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Power Up Gambia's mission is to provide reliable electricity and water to healthcare facilities in The Gambia, West Africa through solar energy. Imagine a hospital without electricity, nurses having to tend to patients, deliver babies and set IV lines by candlelight. No refrigeration for blood banks. Emergency surgeries would be impossible. Children in respiratory distress would have no supplemental oxygen from oxygen concentrators. Drugs and vaccines dependent on refrigeration would be ruined. But solar power can change this. Power Up Gambia, with its mission to provide reliable, responsible electricity and water to health facilities in western Gambia serves to both increase access to health care for poor people and to reduce the toll of "modernization" on our planet. This work succeeds in uniting the two great struggles of our time: the struggle for social justice and that for ecological justice.