Waste pharmaceuticals in the context of UNDP Ignacio Sanchez Diaz, Greening Health Systems Specialist, UNDP, Istanbul

1. 1
Ignacio Sanchez Diaz
Greening Health Systems Specialist
UNDP Istanbul Regional HHD Team
UN informal Interagency Task Team on Sustainabl
Procurement in the Health Sector (iIATT-SPHS)
Obsolete Pharmaceuticals: Impact on the
Environment
Minsk, April 27, 2016
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Environmental Safeguarding and Healthcare Waste
Management in the Context of UNDP Work

2. Pharmaceuticals in the Environment
White-rumped Vulture, © J C Eames
Veterinary use of the drug diclofenac
Hyderabad, India 2013
Pauline Göthberg. “Swedish healthcare causing environmental problems
in other countries”. April 2016. PowerPoint Presentation

3. Pathways of Environmental Footprint Related to Healthcare
Waste in Global Health Initiatives

4. Healthcare Waste Management Toolkit
Taking Responsibility:
UNDP is developing a practical toolkit for
healthcare waste management

5. Assessing the Impact of Global Fund Grants
To assess the possible environmental
impact of GF grants, rapid assessments
on healthcare waste were carried out

6. Recommendations generally applicable to all GF-financed
health programmes:
a) Provision of HBV vaccination to social workers and outreach
staff and access to post exposure prophylaxis
b) Strengthen the disposal systems for waste from IDU
c) Include sharps containers and safety boxes in the supply plan
for syringe exchange actions
d) Include a budget for the safe disposal of unusable
pharmaceuticals
e) Review of the system for the selection of syringe sizes for
PWID
f) Organize a workshop on the management of waste generated
during GF grant activities
Assessing the Impact of Global Fund Grants: Belarus

7. Context specific recommendations for the GF programme
in Belarus:
a) Review of the existing regulations on healthcare waste
management
b) Review of the existing regulations on pharmaceutical waste
management
c) Support the development of a national healthcare waste
management strategy and development plan
d) Strengthening the usage of existing, advanced treatment
options
e) Review and simplify the current standards for sharps waste
management
f) Include a sufficient supply of sharps containers for TB
activities
Assessing the Impact of Global Fund Grants: Belarus

8. INTRODUCTION
SPHS Task Team is, through a transparent and inclusive
engagement process, leveraging its normative and market
power, lowering the environmental impact of its
procurement, with a final aim of improving human health
and well-being.
INTRO with UNDP LOGO 7 UN agencies and
3 multilateral health financing institutions
SPHS Task Team

9. Engagement with the key stakeholders
from the global health aid market
CTION
SPHS Task Team is, through a transparent and inclusive
engagement process, leveraging its normative and market
power, lowering the environmental impact of its
procurement, with a final aim of improving human health
and well-being.
3,500 institutions/experts in
our global network and 92
countries
SPHS Task Team

10. INTRODUCTION
Key objectives

11. INTRODUCTIONINTRO with UNDP LOGO
We aim to enhance the global partnership for sustainable
development by promoting public procurement practices
that are sustainable.
Sustainable Development Goals

12. INTRODUCTIONINTRO with UNDP LOGO
CHEMICALS ENERGY MEDICAL PRODUCTS PACKAGING PROCUREMENT
RESOURCE EFFICIENCY
TRANSPORTATION
WASTE MANAGEMENT
WATER
SPHS Environmental Sustainability
Focus Areas

13. Funding partners:
Green Procurement Index Health (GPIH)

14. International Environmental
Conventions on Chemicals
This novel and unique tool will allow
procurement practitioners to measure and
monitor the status and progress of healthcare
procurement related to the compliance with
International Environmental Conventions
The indicators proposed as part of this guide are
intended to serve as a building block of the
GPIH and the compliance with International
Environmental Conventions might be considered
as one of the pillars for the development of the
Index

15. INTRODUCTION
Checklist, Indicators and Guidance

16. Automated Report Dashboard

17. Environmental Questionnaire for
Suppliers and Manufacturers
• Based on international standards, Global Compact principles, Global
Reporting indicators and existing and well accepted environmental
scorecards and questionnaires from other national and international
organizations
• International consultation with feedback from more than 15 technical
experts from the SPHS network list
• Development of environmental profiles of suppliers and of green
procurement criteria that will be used for the further development of
the GPIH

18. Environmental Questionnaire for
Suppliers and Manufacturers

19. • Guidance and targets to substitute hazardous products
purchased by the UN for its health programs
• 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 and healthcare waste technologies
Project partners: Funding partners:
Sustainable Procurement Practices
in the Global Health Aid Market

20. INTRODUCTION
Objectives
• Developing and implementing a guidance
note on an initial priority list of a green
procurement criteria
• Developing a list of products that remove
priority toxic chemicals from production,
products and waste
• Engaging with suppliers and
manufacturers of pharmaceuticals and
medical devices to stimulate the
development of greener products and
manufacturing processes, subsequently
reducing the environmental burden of the
health sector
Outcomes
• Initial priority list of green procurement
criteria and the monitoring of their
implementation
• Recommendations on specifications and
how to evaluate and select healthcare
products based on the established green
procurement criteria
• Assessment of the environmental footprint
from UNDP purchased health care
products based on three environmental
pillars: Carbon Footprint, Toxicity and
Resource Depletion
• Effective phase-in of the green
procurement criteria through a multi-
stakeholder engagement process
Sustainable Procurement Practices
in the Global Health Aid Market

21. savinglivesustainably.org

22. THANK YOU FOR YOUR
ATTENTION.
IGNACIO SANCHEZ DIAZ
Greening Health Systems Specialist
UNDP Istanbul Regional HHD Team
UN informal Interagency Task Team on Sustainable
Procurement in the Health Sector (SPHS)
ignacio.sanchez.diaz@undp.org
Twitter: @SanchezDIgnacio
MIRJANA MILIC
SPHS Associate Coordinator
UN informal Interagency Task Team on Sustainable
Procurement in the Health Sector (SPHS)
mirjana.milic@undp.org
Twitter: @milic_mirjana
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