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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
 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)
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
 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
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
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
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
Informal Interagency Task Team on Sustainable
Procurement in the Health Sector SPHS
www.iiattsphs.org SPHS News Flash
Subscribe
UNDP PROCUREMENT STRATEGY
• Cleaner supply chains
• Purchasing innovation
• Better integration with programmes
• Stronger partnerships
• Transparency, integrity, and accountability
• Measuring impact
• Assessing and building capacity
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
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
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…
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
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
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
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)
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
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
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
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
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
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
Sustainable Development and Global Health Aid
Driver for transformational change towards
greener health systems and inclusive green
economies.
Saving Lives Sustainably
.© 2013 by Gavi, the Vaccine Alliance (Evelyn Hockstein)
Saving Lives Sustainably
Thank You!
ignacio.sanchez.diaz@undp.org
twitter: @SanchezDIgnacio
christoph.hamelmann@undp.org
twitter: @cahamelmann
www.iiattsphs.orgMedical Drugs for Pharmacy
Health Shop of Medicine
©2012 by epSos .de
http://www.undp.org/content/undp/en/home/librarypage/hiv-aids/managing-our-climate-change-risk--an-approach-for-environmental-.html
http://www.scribd.com/doc/173048077/Carbon-footprint-of-UNDP-Global-Fund-health-initiatives-in-Montenegro-and-Tajikistan
http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/rapid-assessment-healthcare-waste-global-fund/
https://iiattsphs.files.wordpress.com/2015/03/sphs-annual-report-2014_print_v3.pdf

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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 Subscribe
  • 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
  • 23. Sustainable Development and Global Health Aid Driver for transformational change towards greener health systems and inclusive green economies. Saving Lives Sustainably .© 2013 by Gavi, the Vaccine Alliance (Evelyn Hockstein)
  • 24. Saving Lives Sustainably Thank You! ignacio.sanchez.diaz@undp.org twitter: @SanchezDIgnacio christoph.hamelmann@undp.org twitter: @cahamelmann www.iiattsphs.orgMedical Drugs for Pharmacy Health Shop of Medicine ©2012 by epSos .de http://www.undp.org/content/undp/en/home/librarypage/hiv-aids/managing-our-climate-change-risk--an-approach-for-environmental-.html http://www.scribd.com/doc/173048077/Carbon-footprint-of-UNDP-Global-Fund-health-initiatives-in-Montenegro-and-Tajikistan http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/rapid-assessment-healthcare-waste-global-fund/ https://iiattsphs.files.wordpress.com/2015/03/sphs-annual-report-2014_print_v3.pdf

Hinweis der Redaktion

  1. 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
  2. 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
  3. 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.
  4. Mention sustainability is not just environmental issues but also social aspects and related to the UNDP procurement strategy and the new key purchasing criteria
  5. Mention that this tool will consider the whole life cycle of the products as take into consideration aspects from the production to the disposal
  6. 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
  7. 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.
  8. 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.