The local climate, water resources, other natural resources, and infrastructure affect the quantity and type of fuel, heating, cooling, insulation, water, and energy demands for hospital, clinic, and laboratory facilities.

Ensure equal participation, supply, distribution, and monitoring of environmentally appropriate fuel and household energy supplies across all gender, ages, and disabilities.

Air pollution
Soil pollution
Water pollution
Deforestation
Desertification
Eutrophication
Climate Change
Loss of biodiversity and ecosystems
Natural resource depletion

•  Greenhouse gas emissions from the use of fossil fuels for energy
•  Deforestation and impacts on biodiversity and ecosystems from cutting and burning wood for cooking
•  Water resource depletion
•  Soil and water pollution
•  Water eutrophication

Type and provision of fuel, heating, cooling, electricity, insulation, and water all have environmental impacts, particularly in the amount of energy used, which creates greenhouse gas emissions when sourced from fossil fuels. Excessive water use depletes natural resources and effluent can pollute local soil and watercourses.

•  Efficient building design
• Maximise natural heating, cooling, ventilation, lighting, and insulation
•  Use renewable energy
•  Avoid the use of wood for cooking
•  Avoid energy generation from coal, diesel, oil, or gas.

Buildings can be designed efficiently to reduce the use of fuel/energy for cooking, heating, cooling, including natural ventilation, lighting, and insulation. Switch to renewable energy wherever possible. Health facilities are often big enough to warrant investment in on-site renewable energy generation that pay for themselves in a short time period. Avoid dependence on cutting wood for cooking. Avoid heating and cooling from coal or oil sources, and minimise or eliminate dependency on other fossil fuels such as diesel generators or gas.

There are many traditional methods of reducing energy use for heating, cooling and ventilation, including window size and location, insulation, wall thicknesses, use of water, and creating natural wind vents.

Humanitarian Response Plan Ukraine – January-December 2019:
https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/documents/files/ukraine_2019_humanitarian_response_plan_en.pdf

The number of health facilities where a facilities plan has been developed that directly assesses and addresses environmental impacts of all building facilities/services.

Prevention of environmental damage

Time, resources, and budget to assess fuel, heating, cooling, electricity, insulation and water requirements, environmental impacts, and determine the least harmful / most beneficial.