and no
detail of number of points, Just area wise costing is estimated for electrical works.
Categories Recommendations
Grid Power No Recommendation
Power Availability 4 Stages of Power Supply Required. Solar + Grid + Inverter + Generator
Wiring No changes Recommended
Generator Installation required for 125 KVA. 25 Kva has to be repaired. 7.5 KVA
has to be repaired.
Transformer Required - 125 KVA
Inverter Inverters to be serviced, Batteries to be replaced. Back up duration less
Solar water Heater Installation of SWH (FPC) 1000litres
Water Pump 2 Surface Pumps to be installed. One running & One standby. Normal
electric pumps recommended not a solar pump.
Area & Compound 20 Solar Led Street Lights for Illumination of outdoors and Energy
Lighting Efficient Led Lighting required in corridors and rooms to reduce the
lighting load.
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Gaps Assessment for District Hospital MON Draft Final Report
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Gaps Assessment for District Hospital MON Draft Final Report
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Gaps Assessment for District Hospital MON Draft Final Report
ANNEXURE II: LIST OF PEOPLE MET
Dr Yanang
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Gaps Assessment for District Hospital MON Draft Final Report
ANNEXURE III : TERMS OF REFERENCE
31
Wokha District Hospital DPR
Gaps Assessment for District Hospital WOKHA Draft Final Report
NAGALAND
DISTRICT HOSPITALS
Gaps Assessment for District Hospital WOKHA Draft Final Report
LIST OF ABBREVIATION S
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Of all seven sisters in North Eastern India, each state has their distinct features which differentiate them from
each other.
Assam and Tripura, which is rich in petroleum resources, Arunachal Pradesh has a hydro power potential of
50000 MW according to CEA. Meghalaya has coal and uranium resources, while Mizoram has rich Biomass,
Sikkim and Nagaland also have hydro potential. Nagaland has a huge potential to generate power from solar
installations.
Non Renewable Energy
"A non-renewable resource is a natural resource that cannot be re-made or re-grown at a scale comparable to
its consumption”.
Coal
Petroleum
Natural Gas Limited
Source: Coal, petroleum, and natural gas are considered non-renewable because they cannot be replenished in
a short period of time.
"Renewable Energy is energy that is derived from natural processes that are replenished constantly. In its
various forms, it derives directly or indirectly from the sun.”
These are called fossil fuels. As per the increasing energy demand, we have to look after the renewable sources
of energy to meet the demand.
Environmental hazard: Using these sources of energy causes hazardous damage to the environment leading to
effects of global warming, acid rain, carbon dioxide emission, health hazards and other impacts.
Anticipated demand of the state by the end of 2020, could be 500MW. To meet the requirement, the
department has been exploring ways and means to harness different sources of energy in the state, the report
said. During the current financial year (as on February 2011), 24MW Likimro Hydro Electric Project has
generated 60.72 MU which has supplemented the state’s power requirement as well as resources to a large
extent.
1MW Lang Hydro Electric Project is scheduled to be completed in 2012 while 1 MW Tehok Hydro Electric
Project is scheduled to be completed by 2012-13.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Executed Projects :-
Total - 275 MW
Kopili Hydro Electric Power Plant.
Comprises of three power stations (North Cachhar Hills District, Assam)
o Khandong power station (2x25 MW) – 50 MW
o Kopili power station (2x50 MW + 2x50 MW) – 200 MW
o Kopili power station, Stage-II (1x25 MW) – 25 MW
Ranganadi Hydro Electric Project – Arunachal Pradesh – biggest power plant – 405 MW
Doyang Hydro Electric Project – Nagaland – 75 MW
Assam Gas Based Power Plant – 291 MW – Combined cycle power station comprising 6 gas and 3 steam
turbines
Agartala Gas Turbine Plant – 84 MW – Open cycle with 4 gas turbines
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
DOYANG is the largest river in the District and there is a Hydro Electric Station with a capacity of
75MW called Doyang Hydro Project which is located across the Doyang River. Although Doyang
Hydro Electric Project – the entire plant was taken over by the central government while Nagaland
receives only a mere 12% in royalty. Out of the 75 megawatt (MW) of electricity generated in the DHEP,
Nagaland receives only 7 MW.
Wokha district, declared as 'the land of plenty', by the state government of Nagaland, due to her rich
mineral resources, soil fertility and abounding flora and fauna. Wokha is the third largest town in
Nagaland after Dimapur and Kohima.
Wokha 1 2 12 37
Category Demography
Villages Blocks Rural Population
Wokha 150 7 166343
Average Metrological Data of the Sites WOKHA
Rainfall (in mm) 2123.4
Elevation (in m) 1360
Latitude 26.074 N
Longitude 94.259 E
Solar Insolation 4.35 Kwh/m2/day
Wind Speed 10.01 km/hr.
Sunrise Time 4.46 A.M.
Sunset Time 4.58 P.M.
Average annual daylight hours 12hrs 12 minutes
Maximum Temperature 32 degrees
Minimum Temperature 7 degrees
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
2. OBJECTIVES OF THE AS SIGNMENT
The objective of the study is to support the Nagaland health department, in accessing the needs, defining
technical requirements and planning investments to provide appropriate technology for health facilities of
different districts.
There are many low-cost things we can do from a design standpoint that can reduce energy use. Electrical
systems control nearly every aspect of a modern hospital. A hospital’s electrical system must provide
reliable, disturbance-free power around the clock. Furthermore, it must be exceedingly safe, because
patients are often in vulnerable states. All of this must be accomplished according to overlapping
regulations from national and local authorities.
District Health Centre (High energy requirements) (>=50 Beds)
Medical equipment similar to Category I Health Centre; frequency of use and number of devices are key
factors of differentiation between Category I and II health centers.
Separate refrigerators may be used for food storage and cold chain
May accommodate more sophisticated diagnostic medical equipment and perform more complex
surgical procedures.
The technology-driven hybrid power systems are characterized by high initial investments and low
switching cost. The abundant availability of component manufacturers as well as numerous
government incentives has fuelled the demand for and adoption of hybrid power systems across
developing economies. The lack of grid connectivity in remote and rural areas and its sheer unreliability
has boosted the installation of these power systems in recent years.
Hybrid power systems combine renewable energy sources such as wind and solar and energy produced
by conventional means such as diesel generators. By type, hybrid power systems include wind-solar-
diesel hybrid, PV-diesel hybrid, and others such as wind-hydro-diesel hybrid, solar thermal, and hybrid-
solar biomass. It will retain its dominance over other segments. Over the past few years, wind-solar-
diesel hybrid systems for rural electrification have been enormously developed by various stakeholders
across developing countries such as Indonesia, India, China, and South Africa.
The integration of renewable energy production with the electricity mix also reduces the cost of
transporting fuel to remote areas in the region. Japan is the leading contributor in the APAC hybrid
power systems, with the surge in utility-scale and commercial projects expected to drive demand in the
coming years. Over the past few years, the country has witnessed a rapid increase in the number of
companies registering to sell retail power
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
3. METHODOLOGY
Data collection for the systematic review was done by extracting relevant research studies from the site
surveys by various technical experts. Data extraction allowed the researchers to determine which data was
most important in answering the problems faced by various staffs at the hospital.
The poor working conditions are attributed to poor infrastructure, inadequate resources, lack of safety and
security, poor interpersonal relationships, lack of involvement in decision making and lack of support from
governing body. The study revealed that effective management at hospital level may create an enabling
working environment modifying the impact of resource shortfalls.
The complete area was surveyed, MS and staffs took us around the entire area, explained few things what
they go through because of the poor infrastructure facilities and policies.
The area was studied; proper checklist sheet was worked on as per the data available. There were certain
parameters which were not available, few things were not even known to the staffs.
Each and every small detail was considered and every site was not only surveyed but also analysed, worked
upon, to finally prepare the draft.
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3.2 Checklist /Key Information Areas
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
4. FINDINGS FROM HOS PITA L ASSESSMENT
From this survey, it is clear that provision of a positive working environment is crucial for the wellbeing
of the employees, the patients as well as the organisation. In facilities experiencing equipment problems
that appear to be power related, on-site surveys generally are required in order to verify that power
disturbances are the cause of electronic equipment malfunction or failure.
Re-Wiring problems listed are detectable through effective testing and analysis of the wiring and
grounding system.
Provision of adequate infrastructure is of high importance. Mechanical and electrical systems act as
vital organs to a hospital, providing power, water, fresh air and other important elements that keep the
hospital running efficiently and safely.
Please find the infrastructure requirements of a district hospital and also do go through the Findings at
the site.
Categories Findings
Grid Power 3phase Power
Power Availability Power Availability – 8 hours (Average)
(Weather Issues, At Times No Power For 15 days)
Wiring Old Building wiring has to be changed.
Generator Kirloskar - 125 Kva (Not working)
Transformer 125 KVA required
Inverter Inverter Battery Set – 4 Sets
Portable Generator set 1 Set – Non working
Solar water Heater No water heater
Water Situation One Bore well available, rain water harvesting available. No running
water.
RCC rain water storage tanks, steel storage tanks. Overhead tanks
limited.
Area & Compound Lighting T8 Tube lights & maximum Incandescent bulb available
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
IPHS GUIDELINES
There shall be provision of adequate light in the night so hospital is visible from approach road.
Signage
The building should have a prominent board displaying the name of the Centre in the local language at the gate
and on the building.
Signage indicating access to various facilities at strategic points in the Hospital for guidance of the public
should be provided.
Florescent Fire Exit plan shall be displayed at each floor.
Roads shall be illuminated in the nights
The Hospital should be, as far as possible, environment friendly and energy efficient. Rain-Water harvesting,
solar energy use and use of energy-efficient bulbs/ equipment should be encouraged. Provision should be made
for horticulture services including herbal garden.
Emergency Unit
Emergency block should have ECG, Cardiac Monitor with Defibrillator, Multi parameter Monitor, and Ventilator.
OPERATION THEATRE
This unit also needs constant specialized services, such as piped suction and medical gases, electric supply,
heating, air-conditioning, ventilation and efficient lift service, if the theatres are located on upper floors.
III) Central Sterile and Supply Department (CSSD) As the operation theatre department is the major consumer
of this service, it is recommended to locate the department at a position of easy access to operation theatre
department. It should have a provision of hot water supply.
Hospital Laundry
It should be provided with necessary facilities for drying, pressing and storage of soiled and cleaned linens. It
may be outsourced.
Medical stores
For Storage of Vaccines and other logistics Cold Chain Room: 3.5 m × 3 m in size Vaccine & Logistics Room: 3.5
m × 3 m in size
Mortuary
It provides facilities for keeping of dead bodies and conducting autopsy. The Mortuary shall be located in
separate building near the Pathology on the Ground Floor, easily accessible from the wards, Accident and
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
emergency Department and Operation Theatre. It shall be located away from general traffic routes used by
public. Post-mortem room shall have stainless steel autopsy table with sink, a sink with running water for
specimen washing and cleaning and cup-board for keeping instruments. Proper illumination and air
conditioning shall be provided in the post mortem room. A separate room for body storage shall be provided
with at least 2 deep freezers for preserving the body.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
4.1.1 Electricity
2500
2000
1500
1000
500
0
Total wattage (W)
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
X ray machine 500 MA Dental chair scaler and filler and motor
Color Doppler Ultrasound machine with 4 probes Portable Ultrasound
ECG Machine ordinary Cardiac Monitor
Nebulizer Baby Incubators
Phototherapy Unit Radiant Warmer
Room warmer Refrigerator
Spot lamp Electric Heater/Boiler
Washing machine with dryer (Separate) Electronic fumigator
Vertical Autoclave CFL Phototherapy
window AC (1.5)/Split AC ILR
DF Auto clave HP Vertical (2 Bin)
Operation Table Hydraulic Major Shadow less lamp stand model
Focus lamp Ordinary Sterilizer (Medium instruments)
Diathermy Machine (Electric Cautery) Suction Apparatus- Electrical
Lab incubator Electric centrifuge, table Top
Blood Bank Refrigerator Ordinary Refrigerator
Air conditioner with stabilizer Computer with UPS and printer
16000
14000
12000
10000
8000
6000
4000
2000
0
wattages
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Imaging Equipment
60 M.A. X-Ray Machine (mobile) Specification discussed with Siemens 5000
Portable Ultrasound 1000
Cardio Pulmonary Equipment
ECG Machine ordinary 350
Cardiac Monitor 150
Ventilator ( Adults) 650
Nebulizer 150
Labor ward, Neo Natal & Special Newborn Care Unit( SNCU)
Baby Incubators(3) 450
Photo therapy Unit 150
Emergency Resuscitation Kit-Baby 450
Radiant Warmer (3) 2250
Suction Machine 320
Immunization Equipment
ILR with stabilizer 550
DF with Stabilizer 650
OPD EQUIPMENT
Dental Chair motorized with panel with compressor, ultrasonic scaler and
suction & Filler 2300
OT Equipment
Shadow less lamp ceiling type (major) 1500
Shadow less lamp ceiling type (minor) 500
Diathermy machine 4000
Sterilizer(Medium) 250
Suction Machine 1280
LAB EQUIPMENTS
Hematology Analyzer with 22 parameters 250
Anesthesia Equipment
Multi parameter Monitor 350
Infusion pumps 100
ADMIN
Computer with modem with ups, printer & Internet connection 1000
TOTAL 23650
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Electrical Works
Before recommending any change, a survey has to be conducted to identify distribution and grounding
problems, an initial physical site examination is recommended. It typically begins at the location of the sensitive
electronic load equipment and progresses back to the service entrance through the following sequence:
sensitive load equipment, branch circuit wiring, breaker panel, feeder wiring, main breaker panel,
switchboard, and service entrance.
Start at the load equipment to check the wiring for code violations, adequate insulation, visible damage,
miswired connectors (e.g., phase and neutral-reversed or phase sequence reversed); secure connections; and
measure the phase, neutral, and ground voltages and currents.
Verify that the breakers in the panel feed the sensitive electronic load. Check that no other loads are on a
dedicated circuit. Visually check for any code violations, the use of wire nuts, insulation, other visible damage,
and for secure connections. Look for signs of burnt areas or carbonization, which indicate previous faults,
flashovers, arcing, etc. Note the size of incoming and outgoing conductors and make sure that they are
adequately sized for the load, especially the neutral. Check for shared neutrals and possible overloads with high
harmonic loads. Check the temperature of the insulated face of circuit breakers and for visual signs of
overheating. Smell the panel, which may indicate overheating conditions. Measure phase, neutral, and ground
voltages and currents, as well as the voltage drop across each critical breaker. More than about 0.1-V indicates
a possibly bad unit. Look for signs of previous faults such as burnt areas, flashovers, arcing, etc. Note the size of
incoming and outgoing conductors. Check for visual signs of overheating. Use an infrared camera, if available,
for examining the hot spots in the main breaker panel and switchboard.
Measurements of load-phase current and neutral current are necessary to determine whether the load is
sharing a neutral conductor with other loads. They also determine whether the neutral conductor sizing is
adequate. When sizing neutral conductors, remember that the current in the neutral can exceed current in the
phase conductor in three-phase circuits supplying single-phase loads with nonlinear current characteristics. A
true RMS reading clamp-on ammeter must be used to make phase and neutral conductor measurements. To
determine whether the neutral serving the sensitive electronic load is shared with other loads, check the
neutral current with the sensitive load turned off. If the current is not zero, a shared neutral is being used.
Panel description, feeder description, branch circuit loads, branch circuit voltage, branch circuit currents and
other above mentioned details once compiled can make it easy for implementation of Re-wiring or Renovation
work of complete electrical system at the district hospital.
Digital Panel Meters
This meter is designed for metering of distribution transformers via a set of external CTs. The meter has
advanced data and tampers recording capabilities and is provided with communication ports.
Software is available for data collection, load survey analysis and energy management applications. The data
can also be used to perform energy accounting and energy audit functions. This meter can be interfaced to a
variety of communication devices.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Feeder Protection
MC12A
1 phase, non-directional, Over Current or Earth Fault Relay
nX Series
MC31AnX – 3 Phase Time delayed Over Current and Earth fault
MC61AnX – 3 Phase Time delayed Over Current and Earth fault + Instantaneous
Over Current and Earth Fault
A comprehensive feeder control metering protection relay for complete protection of air, vacuum or gas-
insulated circuit breaker operated feeders in Medium and Low voltage switchgear assemblies.
Cable Ducts
Cable ducts are manufactured from specially compounded high impact rigid polyvinyl chloride. These will not
peel, chip or crack. It resists oil, salt solution and fungus.
It is non-flammable confirming to UL 94 V0 standards, warp-proof and non-brittle. It has high dielectric
strength and withstands temperature up to 60C.
Its unique cover locking design prevents popping up of wires while removing cover. It enhances aesthetics and
clarity, permits faster connections, addition and fault tracing of wires. It provides complete electrical insulation.
Standard color of greenish grey for B type and light grey for A type are generally available. Other colors like
black, white and blue are also available.
Remote control units play a crucial role on factory shop floor for operational safety and reliability. Reliable
push buttons and indicators from our partners ESBEE have been trusted by users across industries over the
past four decades.
The new range of Gen Next series products are compact in size and aesthetically appealing.
16 mm Gen Next LED Indicators have sleek and integral design with special fire retardant plastic. They provide
uniform and bright illumination with operating life of more than 0.1 million burning hours.
Patented actuator is a ready to use solution for OEM and Panel builders that provides IP67 protection
with shroud. It has isolated terminals for NO+NC applications.
Illuminated actuators with LED have snap fit for ease in assembly with low power consumption of 0.6 W max.
Push button stations provide round ergonomic enclosure with good aesthetics that occupies less space. They
are robust, easy to grip, assemble and operate. It is available in standard configuration of actuators and LED
indicators.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Rotary & Load Break Switches
CAM Operated Rotary Switches are used to perform make and break operation in a sequential way by rotating
the switch to different positions.
The CAM, which closes and opens the contacts, has rotary movement in multiple positions, thereby controlling
multiple circuit functions.
Further the flexibility in the switch type selection covering various current / voltage ratings and options to
select the number of contacts, is an added advantage. This ensures that a right switch is chosen for the desired
application. CAM Switches thus offer complete design flexibility to assemble complex switching programs,
contact ratings and customize all switching applications. Cam Switches are suitable for AC as well as DC
switching applications.
The basic operating mechanism of cam switch is intended to suit application coupled with ‘Quick-Make’, ‘Quick-
Make-Quick-Break’ and ‘Spring Return’ operating mechanisms.
The CAM switches offers versatile mounting options in addition to standard panel / flush mounting and other
special features like single hole, door interlocking, padlock, lock and key for various needs. The wide option
such as type of knob, front plate color and customized marking on the marking plate eliminates the need of
separate label on the panel.
Superior quality of engineering material and ‘double butt’ contacts with silver bimetal on copper / brass
provide stable electrical performance. The high-grade engineering plastics with high tracking index like nylon,
silicon and glass filled polyamide for the components ensures greater mechanical strength.
Advanced manufacturing processes for CAM switch components under stringent quality conditions ensure
durability, reliability and enhanced life.
Load Break Switches comply with the latest specifications for modern low voltage devices.
Outstanding electrical characteristics of LB Switches with compact design, contribute to space saving and
operational convenience.
The construction and design of the switch make it compact, safe and highly reliable. The switch uses polyamide
glass filled material, having excellent track resistance (CTI) for insulation to prevent flashover between phases
in the most severe conditions. The special contact design and configuration makes the switch highly reliable to
withstand high short circuit currents.
Timers, Time Switches, Supply Monitors and Hour Meters & Counters
Timers and supply monitoring devices find their use in a wide variety of applications in the industry. L&T's
reliable Timing devices and Supply monitors from GIC over the past four decades have provided the best
solutions to its customers
Time Switches are used for fixed time based daily / weekly applications. They are ideal for lighting applications
and are also used to control air-conditioners / coolers, geysers, conveyers, pumps & exhaust fans etc.
Timers are used to control processing times in a wide range of applications which includes star to delta
changeover operations in Motor control / Starter panels, elevators, conveyor belt sequences, air conditioning
systems, warning light systems etc.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
The supply monitors ensure reliable detection of phase parameters such as phase loss, phase sequence and
phase unbalance in all three-phase networks. They find application in HVAC, welding machines, elevators and
cranes, etc.
The Current Monitoring Relay provides monitoring and protection of loads against overload, under load, phase
loss, phase asymmetry and phase sequence faults. Their applications include all motor and pump protection
panels with single phase and three phase supply.
The Earth Leakage Relay monitors, detects and protects power systems from earth leakage faults with wide
selectable range of 30 mA to 30 A. They are widely used in mines and in Gen sets.
Contactors
Whether it is motor control, capacitor switching, supply changeover or any other single phase or three phase
application, you can always be assured of finding a perfect solution in our extensive range of contactors. These
contactors are complimented with a range of thermal overload relays.
Motorised Change Over or Manual Change over
Changeover S-Ds are available in Motorised version with control voltage 240 Vac. Manual Changeover requires
a electrical personnel to look after phase changing schedule at various intervals, therefore a manual switch can
be easily replaced by Motorised Changeover without changing any of the electrical panel dimension.
WOKHA AREA
CANTEEN 192
male ward
DUTY ROOM
STAFF SICK ROOM
Female ward 294
ISOLATION WARD
PAEDATRIC WARD
LAUNDRY ROOM
NEW BORN 135.27
MATERITY & Gynae ward
Cabins
Female surgical ward
Nurse sick room
Store 480
Cabins
Immunization Centre
OT 314
Doctor lounge
Nurses lounge
Ultrasound room
Cabins 115
Toilets
Passages
Corridors
Total Area (Rewiring advised) 1530.27
**Note Rough estimated area has been calculated on the basis of the drawings provided by the department
people, the drawings provided is not an Auto-cad design but a handmade figure with approx. measurement
taken**
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Servo Stabilizer
The Servo Stabilizers uses an advanced electronic servo-motor concept to control a motorized variable
transformer. Because of the motorization, there is a small delay in voltage correction. However, output voltage
accuracy is usually ± 1% with input voltage changes up to ± 50%. These machines are not affected unduly by
power factor or frequency variation. This type of technology tends to be extremely effective when considering
large three phase applications, as it is able to maintain its accuracy of all three phases, both line to line and line
to neutral, irrespective of input voltage balance and load balance at any power factor. They are also able to
withstand large inrush currents, normally experienced with inductive loads. However due to the mechanics of
this type of stabilizer, periodic maintenance is required.
Various Design Topologies:-
Single Phase Input & Single Phase Output
Three Phase Input & Three Phase Output (Unbalanced Load)
Three Phase Input & Three Phase Output (Balanced Load)
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
PV systems have been the focus of numerous efforts for rural electrification. The panels themselves
typically have a very long lifetime (20-30 years). Unfortunately, installation programs do not always
include a sufficient service component. Regular maintenance on batteries is essential while training
local hospital staff in system maintenance is essential for routine maintenance; a professional
technician should also perform an annual maintenance check, examining wiring connections, mounting
bolts, and inverter operation.
PV systems typically have higher capital costs, but lower operating costs when compared to other
energy generation options. The availability of replacement components (model and brand) from local
vendors should be considered when procuring initial system components. End-user expectations of
solar systems are often unrealistic – education on the practical application of solar systems must
accompany system design and installation.
National standards for the placement, design, procurement, installation, and servicing of Photovoltaic
systems can help improve sustainability. Donor-funded PV systems often fail for lack of operating funds
and local service infrastructure. Detailed user manuals are critical – especially in cases where staff
turnover is high. Local ownership, often established through a contribution to initial system cost, is
critical for system sustainability.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
SPV Modules
a. Modules of Hybrid Power Plant shall be made of poly crystalline Silicon Solar Cells.
b. Each module shall have low iron tempered glass in front for strength and superior light transmission. It
shall have back sheet for environment protection against moisture and high voltage electrical insulation.
c. The module frame shall be made of aluminium or corrosion resistant material, which shall be electrically
compatible with the structural material used for mounting the modules.
d. Solar module shall be laminated using lamination technology using established polymer (EVA) and
Tedlar/Polyester laminate. The solar module shall have suitable encapsulation and sealing arrangements to
protect the silicon cells from the environment. The arrangement and the material of encapsulation shall be
compatible with the thermal expansion properties of the Silicon Cell and the module framing
arrangement/material. The encapsulation arrangement shall ensure complete moisture proofing during life
of solar modules.
e. Individual Solar Module rating shall not be less than 200W at standard test conditions. Test reports of the
modules should be submitted with the technical bid.
f. Power output Guarantee offered for the SPV Module shall not be less than 25 years.
g. The modules would be warranted for output wattage not less than 90% at the end of 10 years and 80% at
the end of 25 years.
h. SPV module conversion efficiency should be greater than 14%.
i. Peak Power Point Voltage and Peak Power Point Current of any supplied module and /or any module string
(series connected module) shall not be more than 3% from the respective arithmetic means for the entire
module and/or for all module strings, as the case may be.
j. Module rating is considered under standard test conditions, however Solar Modules shall be designed to
operate and perform relative humidity up to 100% with temperature between 0o C and +50o C and with
gust up to 150km/hr. from backside of the panel. The geological data for each health centre location of
Nagaland from standard source can be referred for design to get optimum generation.
k. Sample modules and production processes employed in the manufacture of the offered module shall be in
accordance with the requirements of IEC 61215/ IS14286 and IEC61730 Part-I & Part-II with appropriate
certificate. IEC / equivalent BIS Equivalent IS Standards
l. PV modules to be used in a highly corrosive atmosphere (coastal areas, etc.) must qualify Salt Mist
Corrosion Testing as per IEC 61701 / IS 61701.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Array Structure
Structures shall be of flat-plate design either I or L sections.
Structural material shall be corrosion resistant and electrolytically compatible with the materials used in the
module frame, its fasteners, and nuts and bolts. Galvanizing should meet ASTM A-123 hot dipped galvanizing or
equivalent which provides at least spraying thickness of 70 microns on steel as per IS5905, if steel frame is
used. Aluminium frame structures with adequate strength and in accordance with relevant BIS/ international
standards can also be used.
Structures shall be supplied complete with all members to be compatible for allowing easy installation at the
rooftop site.
The structures shall be designed to allow easy replacement of any module & can be either designed to transfer
point loads on the roof top or UDL as per site conditions.
Each structure shall have a provision to adjust its angle of inclination to the horizontal as per the site
conditions.
Each panel frame structure is so fabricated as to be fixed on the ground or roof. The structure should be capable
of withstanding a wind load of 200 km/hr after grouting & installation. The front end of the solar array must be
one meter above the ground. Grouting material for SPV structure shall be as per M15 (1:2:4) concrete
specification.
The structures shall be designed for simple mechanical and electrical installation. There shall be no
requirement of welding or complex machinery at the installation site. If prior civil work or support platform is
absolutely essential to install the structures, the supplier shall clearly and unambiguously communicate such
requirements along with their specifications in the bid. Detailed engineering drawings and instructions for such
prior civil work shall be carried out prior to the supply of Goods.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
The supplier shall specify installation details of the PV modules and the support structures with appropriate
diagrams and drawings. Such details shall include, but not limited to, the following:
Determination of true south at the site;
Array tilt angle to the horizontal, with permitted tolerance;
Details with drawings for fixing the modules;
Details with drawings of fixing the junction/terminal boxes;
Interconnection details inside the junction/terminal boxes;
Structure installation details and drawings;
Electrical grounding (earthing);
Inter-panel/Inter-row distances with allowed tolerances; and
Safety precautions to be taken. The array structure shall support SPV modules at a given orientation
and absorb and transfer the mechanical loads to the rooftop columns properly. All nuts and bolts shall
be of very good quality stainless steel.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
PCU
A solar inverter, or converter or PV inverter, converts the variable direct current (DC) output of a
photovoltaic (PV) solar panel into a utility frequency alternating current (AC) that can be fed into a
commercial electrical grid or used by a local, off-grid electrical network. It is a critical balance of system
(BOS)–component in a photovoltaic system, allowing the use of ordinary AC-powered equipment. Solar
power inverters have special functions adapted for use with photovoltaic arrays, including maximum
power point tracking and anti-islanding protection.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Solar Water Heater
A 100 LPD Solar Water Heating (SWH) System having 2 square meter of collector area, can replace an electric
geyser of 2 KW capacity for residential use and may save up to 1,500 units of electricity and up to 1.5 tons of
CO2 per year depending upon the location of installation. The gross potential for solar water heating systems in
India has been estimated to be about 140 million sq. m. of collector area. However, we have achieved about 12
million sq. collector areas. There is a lot of potential for Solar Water Heating Systems in the country.
The main objective of the program is to promote the widespread use of solar water heaters in the country
through a combination of financial and promotional incentives, and other support measures so as to conserve
electricity and other fossil fuels, apart from peak load saving in cities and towns.
Heating water is very expensive as it requires a huge amount of energy. It is believed that 18% of domestic
energy is used to heat water. In most homes and businesses this energy is generated from fossil fuels – gas and
oil. Most modern domestic boilers will run on gas and heat water on demand. But many people still heat their
water using electricity which is the most expensive way to heat water.
Simple calculations on the energy output, savings on LPG and reduction of CO2 have been conducted.
Preliminary results indicated that the saving on LPG based on proposed system was more than 20%. With a
prospect of 100+ health facilities throughout the state, this project shall improve public awareness in energy
conservation in the hot water production of their buildings and increase the market of the solar energy systems
Solar thermal panels can only heat water and it requires space on roof top.
Annual maintenance is recommended.
Incorporating the Solar Hot Water System to the commercial hot water system heated by LPG boilers, there
would be a large potential in energy saving and greenhouse emission reduction.
Solar street lights are independent of the utility grid resulting to lessened operation costs.
Solar street lights require lesser maintenance than conventional street lights. These have lower chances of
overheating. Since solar wires do not have external wires, the risk of accidents is minimized.
Solar street lights are environment-friendly because its panels are solely dependent to the sun hence
eliminating your carbon footprints contribution. Some parts of solar street lighting systems can be easily
carried to remote areas making these more efficient and handy solutions to lighting problems. Lighting up
streets and roads enhance the comfort, security and overall safety of our rapidly growing urban environments.
Standalone solar street lighting is designed to achieve better light uniformity and maximum spacing between
poles for both pedestrian and vehicle road applications, and higher efficiency to save panel size and battery
capacity in solar lighting system. With its die-cast aluminum housing, it is easy to maintain, has a long lifetime
and a consistency you can count on.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Light Source
The light source will be a white LED type. Single lamp or multiple lamps can be used. The color temperature of
white LED used in the system should be in the range of 5500K–6500K. Use of LEDs which emits ultraviolet light
is not permitted.
The light output from the white LED light source should be constant throughout the duty cycle.
The lamps should be housed in an assembly suitable for outdoor use. The temperature of heat sink should not
increase more than 20oC above ambient
temperature even after 48 hrs of continuous operation. This condition should be complied for the dusk to dawn
operation of the lamp while battery operating at any voltage between the load disconnect and the charge
regulation set point.
The make, model number, country of origin and technical characteristics (including IESNA LM-80 report) of
white LEDs used in the lighting system must
be furnished to the Test Centers and to the buyers. In absence of this data the solar street lights may not be
tested by the Test Center.
Battery
Lead Acid, Tubular Positive Plate Flooded or Tubular GEL / AGM VRLA, 12 V- 40 AH @ C/10 discharge rate.
Battery should conform to latest BIS standards. In view of non-availability of adequate test facilities for testing
as per BIS standard in the
country, existing facilities of battery manufacturers will be utilized by way of periodic quality audit by
MNRE/BIS or their representative to ensure conformance of BIS standards.
(i) Also initially for a period of six months from the date of the issue of these guidelines capacity test, Ampere-
Hour (Ah) & Watt-Hour (Wh)
efficiency test and charge retention tests per BIS standards may be used to enable the program to continue.
(ii) It is also mandatory for the battery manufacturers/ bulk users to comply with batteries (Management and
handling) Rules 2001 of MOEF, as amended.
(iii) The manufacturer is required to submit the test report on Ah efficiency Wh efficiency and charge retention
test from an NABL accredited Lab
whereas the capacity test of the battery will be conducted by the system testing lab.
(iv) At least 75 % of the rated capacity of the battery should be available between fully charged & load cut off
conditions.
Electronics
(i) The total electronic efficiency should be at least 85%.
(ii) Electronics should operate at 12 V and should have temperature compensation for proper charging of the
battery throughout the year.
(iii) The light output should remain constant with variations in the battery voltages.
Pv Module
The PV module (s) shall contain mono/ multi-crystalline silicon or thin film solar cells. In case of crystalline
silicon solar cell module it is required to have certificate for the supplied PV module as per IEC 61215
specifications or equivalent National or International Standards whereas in case of thin film solar cell module it
is required to have certificate for the supplied PV module as per IEC 61646 specifications or equivalent
National or International Standards. In case of thin film modules for each model the modules should fulfill the
wattage criterion after light soaking degradation.
In case the supplied PV module is not a module of regular production of the manufacturer and does not have
certificate as above then the manufacturer should have the required certification for at least one of the
irregular modules. Further, the manufacturer should certify that the supplied module is also manufactured
using same material design and process similar to that of certified PV module. In case of imported modules it is
mandatory to provide a copy of the international product qualification certificate to the test center.
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Water Situation 1 Bore well available, rain water harvesting available. No running water
4 RCC rain water storage tanks
2 steel rain water storage tanks
3 RCC pipe type rain water storage tanks
5 Overhead tanks – 3 located on top of OPD Building and 2 located on Admin
building.
Solar Pump
A solar energy-powered water pump is a water pump running on the electricity that is generated by solar
photovoltaic modules.
Using solar energy as power source, such solar water pumps basically consist of three main
components:
Water pump
Solar Photovoltaic modules
Pump controller (and inverter)
According to the water table level, distance to move the water and the pumping quantity requirements,
different type sizes of water pumps apply. Shallow-well water pumping requirements are different from those
for deep-well water pumping.
Water is a precious resource. Wastage needs to be minimized
It is important for hospitals to monitor its water usage
Safe and adequate water is essential for effective hospital infection control and monitoring its
microbiological quality is of paramount importance
Water for drinking
Water for housekeeping
Cooking water supply
Water for Sterilization and cleaning of equipment and use in hospital laundry
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
Solar Surface Pump & Solar Submersible Pump
During hot months and in hot areas the requirement for water is high. Solar water pumps are electrically driven
pumping systems, powered by photovoltaic panels. Solar water pumps use the generated electricity to pump
water. According to each individual need, solar water pumps can be applied for following purposes where
pumping water is needed:
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Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
5. CONCLUSIONS & RECOMMENDATIONS
There are few drawings and survey reports required for complete implementation..
Determine condition and adequacy of the wiring and grounding system.
Determine ac voltage quality at the point of use
Determine sources of power disturbances and their impacts of power disturbances on
equipment performance
Analyse findings to identify immediate and long-term cost-effective solutions.
Structure Design work for Solar Power Plant requires approval by Civil & Structural
Engineer.
As per the annexure attached, CPWD DELHI Govt. rates, the calculation can be done only on
the basis of number of points, that can be calculated on the basis of single line diagram.
Please find the annexure attached with the document for the CPWD rates. In absence of any
diagram, and no detail of number of points, Just area wise costing is estimated for electrical
works.
WOKHA
Categories Recommendations
Generator Repair work for 125 Kva Kirloskar generators set.
Area & Compound Lighting Energy Efficient Bulbs (LED) recommended minimum 10 numbers of
Standalone Solar Street lighting advised.
Water Pump Surface Pump Submersible Pump
Solar Plant Capacity Solar Plant Capacity
1800Wp 4800Wp
Pump 5 HP
2 HP Pump
Maximum Total Head Maximum Total Head
15 Metres 150 Meters
Water Output @ 10 Meter Head Water Output @ 120 Meter Head
140000 Litres per day 40000 Litres per day
Surface Pump is advisable for running water, but solar surface pump is not
a compulsion. When there is a Solar power Plant of 60 KWp for emergency
needs. Then normal electric pump can be operated on grid supply and
solar power can be used to run the pumps in emergency situations.
Although considering the maintenance conditions of the district hospital,
one standby and one running pump is advised for the hospital.
Submersible Pump is recommended as per guidelines, although
considering the terrain, and the depth of boring required in rocky soil for
ground water. One existing submersible is enough to suffice the need
considering the footfall in the district hospital.
31
Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
32
Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
34
Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
ANNEXURE II: LIST OF PEOPLE MET
Dr Robin Lotha
Dr Imkong Sanen
35
Gaps Assessment for District Hospital WOKHA DRAFT FINAL REPORT
ANNEXURE III : TERMS OF REFERENCE
36
Zunheboto District Hospital DPR
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
NAGALAND
DISTRICT HOSPITALS
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
LIST OF ABBREVIATIONS
CAPTIVE USER End User Of The Electricity Generated In A Captive Generating Plant
RENEWABLE ENERGY Renewable Sources Such As Solar In This Case Including Its Integration With
SOURCES Combined Cycle, Biomass, Bio Fuel Cogeneration, Urban/Municipal Waste And Other
Such Sources As Approved By The MNRE
SOLAR PV POWER The Solar Photo Voltaic (PV) Power Project That Uses Sunlight For Direct Conversion
Into Electricity Through Photo Voltaic Technology.
AH Ampere Hour
MW Mega Watt
WP Watt Peak
TABLE OF CONTENTS
"Renewable Energy is energy that is derived from natural processes that are replenished constantly. In its various forms,
it derives directly or indirectly from the sun.”
|5
Of all seven sisters in North Eastern India, each state has their distinct features which differentiate them from each other.
Assam and Tripura, which is rich in petroleum resources, Arunachal Pradesh has a hydro power potential of 50000 MW
according to CEA. Meghalaya has coal and uranium resources, while Mizoram has rich Biomass, Sikkim and Nagaland
also have hydro potential. Nagaland has a huge potential to generate power from solar installations.
Anticipated demand of the state by the end of 2020 could be 500MW. To meet the requirement, the department has been
exploring ways and means to harness different sources of energy in the state, the report said. During the current financial
year (as on February 2011), 24MW Likimro Hydro Electric Project has generated 60.72 MU which has supplemented the
state’s power requirement as well as resources to a large extent.
1MW Lang Hydro Electric Project is scheduled to be completed in 2012 while 1 MW Tehok Hydro Electric Project is
scheduled to be completed by 2012-13.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
ZUNHEBOTO (LAND OF WARRIORS) derived its name from two sets of words "Zunhebo" and "To" in Sumi
|6
dialect. Zunhebo is the name of a flowering shrub with white leaves which bear sponge like ears containing sweet
juice and "To" means the top of a hill.
Zunheboto District is situated in the heart of Nagaland and is bounded by Mokokchung district in the East and
Wokha district in the West. Zunheboto is the home of the Sumis. Sumis are considered to be the Martial tribe
among the Nagas. They have their colorful dance and songs. Their ceremonial war dresses are worth seeing. Tuluni
is one of the most important festivals. It is observed in the second week of July every year.
There are high hills spread over many areas of the district. The hills vary from 1000 to 2500 meters and most
people live between1500 - 2000 meters altitude. The altitude of the district Hq. (ZBTO) is 1874.22 meters above
sea level.
Zunheboto
According to the 2011 census, Zunheboto district has a population of 159,729, roughly equal to the nation of Saint Lucia.
This gives it a ranking of 598th in India (out of a total of 640). Zunheboto has a sex ratio of 981 females for every 1000
males, and a literacy rate of 86.26%.
The district had 210 villages and one statutory town, namely, Zunheboto Town and one Census Town namely, Satakha
Hq. The village having highest population Lazami under Pughoboto Circle at 2936 persons and the lowest population
under Aghunato Circle at 9 persons.
Zunheboto is the home to the Sumi Nagas, a warrior tribe of Nagaland. Head hunting was practiced extensively until the
advent of the Christian missionaries who converted the warriors to Christianity. Today the people are peaceful and
hardworking, practicing agriculture as their main occupation. The district is also home to the largest Baptist church in
Asia, the Sumi Baptist Church.
Soil: Almost all the soils of the Zunheboto district belong to the following classes/orders. There are alluvial soil, Forest
soil (organic) pertaining to moolisol, non-laterised soil and soils of high altitudes belonging to order spodosals.
Rivers: There are three important rivers in the district, viz, Tizu river originating in Tuensang district flows down
towards south crossing at the centre of Zunheboto district and join Chindwin. Doyang river originating in Japfu passes
through west part of the district and joins Dhansiri in Assam. Tsutha river, originating in North East of Zunheboto drains
eastern part of the district and joins Tizu below Nihoshe village, where a Mini Hydel Power project is located. Most of the
area under terrace cultivation on Tizu, Tsutha and Mela a tributary of Tizu river
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
ZUNHEBOTO 1 2 13 47
Category Demography
210 8 159729
Average
11.7 35.4 47.6 88.7 159.2 333.8 371.8 364 250.1 126 35.2 7.8 1,831.30
rainfall
mm - - - - - - - - - - - -
(inches) -72.098
0.461 1.394 1.874 3.492 6.268 13.142 14.638 14.331 9.846 4.961 1.386 0.307
Average
rainy 2 3.9 5.8 12.2 16.9 23.1 24.6 22.9 19.1 10.7 3.6 1.4 146.2
days
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
CHC 105
PHC 16
|8
SC 4
AVG POPULATION
CHC 69000
PHC 11000
SC 3000
The objective of the study is to support the Nagaland health department, in accessing the needs, defining technical
requirements and planning investments to provide appropriate technology for health facilities of different districts.
Access to a strong utility grid, they have had to rely on engine- or turbine-driven generator sets that, while highly
reliable, typically produce power at a much higher cost than a large utility.
Now a better model is emerging that combines newly cost-effective renewable energy from wind or solar sources
with conventional diesel- or gas-fueled generation. These installations, called hybrid micro grids, also employ
energy storage to add power system stability and enable further energy cost reduction. Aided by sharp declines
in the cost of wind and solar energy, as well as lower energy storage costs relative to the price of fuel, hybrid
micro grids are well suited to a host of applications, including individual buildings, resorts, mine sites, remote
villages, small islands and others.
Keeping the systems healthy in a district hospital is an essential part for well-being of the entire state. However, it can be
challenging to stay up-to-date with the requirements and developments of hospital mechanical and electrical systems.
There are many low-cost things we can do from a design standpoint that can reduce energy use. Electrical systems control
nearly every aspect of a modern hospital. A hospital’s electrical system must provide reliable, disturbance-free power
around the clock. Furthermore, it must be exceedingly safe, because patients are often in vulnerable states. All of this
must be accomplished according to overlapping regulations from national and local authorities.
District Health Centre (low energy requirements)
o Lighting the facility.
o Maintaining the cold chain for vaccines, blood, and other medical supplies – one or two refrigerators may be
used.
o Utilizing basic lab equipment – a centrifuge, microscope, incubator, suction machine, oxygen concentrator, ECG
machine, Cardiac monitor, Ultrasound and hand-powered aspirator.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
The technology-driven hybrid power systems are characterized by high initial investments and low switching
cost. The abundant availability of component manufacturers as well as numerous government incentives has
fuelled the demand for and adoption of hybrid power systems across developing economies. The lack of grid
connectivity in remote and rural areas and its sheer unreliability has boosted the installation of these power
systems in recent years.
Hybrid power systems combine renewable energy sources such as wind and solar and energy produced by |9
conventional means such as diesel generators.
Over the past few years, wind-solar-diesel hybrid systems for rural electrification have been enormously
developed in India. The integration of renewable energy production with the electricity mix also reduces the cost
of transporting fuel to remote areas in the region. Japan is the leading contributor in the APAC hybrid power
systems, with the surge in utility-scale and commercial projects expected to drive demand in the coming years.
METHODOLOGY
Process Flow
Data collection for the systematic review was done by extracting relevant research studies from the site surveys by
various technical experts. Data extraction allowed the researchers to determine which data was most important in
answering the problems faced by various staffs at the hospital.
The poor working conditions are attributed to poor infrastructure, inadequate resources, lack of safety and security,
poor interpersonal relationships, lack of involvement in decision making and lack of support from governing body.
The study revealed that effective management at hospital level may create an enabling working environment
modifying the impact of resource shortfalls.
The complete area was surveyed, MS and staffs took us around the entire area, explained few things what they go
through because of the poor infrastructure facilities and policies.
The area was studied; proper checklist sheet was worked on as per the data available. There were certain parameters
which were not available, few things were not even known to the staffs.
Each and every small detail was considered and every site was not only surveyed but also analysed, worked upon, to
finally prepare the draft.
Site survey and preparation of analysis report for the respective hospital.
Latitude 26.009N
| 10
Longitude 94.523E
Area identified for Installation of the solar power plant Children ward
OPD Building
OT Complex
Nursing Hostel
DG availability
25 KVA (Running)
DG age New
Proposed Storage Area for Inverter and Batteries OPD Building / OT Complex
IPHS GUIDELINES
From this survey, it is clear that provision of a positive working environment is crucial for the wellbeing of the
employees, the patients as well as the organisation. Provision of adequate infrastructure is of high importance. | 12
Mechanical and electrical systems act as vital organs to a hospital, providing power, water, fresh air and other
important elements that keep the hospital running efficiently and safely.
Please find the infrastructure requirements of a district hospital and also do go through the Findings at the site.
They cannot run the lab equipment or the x-ray without starting the generator. Whenever there is cloud cover the
power cuts happen. Power disruptions result in a disruption of treatment programs or the inability to reliably use
electrical appliances such as laboratory equipment.
Categories Findings
Grid Power Hospital has 100 KVA transformer
Blood Bank Refrigerators Having A Storage Capacity Of 50 Units Of Blood Non Functional
Centrifuge Functional
Microscope Functional
Although the survey and analysis shows that Nagaland public health infrastructure is yet to reach the
desired facilities as per Indian Public Health Standards as much as that: Only in Zunheboto district
average sub centers cover desired population of 3,000 per Sub center and 11000 for PHC compared to in
rest of all the districts average of each sub center covers population more than 4,000 to as high as 16,000
for PHCs.
| 14
Base Load Distribution
0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000
RFD BUILDING
OT COMPLEX
X-RAY ROOM
OPD BUILDING
NURSING HOSTEL
MS & CMO BUILDING
Emergency
Ward
nursing superidendent
female medical ward
maternity ward
nurse duty room
labor room
children ward
blood bank LIGHTING LOAD DISTRIBUTION
female surgical ward
nurse office
surgical ward duty room
male surgical ward
nurses room
MS ROOM
ADMIN ROOM
CONFERENCE ROOM
STORE
EYE OPD
AYUSH
IMMUNISATION
| 16
CRITICAL LEVEL I
1%
Baby Incubator
2% 1%
1% 3% 4% Radiant Warmer
4%
2% 7%
1%
Suction Machine
0% 4%
11% Slit Lamp
3%
2% Distance Vision Charts
2% 4%
Air Rotor
3% 1%
3% 1% Compressor Oil Free Medical Grade
(Noise Free)
4%
Needle Cutter/Hub Cutter
Deep Freezers
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
CRITICAL LEVEL II
| 17
Color Doppler Ultrasound machine with
4 probes:Abdomen,Paediatric,So! Parts
and Intra-Cavitory Ultra Sonogram /
Ultrasonograph (colour doppler )
Portable ultrasound
2% 3%
1%
7% 3% 1%
Total USG
27%
41%
Incubators
10%
3%
Total Incubation
Anesthesia
Anesthesia equipment
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
Phototheraphy Unit
(As per IPHS Guidelines) – If we go by IPHS Guidelines, it states very clearly that every bed in a
district hospital has a requirement of minimum 3 KW. As per thumb rule the basic power plant
requirement is mentioned below:-
Consumption & Generation As per IPHS Guidelines
Infusion pump 1 15 6 90
Total Cardiopulmonary Equipment 4260
Incineration
Incinerator and mortuary including waste 5000 0 0
management
Total Incineration | 20
Total Critical Level-1 20964
Critical Level-2
Color Doppler Ultrasound machine with 4 500 2 1000
probes:
Operation additional
Auto Clave HP Vertical (2 Bin) 1 4000 4 16000
Autoclave vertical single bin 0 4000 0 0
Shadow less lamp ceiling type minor* 1 500 4 2000
Sterilizer (small instrument) 1 3000 4 12000
| 21
Bowl Sterilizer Medium 0 2000 0 0
Diathermy Machine (Electric Cautery) 1 250 4 1000
Suction Apparatus - electrical 1 1280 4 5120
Dehumidifier 350 0
Ultrasonic cutting and coagulation device 70 0
Total Operational Additional 36120
Laboratory
Electric microscope 1 30 4 120
Lab incubator 1500 0
Electric centrifuge,table top 3 1 500 4 2000
blood gas analyser 120 0
electrolyte analyser 1 60 4 240
Laboratory autoclaves 2500 0
automatic blood gas analyser-2 120 0
Blender 400 0
Hot air oven 1200 0
Total Laboratory 2360
ENT, Dental & Eye department, OPD Equipment
Dental X ray m/c 0 200 4 0
Dental Unit consisting of Dental Chair 1 1820 4 7280
and set of dental Equipment for
examination, extraction
Otoscope 20 0
Slit Lamp 1 30 0
Head Light 300 0
Total - ENT, Dental & Eye department, 7280
OPD Equipment
Total Critical Level-3 45832
A conservative approach has been taken and all the loads defined in the demand section may not be served. The
future demand may surpass the estimated supply which can later be catered by augmenting the plant size. A
detailed study and analysis of peak load, battery bank and grid analysis was done to serve additional loads over
and above the estimated supply.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
| 22
Units Consumption 123
RECOMMENDATIONS
Categories Recommendations
Auxiliary power source Hybrid Solar roof top power Plant advised
Corridor lighting & passages & staircases Energy Efficient Bulbs & t5 tube lights advised
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
Units Consumption | 23
62.61
As discussed there are various facilities (RCC roof tops) which can be used for integration of solar Power Plant
PV systems have been the focus of numerous efforts for rural electrification. The panels themselves typically have
a very long lifetime (20-30 years). Unfortunately, installation programs do not always include a sufficient service
component. Regular maintenance on batteries is essential while training local hospital staff in system
maintenance is essential for routine maintenance; a professional technician should also perform an annual
maintenance check, examining wiring connections, mounting bolts, and inverter operation.
PV systems typically have higher capital costs, but lower operating costs when compared to other energy | 25
generation options. The availability of replacement components (model and brand) from local vendors should be
considered when procuring initial system components. End-user expectations of solar systems are often
unrealistic – education on the practical application of solar systems must accompany system design and
installation.
National standards for the placement, design, procurement, installation, and servicing of Photovoltaic systems
can help improve sustainability. Donor-funded PV systems often fail for lack of operating funds and local service
infrastructure. Detailed user manuals are critical – especially in cases where staff turnover is high. Local
ownership, often established through a contribution to initial system cost, is critical for system sustainability.
Servo Stabilizer
The Servo Stabilizers uses an advanced electronic servo-motor concept to control a motorized variable transformer.
Because of the motorization, there is a small delay in voltage correction. However, output voltage accuracy is usually ±
1% with input voltage changes up to ± 50%. These machines are not affected unduly by power factor or frequency
variation. This type of technology tends to be extremely effective when considering large three phase applications, as it is
able to maintain its accuracy of all three phases, both line to line and line to neutral, irrespective of input voltage balance
and load balance at any power factor. They are also able to withstand large inrush currents, normally experienced with
inductive loads. However due to the mechanics of this type of stabilizer, periodic maintenance is required.
Electrical Works
Before recommending any change, a survey is advised which has to be conducted to identify distribution and grounding
problems, an initial physical site examination. It typically begins at the location of the sensitive electronic load equipment
and progresses back to the service entrance through the following sequence: sensitive load equipment, branch circuit
wiring, breaker panel, feeder wiring, main breaker panel, switchboard, and service entrance.
Start at the load equipment to check the wiring for code violations, adequate insulation, visible damage, miswired
connectors (e.g., phase and neutral-reversed or phase sequence reversed); secure connections; and measure the phase,
neutral, and ground voltages and currents.
Verify that the breakers in the panel feed the sensitive electronic load. Check that no other loads are on a dedicated circuit.
Visually check for any code violations, the use of wire nuts, insulation, other visible damage, and for secure connections.
Look for signs of burnt areas or carbonization, which indicate previous faults, flashovers, arcing, etc. Note the size of
incoming and outgoing conductors and make sure that they are adequately sized for the load, especially the neutral.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
Check for shared neutrals and possible overloads with high harmonic loads. Check the temperature of the insulated face
of circuit breakers and for visual signs of overheating. Smell the panel, which may indicate overheating conditions.
Measure phase, neutral, and ground voltages and currents, as well as the voltage drop across each critical breaker. More
than about 0.1-V indicates a possibly bad unit. Look for signs of previous faults such as burnt areas, flashovers, arcing,
etc. Note the size of incoming and outgoing conductors. Check for visual signs of overheating. Use an infrared camera, if
available, for examining the hot spots in the main breaker panel and switchboard. | 26
Feeder Protection
Cable Ducts
Cable ducts are manufactured from specially compounded high impact rigid polyvinyl chloride. These will not peel, chip
or crack. It resists oil, salt solution and fungus.
It is non-flammable confirming to UL 94 V0 standards, warp-proof and non-brittle. It has high dielectric strength and
withstands temperature up to 60C.
Remote control units play a crucial role on factory shop floor for operational safety and reliability. Reliable push buttons
and indicators from our partners ESBEE have been trusted by users across industries over the past four decades.
Illuminated actuators with LED have snap fit for ease in assembly with low power consumption of 0.6 W max. Push
button stations provide round ergonomic enclosure with good aesthetics that occupies less space. They are robust, easy to
grip, assemble and operate. It is available in standard configuration of actuators and LED indicators.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
A 100 LPD Solar Water Heating (SWH) System having 2 square meter of collector area, can replace an electric
geyser of 2 KW capacities for residential use and may save up to 1,500 units of electricity and up to 1.5 tons of CO2
per year depending upon the location of installation. The gross potential for solar water heating systems in India
has been estimated to be about 140 million sq. m. of collector area. However, we have achieved about 12 million sq.
meter collector area. There is a lot of potential for Solar Water Heating Systems in the country.
The main objective of the program is to promote the widespread use of solar water heaters in the country through
a combination of financial and promotional incentives, and other support measures so as to conserve electricity
and other fossil fuels, apart from peak load saving in cities and towns.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
Heating water is very expensive as it requires a huge amount of energy. It is believed that 18% of domestic energy
is used to heat water. In most homes and businesses this energy is generated from fossil fuels – gas and oil. Most
modern domestic boilers will run on gas and heat water on demand. But many people still heat their water using
electricity which is the most expensive way to heat water.
Simple calculations on the energy output, savings on LPG and reduction of CO2 have been conducted. Preliminary
results indicated that the saving on LPG based on proposed system was more than 20%. With a prospect of 100+| 28
health facilities throughout the state, this project shall improve public awareness in energy conservation in the hot
water production of their buildings and increase the market of the solar energy systems
o Solar thermal panels can only heat water and it requires space on roof top.
o Annual maintenance is recommended.
Incorporating the Solar Hot Water System to the commercial hot water system heated by LPG boilers, there would
be a large potential in energy saving and greenhouse emission reduction.
Solar Pump
A solar energy-powered water pump is a water pump running on the electricity that is generated by solar
photovoltaic modules.
Using solar energy as power source, such solar water pumps basically consist of three main components:
o Water pump
o Solar Photovoltaic modules
o Pump controller (and inverter)
o Safe and adequate water is essential for effective hospital infection control and monitoring its
o Water for Sterilization and cleaning of equipment and use in hospital laundry
During hot months and in hot areas the requirement for water is high. Solar water pumps are electrically driven
pumping systems, powered by photovoltaic panels. Solar water pumps use the generated electricity to pump
water. According to each individual need, solar water pumps can be applied for following purposes where pumping | 29
water is needed.
Solar street lights are independent of the utility grid resulting to lessened operation costs.
Solar street lights require lesser maintenance than conventional street lights. These have lower chances of
overheating. Since solar wires do not have external wires, the risk of accidents is minimized.
Solar street lights are environment-friendly because its panels are solely dependent to the sun hence eliminating your
carbon footprints contribution. Some parts of solar street lighting systems can be easily carried to remote areas making
these more efficient and handy solutions to lighting problems. Lighting up streets and roads enhance the comfort,
security and overall safety of our rapidly growing urban environments.
Standalone solar street lighting is designed to achieve better light uniformity and maximum spacing between poles for
both pedestrian and vehicle road applications, and higher efficiency to save panel size and battery capacity in solar
lighting system. With its die-cast aluminum housing, it is easy to maintain, has a long lifetime and a consistency you can
count on.
“The most recent record for LED efficiency shows more than 300 lumen/watt. This result can be compared with regular
incandescent bulbs, and more than 15 incandescent bulbs will be required to create such luminance and close to 70 for
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
fluorescent lamps. LEDs last up to 100,000 hours, compared to 1,000 for incandescent bulbs and 10,000 hours for
fluorescent lights.”
A light-emitting diode, or LED for short, is a lamp that emits light in a very narrow band of wavelengths. Because of this,
LED’s are far more energy efficient than incandescent or fluorescent lights, which emit light in a much wider band of
wavelengths. LED’s produce light that renders a color similar (but not identical) to natural daylight, which is measured| 30
on a scale called CRI, or Color Rendering Index. CRI’s range from 0-100, 100 being identical to natural daylight. Typical
LED’s are around 70-95 CRI, but it is not recommended to put anything indoors below 75 CRI. Like incandescent lamps
and unlike most fluorescent lamps, LEDs come to full brightness without need for a warm-up time.
o Average Requirement – 3000 lumens for hallways, pathways, staircase, store, and kitchen.
On average, an incandescent bulb may last around 1000 hours, while a fluorescent (CFL) bulb producing the same
amount of light (in Lumens) may last around 8,000 hours, and an equivalent LED bulb may last around 25,000 hours.
Because of their efficiency, LED’s are generally more costly, but the energy saved on your electric bill pays off when
compared to incandescent bulbs.
When looking at a 60-Watt incandescent bulb, the price of running that single bulb for 20 years (based on 6 hours per day)
is $360. The price of running a 60-Watt LED equivalent for the same amount of time is only $72. So while an incandescent
might only be around $1.00/bulb in comparison to $10.00/bulb for the LED, think about how much you would save by
replacing every bulb in your house!
The 20-year savings on replacing a single candescent bulb with an LED would be $288
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
GALLERY
| 31
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
CONCLUSION
o Led Solar Standalone Street Light is planned to be installed in and around the campus for outdoor
lighting.
o Solar Power Plant of 40 KwP capacity will be integrated on roof top space available in the hospital. The
| 32
RCC roof top will be used for the installation of Hybrid solar power plant along with control panel
room which can be placed either in OT Complex or in other premises as per availability.
o Solar Water Heater (FPC / ETC) of 1000 Litres capacity to be installed on the roof top, total area
occupied by the water heater will be roughly 100 sq feet. There are different types of water heating
systems available, depending upon the water quality; we have finalized to install Evacuated Tube
Collector system, to avoid clogging of Cu Tubes which will frequently happen in Flat Plate Collector
System.
o There are two Inverter battery set which is currently available in the hospital, but both of them do
provide a back-up of not even 30 minutes. So we have concluded to repair or replace existing battery-
inverter system and there is a plan to install two more inverter battery set, one for operation theatre
and another for Labour room.
o There is a plan to replace existing incandescent bulbs by Led bulbs and led tubes or panel lights, so that
we can reduce the basic lighting load.
o The hospital does have their own transformer of 100 KVA, but the major issue is that there are power
failure maximum times because of the power scarcity and also due to weather conditions in the hilly
region. When also there is the electricity, the voltage fluctuation is quite common so the servo stabilizer
is decided of 100 KVA capacity, the inputs of all the major equipment in hospitals can be connected
through servo stabilizer to prevent the equipment from damaging during high voltage and high surge
currents.
Assumptions:
There are few drawings and survey reports required before going into implementation. Kindly consult before
implementation.
NOTE**In absence of electrical single line diagram and in absence of any details to calculate the costing of the
electrical works in the facility. The costing has been done on the basis of assumptions, of rate per square feet area.
The rates have been discussed with the building contractors working in the North-eastern region and cost
estimate has been prepared. The cost estimate per square feet includes products from only these mentioned
companies [Polycab, Havells, KEI, L&T, C&S] **
As per the annexure attached, CPWD DELHI Govt. rates, the calculation can be done only on the basis of number
of points, that can be calculated on the basis of single line diagram. Please find the annexure attached with the
document for the CPWD rates. In absence of any diagram and no detail of number of points, Just area wise
costing is estimated for electrical works.
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
o Technical data specification sheet of Siemens Mobile X-ray machine with 2.5 kW HF generator for general use,
o MNRE Empanelled list of Solar Powered Pumps suppliers and their respective specifications.
o MNRE Empanelled list of Standalone Street Lights suppliers and their respective specifications.
o Dr Mughalu | 35
o Ms Shetoli
Gaps Assessment for District Hospital Zunheboto DRAFT FINAL REPORT
o Preparation of Detailed Project Report along with technical specifications, cost estimates.