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Clean Cooking Implementation Science Network (ISN)

The NIH, in partnership with USAID, the CDC, the EPA and the Clean Cooking Alliance, launched a Clean Cooking Implementation Science Network (ISN) to advance the science of uptake and scale-up of clean cooking technology in the developing world. Sustained, near-exclusive use of clean cooking technology is understood to be key to improving multiple important health outcomes by reducing exposure to household air pollution.

About | Projects | Publications | Contacts

About the Clean Cooking ISN

Hosted by the Center for Global Health Studies (CGHS) at Fogarty, and supported by the NIH Common Fund, the primary goal of the Clean Cooking ISN is to advance the scientific understanding of how to implement evidence-based clean cooking interventions to maximize their benefits to the health and longevity of populations in low- and middle-income countries (LMICs).

Clean fuel access and use of technologies that sufficiently reduce pollutant exposures are among the principal barriers to achieving health benefits from clean cooking interventions. These challenges are compounded by community- and national-scale influences when the goal is scaling up these technologies. Successful scale-up will depend on understanding the complex interplay among multiple environmental, economic, behavioral and other setting-specific factors.

To meet its objectives, the Clean Cooking ISN aims to foster collaboration among researchers and implementers. Since 2016, the Network has undertaken projects designed to advance the science of clean cooking implementation at scale.

Projects Conducted by the Clean Cooking ISN


In 2016-2017, the network focused its initial projects on cookstove adoption behavior at the household level.

  • Enhancing adoption and use of liquefied petroleum gas (LPG): an implementation science approach to understanding key determinants and impacts of local interventions to address financial constraints
    The LPG Adoption in Cameroon Evaluation-2 Study (LACE-2)
    Project PIs:
    Daniel Pope, Ph.D. (University of Liverpool)
    Bertrand Mbatchou, M.D. (Douala General Hospital)
  • Enhancing liquefied petroleum gas (LPG) use during pregnancy
    Project PIs:
    Kalpana Balakrishnan, Ph.D. (Sri Ramachandra University)
    Sanjay Juvekar, Ph.D. (KEM Hospital Research Centre)
    Kirk Smith, Ph.D. (University of California, Berkeley)
  • Prices, peers and perceptions: opportunities for scaling up liquefied petroleum gas (LPG) adoption in Northern Ghana
    Project PIs:
    Abraham Oduro, M.D., Ph.D. (Navrongo Health Research Centre)
    Maxwell Dalaba, Ph.D. (Navrongo Health Research Centre)
    Katie Dickinson, Ph.D. (University of Colorado-Boulder and National Center for Atmospheric Research)
  • Understanding household, network and organizational drivers of adoption, sustained use and maintenance of clean cooking fuels in rural India
    Project PIs:
    Gautam Yadama, Ph.D. (Washington University in St. Louis)
    William Checkley, M.D., Ph.D. (Johns Hopkins University)


In 2018, the Clean Cooking ISN focused on model development and analytical tools, as well as training workshops to extend the learning of the network to the broader HAP community.

  • Improving Stove Use Monitoring with Better Tools and Workshops (Pune, India)
    Project PI: Ajay Pillarisetti, Ph.D. (UC Berkeley)
  • Workshop on Household Energy Impact Evaluation (WHEIE) (Aurora, Colorado, USA)
    Project PIs: Ellison Carter, Ph.D. (Colorado State University); Katherine Dickinson, Ph.D. (Colorado School of Public Health)
  • System Science Training Workshop for Clean Cooking GEOHealth Researchers and Practitioners (Udiapur, India)
    Project PI: Gautam Yadama, Ph.D. (Boston College)
  • Model development of intensive exposure sampling sub-sample of the Household Air Pollution Intervention Network (HAPIN) Trial population
    Project PI: Michael Johnson, Ph.D. (Berkeley Air)
  • Evaluating LPG Consumption Behavior: Identifying and testing conservation strategies to maximize affordability and sustainability of exclusive LPG use
    Project PI: William Checkley, Ph.D. (Johns Hopkins University)
  • Building capacity to evaluate clean cooking in Ecuador
    Project PIs:
    Alfredo Valarezo, Ph.D. (Universidad San Francisco de Quito)
    Darby Jack, Ph.D. (Columbia University)
  • Understanding the HAP impacts of alternative stove, fuel and cooking practices stacking patterns
    Project PI: Omar Masera, Ph.D. (Universidad Nacional Autónoma de México)
  • Slicing the Exposure Pie: Modeling Personal HAP Exposure Attributable to Multiple Sources in Ghana
    Project PI: Michael Hannigan, Ph.D. (Colorado School of Public Health)
  • Integration of System Science Approaches to Enhance Understanding of Adoption and Sustained Use of Clean Cookstoves in Humanitarian Settings in Rwanda
    Project PI: Anita Shankar, Ph.D. (Johns Hopkins University)


New projects begun in 2019 were focused on understanding the optimal mix of clean cooking technologies feasible in different LMIC settings. This area was prioritized for 2019 based on the results of prior ISN work, especially the 2018 case studies and subsequent synthesis papers highlighting the ubiquity of stove and fuel stacking (multiple stove/fuel use) and the challenges posed by this practice to reducing exposure to household air pollution.

  • Stackable clean cooking in rural Rwanda: Enhancing a solar micro-grid and LPG stove intervention. Project PIs: Maggie Clark and John Volckens (Colorado State University)
  • Real Option Strategies for Achieving Scale (ROSAS). Project PIs: Peter Hovmand (Washington University), Gautam Yadama (Boston College)
  • Feasibility of Scaling “Clean Stacking” Options in Southern Africa. Project PIs: Robert Bailis (Stockholm Environment Institute), Pamela Jagger (University of Michigan)
  • Clean stacking in Ecuador: Investigating how induction changes household energy use and HAP exposures across scales. Project PIs: Darby Jack (Columbia University), Alfredo Valarezo (Universidad San Francisco de Quito, Ecuador)
  • Constructing a clean cookstove stack in Ghana. Project PIs: Kwaku Poku Asante (Ghana Health Service, Kintampo Research Center), Darby Jack (Columbia University)
  • Clean Stacking Options and Regional IAP Scenarios for Rural Mexico. Project PIs: Omar Masera (National Autonomous University of Mexico), Rufus Edwards (University of California, Irvine)
  • Investigating Factors Influencing Household Transitions to Clean Energy Use. Project PIs: Hisham Zerriffi (University of British Columbia), Jill Baumgartner (McGill University)


The Clean Cooking ISN supported the development of 11 case studies of large-scale clean fuel programs in regions across Africa, Latin America and Asia. They are published in Scaling up Clean Fuel Cooking Programs, an open access special issue of Energy for Sustainable Development (October 2018).

A list of Clean Cooking ISN publications by calendar date follows.


  • Rosenthal, J., et al., Implementation Science to Accelerate Clean Cooking for Public Health. Environ Health Perspect, 2017. 125(1): p. A3-A7.
  • Kumar, P., et al., Adoption and sustained use of cleaner cooking fuels in rural India: a case control study protocol to understand household, network, and organizational drivers. Arch Public Health, 2017. 75: p. 70.


  • Thoday, K., et al., The Mega Conversion Program from kerosene to LPG in Indonesia: Lessons learned and recommendations for future clean cooking energy expansion. Energy for Sustainable Development, 2018. 46: p. 71-81.
  • Rosenthal, J., et al., Clean cooking and the SDGs: Integrated analytical approaches to guide energy interventions for health and environment goals. Energy for Sustainable Development, 2018. 42(Supplement C): p. 152-159.
  • Quinn, A.K., et al., An analysis of efforts to scale up clean household energy for cooking around the world. Energy for Sustainable Development, 2018. 46: p. 1-10.
  • Pollard, S.L., et al., An evaluation of the Fondo de Inclusión Social Energético program to promote access to liquefied petroleum gas in Peru. Energy for Sustainable Development, 2018. 46: p. 82-93.
  • Pillarisetti, A., et al., A Low-Cost Stove Use Monitor to Enable Conditional Cash Transfers. Ecohealth, 2018. 15(4): p. 768-776.
  • Ozier, A., et al., Building a consumer market for ethanol-methanol cooking fuel in Lagos, Nigeria. Energy for Sustainable Development, 2018. 46: p. 65-70.
  • Jagger, P. and I. Das, Implementation and scale-up of a biomass pellet and improved cookstove enterprise in Rwanda. Energy for Sustainable Development, 2018. 46: p. 32-41.
  • Hyman, J. and R. Bailis, Assessment of the Cambodian National Biodigester Program. Energy for Sustainable Development, 2018. 46: p. 11-22.
  • Gould, C.F., et al., Government policy, clean fuel access, and persistent fuel stacking in Ecuador. Energy for Sustainable Development, 2018. 46: p. 111-122.
  • Dickinson, K.L., et al., Prices, peers, and perceptions (P3): study protocol for improved biomass cookstove project in northern Ghana. BMC Public Health, 2018. 18(1): p. 1209.
  • Dalaba, M., et al., Liquified Petroleum Gas (LPG) Supply and Demand for Cooking in Northern Ghana. EcoHealth, 2018. 15(4): p. 716-728.
  • Clemens, H., et al., Africa Biogas Partnership Program: A review of clean cooking implementation through market development in East Africa. Energy for Sustainable Development, 2018. 46: p. 23-31.
  • Carter, E., et al., Development of renewable, densified biomass for household energy in China. Energy for Sustainable Development, 2018. 46: p. 42-52.
  • Bruce, N., et al., The Government-led initiative for LPG scale-up in Cameroon: Programme development and initial evaluation. Energy for Sustainable Development, 2018. 46: p. 103-110.
  • Benka-Coker, M.L., et al., A case study of the ethanol CleanCook stove intervention and potential scale-up in Ethiopia. Energy for Sustainable Development, 2018. 46: p. 53-64.
  • Asante, K.P., et al., Ghana's rural liquefied petroleum gas program scale up: A case study. Energy for Sustainable Development, 2018. 46: p. 94-102.


  • Quinn, Ashlinn K., Gila Neta, Rachel Sturke, Christopher O. Olopade, Suzanne L. Pollard, Sherr. Kenneth, and Joshua P. Rosenthal. 2019. "Adapting and Operationalizing the RE-AIM Framework for Implementation Science in Environmental Health: Clean Fuel Cooking Programs in Low Resource Countries." Front. Public Health. doi: doi:10.3389/fpubh.2019.00389.
  • Puzzolo E, Zerriffi H, Carter E, Clemens H, Stokes H, Jagger P, et al. 2019. Supply considerations for scaling up clean cooking fuels for household energy in low‐ and middle‐ income countries GeoHealth.
  • Tallis, H., K. Kreis, L. Olander, C. Ringler, D. Ameyaw, et al. . 2019. "Aligning evidence generation and use across health, development, and environment." Current Opinion in Environmental Sustainability 39:81-93. doi: 10.1016/j.cosust.2019.09.004.
  • Ronzi, S., et al., Using photovoice methods as a community-based participatory research tool to advance uptake of clean cooking and improve health: The LPG adoption in Cameroon evaluation studies. Soc Sci Med, 2019. 228: p. 30-40.
  • Pillarisetti, A., et al., Promoting LPG usage during pregnancy: A pilot study in rural Maharashtra, India. Environ Int, 2019. 127: p. 540-549.
  • Coffey , E.R., et al., Kitchen Area Air Quality Measurements in Northern Ghana: Evaluating the Performance of a Low-Cost Particulate Sensor within a Household Energy Study. Atmosphere, 2019. 10(7): p. 400.
  • Medina P, Berrueta V, Cinco L, Ruiz-Garcia V, Edwards R, Olaya B, et al. 2019. Understanding household energy transitions: From evaluating single cookstoves to "clean stacking" alternatives. Atmosphere 10:693-707.



Program Manager:
Ashlinn Quinn, Ph.D. (NIH/Fogarty)
Phone: 301-827-7858

Principal Scientist:
Joshua P. Rosenthal, Ph.D. (NIH/Fogarty)
Phone: 301-496-3288

Clean Cooking Implementation Science Network Steering Committee

  • Donee Alexander (Clean Cooking Alliance)
  • David Chambers (NIH/NCI)
  • Kimberly Gray (NIH/NIEHS)
  • Marion Koso-Thomas (NIH/NICHD)
  • Sumi Mehta (Vital Strategies)
  • John Mitchell (EPA)
  • Gila Neta (NIH/NCI)
  • Concepcion (Marie) Nierras (NIH/OD)
  • Helen Petach (USAID)
  • Antonello Punturieri (NIH/NHLBI)
  • Mike Sage (CDC)
  • Rachel Sturke (NIH/Fogarty)
  • Claudia Thompson (NIH/NIEHS)

Clean Cooking Implementation Science Network Members

  • Kwaku Poku Asante (Kintampo Health Research Center, Ghana)
  • Kalpana Balakrishnan (Sri Ramachandra University, India)
  • Jill Baumgartner (McGill University, Canada)
  • Kiros Berhane (University of Southern California, USA)
  • Nigel G. Bruce (University of Liverpool, England)
  • William Checkley (Johns Hopkins University, USA)
  • Maggie Clark (Colorado State University, USA)
  • Katherine (Katie) Dickinson (Colorado School of Public Health, USA)
  • Jay Graham (University of California, Berkeley, USA)
  • Sudhanshu (Ashu) Handa (University of North Carolina, USA)
  • Darby Jack (Columbia University, USA)
  • Pamela Jagger (University of Michigan, USA)
  • Marc Jeuland (Duke University, USA)
  • Peter Hovmand (Washington University in St. Louis, USA)
  • S M Munjurul Hannan Khan (Ministry of Environment and Forests, Bangladesh)
  • Omar Masera (Universidad Nacional Autónoma de México, Mexico)
  • Ilse Ruiz Mercado (Universidad Nacional Autónoma de México, Mexico)
  • Olugbenga Ogedegbe (New York University, USA)
  • Subhrendu K. Pattanayak (Duke University, USA)
  • Elisa Puzzolo (The Global LPG Partnership, USA)
  • Anita Shankar (Johns Hopkins Bloomberg School of Public Health, USA)
  • Kenneth Sherr (University of Washington, USA)
  • Kirk R. Smith (University of California at Berkeley, USA)
  • Lisa Thompson (Emory University, USA)
  • James M. Tielsch (George Washington Milken Institute of Public Health, USA)
  • Gautam N. Yadama (Boston College School of Social Work, USA)
  • Hisham Zerriffi (University of British Columbia, Canada)

Updated January 15, 2020