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1 Dr. Rosemary Kumwenda Team Leader & SPHS Secretariat Coordinator [email protected] SDG Clinique Training. 1 st Nov 2018 Venue: Kadir Has University, Research Center (Arastirma Merkezleri Binasi), Konak Meeting Hall 990 SDG3 HEALTH How to use SDGs as a framework for sustainable procurement in the health sector.

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Page 1: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

1

Dr. Rosemary KumwendaTeam Leader & SPHS Secretariat Coordinator

[email protected]

SDG Clinique Training. 1st Nov 2018Venue: Kadir Has University, Research Center (Arastirma Merkezleri Binasi), Konak Meeting Hall

990

SDG3 HEALTHHow to use SDGs as a framework for sustainable procurement in the health sector.

Page 2: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

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PRESENTATION OUTLINE

TOPICS1. UNDP Health Portfolio2. The SPHS – Who we are and why Procurement 3. Vision, Objectives and Impact4. Aim and link to SDGs5. Focus areas6. Achievements (UNDP/HCWH SHIPP project, International conventions, Checklist, Indicators and

Guidance, Automated Dash board, Environmental Questionnaire, Health care waste management)

7. Capacity Building.8. Sustainability 9. Challenges/Opportunities

Page 3: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

1. Strengthening HIV responses for key populations at higher risk of HIV

2. Addressing the social, economic and environmental determinants (SEEDS) of health and health equity

3. Strengthening national responses to ensure a multi-sectoral response to Non-Communicable Diseases (NCDs)

4. Sustainable Financing and responses for Health and HIV

5. Addressing linkage between health, Climate change and environment (Planetary Health)

All in the context of sustainable development

SDGs are Indivisible, Integrated, Universal

1.RBEC HHD PROGRAMME

Page 4: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

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.

2.The SPHS – Who we are

Page 5: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

normative mandate

procurement leverage

financial volumes

technical expertise

3.Vision, Objectives and Impact

Page 6: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

We aim to enhance the global partnership for sustainable

development by promoting Health procurement practices

that are sustainable.

Page 7: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop
Page 8: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop
Page 9: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop
Page 10: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Hazardous chemicals in healthcare

Disinfectants

– glutaraldehyde

– triclosan

– ethylene oxide

– OPA

– Sodium hypochlorite

– Silver

Pharmaceuticals

– Cytotoxics

Lab chemicals

– formaldehyde

Mercury

ThermometersBlood pressure metersDental amalgamFluorescent light tubes

PlasticsPVC (DEHP)Polycarbonates (BPA

Flame retardantsBrominated compound

Page 11: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Health Impact on Health Care Workers

Nurses have one of the highest rates of asthma compared to other professions

The Lancet, July 2007

Page 12: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Extent of the Medical Waste Problem

“Over half of the world’s population arenow at risk from occupational,

environmental or public health threats from improperly treated medical waste.”

Harhay et al. (2009) Tropical Medicine and International Health 14(11): 1414-1417

Page 13: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Ensure healthy lives and promote well-being for all at all agesHealth is a fundamental human right and a key indicator of sustainable development. Poor health threatens the rights of children to education, limits economic opportunities for men and women and increases poverty within communities and countries around the world. In addition to being a cause of poverty, health is impacted by poverty and strongly connected to other aspects of sustainable development, including water and sanitation, gender equality, climate change and peace and stability. (13 Indicators)

Sustainable procurement should ensure

• Occupational health and safety

• Access to medicines

• Access to quality essential health care services

• Air quality

• Water quality

Page 14: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

5. Focus areas

www.savinglivesustainably.org

Page 15: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

PROCUREMENT STATISTICS 2013-2016

Procurement Statistics 2013 - 2015

Page 16: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

6.Achievements – online knowledge hub (1)

Page 17: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Sustainable Procurement Practices

in the Global Health Aid Market

Project partners: Funding partners:

Objectives

• Develop and implement a guidance note on

an initial priority list of a green procurement

criteria

• Develop a list of products that remove

priority toxic chemicals from production,

products and waste

• Engage 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

6.Achievements – UNDP/HCWH Joint Project (2)

Page 18: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

INTRODUCTION

UNDP HCWH SIDA supported project6.Achievements – (4)

Project Location Global and in 10 selected project countries (EECA: Moldova and Ukraine,

Africa: South Africa, Tanzania and Zambia, Asia: China, India, Vietnam,

Latin America: Brazil, Guatemala)

Project Duration Four years, 2018-2021

Development

Objective

Promote sustainability in the health sector supply chain to improve

human health and reduce greenhouse gases, resource depletion, and

chemical pollution

Programme

Objective

Strengthen sustainable procurement in the UN system and in strategic

countries to leverage purchasing power and drive policy and market

demand for sustainable manufacturing and waste management in the

health sector

Page 19: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

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

6.Achievements – (3)

Page 20: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

INTRODUCTION

Checklist, Indicators and Guidance

6.Achievements – (4)

Page 21: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Automated Report Dashboard

6.Achievements – (5)

Page 22: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

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

SPIH

• Innovative Online Environmental Assessment Tool -Implementation

• Social Questionnaire added to the Environmental questionnaire

• Globally adaptable Sustainable Procurement Index for Health

6.Achievements – (6)

Page 23: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Environmental Questionnaire for

Suppliers and Manufacturers 6.Achievements – (8)

Page 24: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Taking Responsibility:

UNDP is currently active to develop a practical

toolkit for healthcare waste management

Healthcare Waste Management

6.Achievements – (9)

Page 25: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

To assess the possible environmental

impact of GF grants, rapid assessments

on healthcare waste were carried out

Healthcare Waste Management

6.Achievements – (10)

Page 26: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Healthcare Waste Management

Country specific recommendations and monitoring on

their implementation

“This was motivating initiative that triggered additional

effort of our HIV PMU (in UNDP BiH CO) to further

develop one comprehensive Project Proposal dealing

with Sustainable Management of Medical Waste in BiH”

Bosnia and Herzegovina Country Office

“The recommendations were presented to the National

QA Task Force and specific activities included in the QA

Plan and approved by the Global Fund”

Zimbabwe Country Office

6.Achievements – (11)

Page 27: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Sustainable public health procurement trainings for UNDP Cos

To capacitate policy makers and public procurers operating in the health sector to

develop sustainable procurement policies and strategies, integrate sustainable

practices into healthcare procurement processes and monitor the implementation of

sustainable public healthcare procurement at a national level, aligned with the

national targets for the achievement of Sustainable Development Goals.

Capacity Building7. Capacity Building (1)

Page 28: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

1st Saving Lives Sustainably: Asia Forum – Sustainable Manufacturing in the

Health Sector

June 2018 Manila Phillipines

Capacity Building

UNDP, and UNFPA, UNICEF, ADB HCWH with the support of the SPHS

Secretariat, organized the first ‘Saving Lives Sustainably - Asia Forum 2018’,

bringing together technical experts, suppliers and manufacturers from across

the global healthcare industry.

To exchange the knowledge and practice on the latest sustainable production

techniques, share concrete examples of the benefits and savings brought by

sustainable manufacturing, and developed a “Catalogue of good practices in

sustainable healthcare manufacturing” on how manufacturers can implement

changes that can simultaneously generate positive social, environmental and

financial benefits.

Next year, the forum will be held in Africa - Tanzania

7. Capacity Building (2)

Page 29: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

SUSTAINABILITY

Sustainability, shared responsibility and ownership encouraged by: • Inclusive Country processes and engagements, participatory and encouraging leadership. • Building on existing work at national level to strengthen sustainability in the health sector.• Promoting linking, sharing and learning across countries increase long-term knowledge and capacity• Securing financial sustainability: institutionalize on-going action on sustainability in the health sector and to leverage additional funds from national governments and development partners.

8. Sustainability

Page 30: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

More Global than ever

More global than ever

Page 31: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

Challenges

Informal IATT therefore not binding

Inadequate programming funding.

Opportunities

Offers agency specific innovation and creativity. HQ and IRH management very supportive.

Resource mobilized from SIDA and strong Partnerships – HCWH and SIWI, UNGC MoU.

Awareness is increasing demand from Countries.

9. Challenges and Opportunities

Page 33: SDG3 HEALTH - khas.edu.tr · Sustainable public health procurement trainings for UNDP Cos. To capacitate policy makers and public procurers operating in the health sector to develop

THANK YOU FOR YOUR

ATTENTION.

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JOIN THE CONVERSATION AND FOLLOW US ON:

www.savinglivesustainably.org

#act4health