A GLOBAL DEVELOPMENT ALLIANCE ACTIVITY WORKING WITH A SET OF STAKEHOLDERS-INCLUDING OTHER DONOR ORGANIZATIONS, PRIVATE SECTOR, AND NON-GOVERNMENTAL ORGANIZATIONS-TO ELECTRIFY AND PROVIDE TELECOMMUNICATIONS AT HEALTH FACILITIES IN SUB-SAHARAN AFRICA UNDER AN ACTIVITY REFERRED TO AS HEALTH ELECTRIFICATION AND TELECOMMUNICATIONS ALLIANCE. THE OUTCOMES OF THE HETA ACTIVITY WILL INCLUDE SIGNIFICANT, MEASURABLE IMPROVEMENTS IN THE HEALTH AND WELL-BEING OF COMMUNITIES IN SUB- SAHARAN AFRICA BY DRAWING ON PRIVATE SECTOR CAPACITY AND RESOURCES AND ALIGNING THEM WITH POWER AFRICA AND USAID INVESTMENTS IN AFRICA TO PROVIDE RURAL AND SEMI-RURAL HEALTH FACILITIES WITH CLEAN, RELIABLE ELECTRICITY GENERATION AND INTERNET CONNECTIVITY. IN SOME CASES, THE ELECTRICITY PROVISION COULD ALSO INCLUDE WATER PUMPING AND POTABLE WATER TO THE FACILITIES. THE HETA STAKEHOLDERS WILL WORK TOGETHER WITH USAID TO ADDRESS CHALLENGES THROUGH A MARKET-BASED APPROACH, LEVERAGING THEIR COLLECTIVE TECHNICAL AND FINANCIAL RESOURCES. HETA WILL BE STRUCTURED TO ENSURE LONGEVITY AND SUSTAINABILITY BEYOND THE LIFE OF USAID INVESTMENTS THROUGH THE CREATION OF AN INDEPENDENT SPINOFF. THE ACTIVITY'S MARKET APPROACH TO PROVIDING ELECTRICITY AND TELECOMMUNICATION SERVICES COMES THROUGH EXPANDING MOBILE NETWORKS AND ECONOMIC GROWTH OPPORTUNITIES TO COMMUNITIES WHILE SUPPORTING THE ELECTRIFICATION AND TELECOMMUNICATION OF HEALTH FACILITIES THROUGH AN ENERGY-AS-A-SERVICE MODEL. THE ACTIVITY SEEKS TO ACCELERATE ACCESS TO AFFORDABLE, RELIABLE, AND SUSTAINABLE ENERGY SERVICES BY ELECTRIFYING AND DIGITALLY CONNECTING 10,000 FACILITIES OVER 5 YEARS. TO IMPROVE ACCESS TO POWER AT HEALTH FACILITIES AND ENHANCE THE DELIVERY OF HEALTH SERVICES IN SUB-SAHARAN AFRICA, HETA WILL USE THESE GUIDING PRINCIPLES IN ITS IMPLEMENTATION OF PROGRAM COMPONENTS: 1. STRENGTHEN USAID HEALTH PROGRAM OUTCOMES 2. INCREASE ELECTRICAL CONNECTIONS AND TELECOMMUNICATION CONNECTIVITY AT HEALTH FACILITIES 3. GUARANTEE LONG-TERM OPERATION AND MAINTENANCE OF INSTALLED EQUIPMENT 4. PROMOTE MARKET-BASED SOLUTIONS 5. IMPROVE LOCAL TECHNICAL CAPACITY