"background": "Power distribution losses in sub-Saharan networks are a critical engineering challenge, with technical losses exacerbated by ageing infrastructure and limited diagnostic capabilities. Existing efficiency studies often rely on modelled or aggregated data, lacking rigorous field-based causal evidence. ", "purpose and objectives": "This study aimed to conduct a randomised field trial to empirically evaluate the efficacy of a systematic diagnostic protocol for identifying and rectifying inefficiencies in medium-voltage distribution equipment. ", "methodology": "A cluster-randomised controlled trial was implemented across 47 primary substations. Treatment clusters received the diagnostic intervention—a sequenced protocol of thermographic surveys, load profiling, and power-quality analysis—followed by targeted remedial work. Control clusters continued with routine operations. The primary outcome was the percentage reduction in technical losses, analysed using a mixed-effects model: Y{ij = \0 + \1 Tij + uj +, where Yij is the loss reduction at substation *i* in cluster *j*, Tij is the treatment indicator, uj is the cluster random effect, and is the error term. Robust standard errors were calculated. ", "findings": "The intervention group demonstrated a mean reduction in technical losses of 4. 7 percentage points (95% CI: 3. 1 to 6. 3) compared to the control group. Thermographic diagnostics identified faulty connections as the most prevalent issue, constituting 61% of all actionable faults. ", "conclusion": "The structured diagnostic protocol proved effective for delivering statistically significant and practically meaningful efficiency gains in a real-world grid context. ", "recommendations": "Utilities should integrate systematic diagnostic regimens into routine maintenance schedules. Further research should investigate the cost-benefit analysis of scaling the protocol and its integration with smart grid technologies. ", "key words": "distribution losses, field trial, diagnostic protocol, grid efficiency, randomised evaluation, power systems", "contribution statement": "This paper
Kondo et al. (Wed,) studied this question.
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