A Techno-economic Assessment of the Viability of a Photovoltaic-wind-battery Storage-hydrogen Energy System for Electrifying Primary Healthcare Centre in Sub-Saharan Africa

Healthcare facilities in isolated rural areas of sub-Saharan Africa face challenges in providing essential health services due to unreliable energy access. This study examines the use of hybrid renewable energy systems consisting of solar PV, wind turbines, batteries, and hydrogen storage for the electrification of rural healthcare facilities in Nigeria and South Africa. The study deployed the efficacy of Hybrid Optimization of Multiple Energy Resources software for techno-economic analysis and the Evaluation based on the Distance from Average Solution method for multicriteria decision-making for sizing, optimizing, and selecting the optimal energy system. Results show that the optimal configurations achieve cost-effective levelized energy costs ranging from $0.336 to $0.410/kWh for both countries. For the Nigeria case study, the optimal energy system includes 5 kW PV, 10 kW fuel cell, 10 kW inverter, 10 kW electrolyzer, and 16 kg hydrogen tank. South Africa's optimal configuration has 5 kW PV, 10 kW battery, 10 kW inverter, and 7.5 kW rectifier. Solar PV provides more than 90% of energy, with dual axis tracking yielding the highest output: 8,889kWh/yr for Nigeria and 10,470kWh/yr for South Africa. The multi-criteria decisionmaking analysis reveals that Nigeria's preferred option is the hybrid system without tracking. In contrast, the horizontal axis, weekly adjustment tracking configuration is optimal for South Africa, considering technical, economic, and environmental criteria. The findings highlight the importance of context-specific optimization for hybrid renewable energy systems in rural healthcare facilities to accelerate Sustainable Development Goals 3 and 7.