Green Procurement for Global Health Aid Presentation, at the GOA Meeting, India, in 1st of October, 2015. Presented by Dr. Christoph Hamelmann, Regional Team Leader (Europe and Central Asia) and Senior Advisor (Arab States), HIV, Health and Development. Coordinator of the Secretariat of the UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (iIATT-SPHS).

1. Green Procurement for
Global Health Aid
'Saving Lives Sustainably'
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 (SPHS)
UNDP Global Fund Team Workshop on PSM
2nd October 2015, Goa, India
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)
 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

4. Network List Summary
UN-SPHS
internal
Gov./EU/Other
organizations
Suppliers/Ma
nufacturers
Overall
≈ 900 ≈ 590 ≈ 2000 ≈ 3500
Contacts in 92 countries
covering all the regions

5. 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

6. 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

7. 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

8. 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…

9. 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

10. 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

11. 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

12. 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)

13. Healthcare Waste Management in the Context of Global
Health Initiatives
Rapid assessments on healthcare
waste and recommendations for
improvements

14. 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

15. 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

16. 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 technology
for anatomical waste - Latvia
Vietnam: large autoclave
Lebanon: hybrid autoclave
Latvia: microwave
Latvia: rotating autoclave

17. 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

18. UNDP PROCUREMENT STRATEGY
• Cleaner supply chains
• Purchasing innovation
• Better integration with programmes
• Stronger partnerships
• Transparency, integrity, and accountability
• Measuring impact
• Assessing and building capacity

19. Informal Interagency Task Team on Sustainable
Procurement in the Health Sector SPHS
www.iiattsphs.org
SPHS News Flash
Subscribe

20. Saving Lives Sustainably
Thank You!
christoph.hamelmann@undp.org
twitter: @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