Household Energy Insecurity, Health and Sustainable Livelihoods in Colombia

能源获取是人类发展的核心，与实现可持续的 与减贫、两性平等、确保健康生活和促进福祉有关的发展目标，以及 气候变化。然而，家庭能源不安全(Heins)，即缺乏足够的、负担得起的、 可靠、可接受和清洁的能源为健康和可持续的生计提出了许多挑战 家庭。我们在(安全)方面衡量能源的能力仅限于宏观指数，很少有能源贫困的变化 指数，以及为高收入国家制定的措施。目前还没有办法衡量能源不安全或 在缺乏现代形式能源的低收入国家，在家庭层面量化其后遗症 清洁能源转型尚未完成。因此，该应用程序的科学目标是测量海因斯和 审查其在哥伦比亚妇女、婴儿和儿童(WIC)健康状况不佳方面的作用。中环 假设海因斯在疾病、经济、营养和心理社会领域对WIC是有害的，在以下方面 不同于粮食和水的不安全。为此，拟议的项目启动了纵向研究的第一阶段，以 检查海因斯出生后头1000天的累积健康风险和劣势。这项初步研究将集中于 关于三个具体目标。首先，制定衡量家庭一级能源不安全状况的量表(目标1)； 心理测量学评估和验证量表(目标2)；第三，评估海因斯的患病率和后遗症(目标3)。 方法论。本研究将采用定性和定量相结合的混合研究设计。 方法将具体包括对哥伦比亚妇女的定性研究，以了解她们在 Heins，从发达国家现有的量表中确定相关的Heins指标，汇编和试行量表 用于开发环境的问题，开发和心理测量学验证量表问题，并对效果进行统计评估 海因斯对WIC健康状况的看法。意义重大。这项探索性研究旨在了解能源不安全的经历， 开发和验证量表，将促进我们在拉丁美洲开发Heins的第一个量表的能力。这个 在家庭层面衡量能源不安全的能力将在推动我们对能源安全的理解方面产生变革 造成一系列不利健康后果的原因及其后果--健康不平等。它还将用于开发 干预措施，确定可扩展的技术和政策以缓解海因斯，并启动制定 跨文化验证的规模。

Energy access is at the heart of human development and intricately linked to the achievement of the sustainable development goals related to poverty reduction, gender equality, ensuring healthy lives and promoting well-being, and climate change. However, household energy insecurity (HEINS) which is the lack of access to adequate, affordable, reliable, acceptable and clean sources of energy for a healthy and sustainable livelihood poses a challenge to many households. Our ability to measure energy in(security) is limited to macro indices, few variations of energy poverty indices, and measures developed for high income countries. There is currently no way of measuring energy insecurity or quantifying its sequelae at the household level in low income countries where access to modern forms of energy is scarce and clean energy transition is incomplete. Thus, the scientific objective of this application is to measure HEINS and examine its role in the poor health outcomes among women, infants and children (WIC) in Colombia. The central hypothesis is that HEINS is detrimental to WIC in disease, economic, nutrition, and psychosocial domains, in ways distinct from food and water insecurity. To do this, the proposed project launches the first phase of a longitudinal study to examine the cumulative health risks and disadvantages of HEINS for the first 1000 days of life. This pilot study will focus on three specific aims. First, develop a scale for measuring energy insecurity at the household level (aim 1); psychometrically evaluate and validate the scale (aim 2); third, assess the prevalence and sequelae of HEINS (aim 3). Methodology. This study will use a mixed-methods research design employing both qualitative and quantitative methods. Methods will specifically include qualitative study of women in Colombia to understand their lived experiences of HEINS, identification of relevant HEINS indicators from existing scales in developed countries, assemble and pilot scale questions for developing settings, develop and psychometrically validate scale questions, and assess statistically the effect of HEINS on the health of WIC. Significance. This exploratory study to understand the experiences of energy insecurity, develop and validate a scale, will facilitate our ability to develop the very first scale on HEINS in Latin America. The ability to measure energy insecurity at the household level will be transformative in advancing our understanding of the causes of a range of adverse health outcomes and their consequence, health inequity. It will also be useful in developing interventions, identifying scalable technologies and policies to mitigate HEINS, and initiate the primary steps to develop a cross-culturally validated scale.