Green Procurement for Global Health Aid
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Transcript of Green Procurement for Global Health Aid
Green Procurement for Global Health Aid
'Saving Lives Sustainably'
Dr. Christoph HamelmannRegional Team Leader and Senior Advisor
(Europe, Central Asia and Arab States)HIV, Health and Development
Coordinator, Sustainable Procurementin the Health Sector (SPHS)
UNDP Global Fund Team Workshop on PSM
2nd October 2015, Goa, India
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)
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
Network List Summary
UN-SPHS internal
Gov./EU/Otherorganizations
Suppliers/Manufacturers
Overall
≈ 900 ≈ 590 ≈ 2000 ≈ 3500
Contacts in 92 countries covering all the regions
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.Sustainable Health Sector
Procurement as an example of financing and implementing the SDGs
SDGs – UNIVERSALISM
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…
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
Medical Drugs for Pharmacy Health Shop of Medicine
©2012 by epSos .de
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
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
Rapid assessments on healthcare waste and recommendations for improvements
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
Examples of Non-Incineration Technologies Demonstrated by the GEF/UNDP Project in Different Countries
Autoclave technologies
Autoclave and shredder – Senegal, Vietnam, Philippines
Very large autoclave (5 tonnes/day) and compactor -Vietnam
Advanced hybrid autoclave systems
Hybrid autoclave with internal shredding - Lebanon
Rotating autoclave - Latvia
Microwave technologies - Latvia
Alkaline hydrolysis technologyfor anatomical waste - Latvia
Vietnam: large autoclave
Lebanon: hybrid autoclave
Latvia: microwave
Latvia: rotating autoclave
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
UNDP PROCUREMENT STRATEGY
• Cleaner supply chains
• Purchasing innovation
• Better integration with programmes
• Stronger partnerships
• Transparency, integrity, and accountability
• Measuring impact
• Assessing and building capacity
Informal Interagency Task Team on Sustainable Procurement in the Health Sector SPHS
www.iiattsphs.orgSPHS News FlashSubscribe
Saving Lives Sustainably
Thank You!
[email protected]: @cahamelmann
www.iiattsphs.org
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