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!

christoph.hamelmann@undp.orgtwitter: @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