Presentation given by Ignacion Sanchez Diaz UNDP and Dr. Christoph Hamelmann (UDNP) at the Global Sustainable Development in the Healthcare and Pharmaceutical Sector: Towards Streamlining and Harmonization, 14th Sept 2015, Ispra, Italy.
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Sustainable Development and Global Health Aid - a UNDP Perspective
1. Sustainable Development
and Global Health Aid – a
UNDP Perspective
'Saving Lives Sustainably'
Ignacio Sanchez Diaz
Consultant to the SPHS and UNDP Regional HHD
Team for Greening Health Systems with focus on
Sustainable Procurement
Dr. Christoph Hamelmann
Regional Team Leader and Senior Advisor
(Europe, Central Asia and Arab States)
HIV, Health and Development
Coordinator, Sustainable Procurement
in the Health Sector (iIATT-SPHS)
Presentation at EU JRC Seminar: Global Sustainable
Development in the Healthcare and Pharmaceutical
Sector: Towards Streamlining and Harmonization
14th Sept 2015, Ispra, Italy
United Nations Development Programme
2. Established in May 2012 in Copenhagen
Since 2015 hosted by the UNDP Istanbul Regional Hub
10 members
• 7 UN Agencies and
• 3 Multilateral Health Financing Institutions
Annual joint procurement volume of around US $ 5 billion in the health
sector
Informal Interagency Task Team on Sustainable
Procurement in the Health Sector (SPHS)
3. Informal Interagency Task Team on Sustainable
Procurement in the Health Sector SPHS
Network list summary
UN-SPHS internal Gov./EU/Other
organizations
Suppliers/Manufac
turers
Overall
≈ 900 ≈ 590 ≈ 2000 ≈ 3500
Contacts in 92 countries covering
all the regions
4. Vision: A reduced environmental burden by the health sector.
Desired Impact: Health sector procurement policies and practices promote
and protect health and do not adversely impact on the environment or on
human health and well-being.
The main objectives
of the SPHS are as follows:
Informal Interagency Task Team on Sustainable
Procurement in the Health Sector SPHS
5. Informal Interagency Task Team on Sustainable
Procurement in the Health Sector (SPHS)
Outcome (specific goal/target): Task Team members adopt and implement
environmentally sound procurement policies and practices in the health
sector
With a focus on three dimensions:
• Greenhouse gas emissions (GHG)
• Resource depletion (water, energy and material consumption)
• Chemical pollution
6. SPHS linkage to
Sustainable Development Goals (SDGs)
We aim to enhance
the global partnership
for sustainable
development by
promoting public
procurement
practices that are
sustainable.Public and Private sector connected
to Sustainable Health Procurement
as an example of financing and
implementing the SDGs
SDGs – UNIVERSALISM
7. Informal Interagency Task Team on Sustainable
Procurement in the Health Sector SPHS
Programme on Greening Procurement in the
Health Sector
Green Procurement Index for the Health Sector
(GPIH)
SPHS Engagement with Suppliers and
Manufacturers Project
First environmental inspection to a male
condom factory conducted
Main Venues for Establishing Partnerships and
Promoting the SPHS
Collaboration with business organizations
On-going discussions with shipping companies
and freight-forwarders
https://goo.gl/TOuCFl
8. Informal Interagency Task Team on Sustainable
Procurement in the Health Sector SPHS
www.iiattsphs.org SPHS News Flash
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9. UNDP PROCUREMENT STRATEGY
• Cleaner supply chains
• Purchasing innovation
• Better integration with programmes
• Stronger partnerships
• Transparency, integrity, and accountability
• Measuring impact
• Assessing and building capacity
10. Compliance of UNDP Healthcare Procurement with
International Conventions
Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their
Disposal
Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals
and Pesticides in International Trade
Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on
Substances That Deplete the Ozone Layer
Stockholm Convention on Persistent Organic Pollutants (POPs)
Minamata Convention on Mercury
Practical tool for UNDP procurement practitioners
11. Environmental Assessment of UNDP Healthcare Suppliers
Development of a Standard Environmental Assessment
Questionnaire for UNDP Healthcare Suppliers
• UN Suppliers Code of Conduct
• UN Global Compact
• Global Reporting Initiative
• International technical experts consultation
Environmental Impact Assessment of UNDP
Implementation of green procurement criteria
• Establishment of a baseline
• Benchmarking process
D. FINAL COMMENTS
12. Continuous Engagement with Suppliers and Manufacturers
UNDP-HCWH project “Sustainable Procurement practices in the global health aid market”
• Guidance and targets to substitute hazardous products purchased by the UN for its
health programs
• Initial Environmental Impact Assessment of key products based on the systematic
review of previous assessments and information available (WHO, EPA, etc.).
• LCA approach
• List of key products based on procurement volume and environmental impact:
Antiretrovirals, Rapid Diagnostic Test Kits, Medical devices (syringes, thermometers,
gloves, blood pressure measuring device and catheters), TB drugs, male condoms,
hormonal implants.
Supplier engagement platform (using SPHS networking)
Venues for establishing partnerships and engaging with suppliers: UN Global Supplier
meeting, 3GF…
13. Social Cost of Carbon – GF HIV/AIDS and Tuberculosis grants
The project has assessed the greenhouse gas emissions of
all goods procured and services commissioned to deliver
the studied HIV/AIDS and TB grant programmes in
Montenegro and Tajikistan and now more recently in
Zimbabwe.
• Measure and understand climate change impacts
• Identify priorities
• Develop response strategies to lower footprint and
impacts in priority areas
• Explore options for integration of carbon reduction
activities with programme delivery
14. Social Cost of Carbon – GF HIV/AIDS and Tuberculosis grants
The carbon footprint of HIV/AIDS grant
R8P2 in Tajikistan presented in GHG
protocol scopes across the value chain
~ 200,000 tCO2e
15. Social Cost of Carbon – GF HIV/AIDS and Tuberculosis grants
Based on our studies the carbon intensity of GF
projects are:
HIV: 1.5kg CO2e/$
MAL: 1.3kg CO2e/$
TB: 1.6kg CO2e/$
If we take historical disbursement allocations as
shown and combine with a known projected
annual disbursement: ≈ $ 4.5 billion
HIV: 56%
MAL: 28%
TB: 15%
Then GF programmes annual carbon pollution can
be estimated as:
HIV: 3,753,000 tonnes of CO2e
MAL: 1,638,000 tonnes of CO2e
TB: 1,088,000 tonnes of CO2e
Total Global Fund carbon pollution (best
estimate):
6,479,000 tonnes of CO2e per year
An outline calculation: Rough estimate of Global Fund climate change impact
based on initial data
16. Social Cost of Carbon – GF HIV/AIDS and Tuberculosis grants
An estimate of the economic damage associated with the increase of
atmospheric CO2e levels
a value of $30 per tonne CO2e defined by Stern as the cost associated
with atmosphere CO2e concentrations stabilising at 450-550ppm CO2e
and keeping temperature rises within a safe limit of 2oC
• This means we can monetize for a programme the cost of climate
change damage
• It is estimated that GF emission levels have a Social Cost of Carbon of
approximately 6% of total GF disbursement; this means:
$194 million of social cost of carbon is incurred with each year of GF
disbursement (best estimate)
17. Healthcare Waste Management in the Context of Global
Health Initiatives
To assess the possible environmental impact
of GF grants, rapid assessments on
healthcare waste were carried out
18. Healthcare Waste Management in the Context of Global
Health Initiatives
General waste
Infectious waste from HIV and STI testing
Sharps waste (including syringes from PWID)
Pharmaceutical waste (ARVs or medicines for the treatment
of opportunistic infections)
Example: HIV / AIDS Grants
19. Healthcare Waste Management in the Context of Global
Health Initiatives
• Waste management systems do often not exist
• Basic waste logistic equipment does not exist
• Hazardous and non-hazardous waste is collected togehter
• Frequent accidents are reported (needle stick)
• Responsibilities are unclear
• Budgets for financing consumables and waste services are
missing
Waste Management Systems
20. Healthcare Waste Management in the Context of Global
Health Initiatives
Healthcare waste treatment and disposal infrastructure extreme weak
Simple incinerators exists which create environmental problems (Dioxin)
Available Infrastructure
21. Taking Responsibility:
UNDP is currently active to develop a practical toolkit
for healthcare waste management
Support of the Implementers
Healthcare Waste Management in the Context of Global
Health Initiatives
22. Environmentally Persistent
Pharmaceutical Pollutants (EPPP)
UNDP was part of the Working Group of the International Conference on Chemicals
Management (SAICM):
• New proposed emerging policy issue for consideration by the International
Conference on Chemicals Management at its fourth session (ICCM4):
environmentally persistent pharmaceutical pollutants (EPPP)
SPHS members crucial role addressing the emerging issue with EPPP:
• Engagement healthcare private sector
• Projects at global, regional and country level
• Engagement with national governments
Mention the potential of this initiative to develop global standard methodologies and tools to evaluate the healthcare suppliers due to the purchase power and the number of organizations participating with a health mandate such as WHO, UNFPA or GAVI
Talk about the UNIVERSALISM of SDGS/ Talk about the Financing for development beyond the approach of financing Sustainable development just with funding for development. The new situation needs to be address involving public and private sector together, financing the SDGs will need the support from public funds but also from private investments and business need to address their participation as key players on the financing of the SDGs.
SPHS key initiative as brings together public and private sector to healthcare procurement
Mention the UNFPA project to extend the self life of male condoms and to reduce the individual packaging of the male condoms. Also about the UNFPA introduction to sustainability pilot project.
Mention sustainability is not just environmental issues but also social aspects and related to the UNDP procurement strategy and the new key purchasing criteria
Mention that this tool will consider the whole life cycle of the products as take into consideration aspects from the production to the disposal
first time every that a team was doing carbon accounting of global health programmes. mention that we were part of the NHS project on the GHG Sector guidance note development for Pharmaceutical and Medical Devices Industry
It was found that although there are notable emissions arising from direct UNDP activities. By far the greatest allocation is coming from its supply chain and the procured goods.
We (UNDP) are sustainable development and SDG core business organization, and we work strongly in applying it to the healthcare and pharmaceutical sector, also in the context of green economies and green growth – and combining it with other partners in Saving Lives Sustainably
The informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) was established in May 2012 in Copenhagen, Denmark. The aim for establishing the Task Team was to facilitate and coordinate the introduction of green procurement in the health sector among members and to leverage the standard-setting and joint procurement volumes of member agencies to influence the global health aid market (governments and other international development partners) and beyond. Thereby the SPHS Task Team intend to act as driver for transformational change towards greener health systems and inclusive green economies.