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Page 1: UN Initiative on Green Procurement in the Health Sector

Dr. Christoph HamelmannUNDP RBEC Regional Team Leader

HIV, Health and Development

c

UN Initiative on Green Procurement in the Health Sector

UNDP Global Fund Partnership MeetingIstanbul, 16-17 June 2014

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Virtuous Circle of Green Procurementin the Health Sector

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• Vision: Lead by example - a reduced environmental burden by the health sector

• Desired Impact: UN health sector procurement policies and practices promote and protect health and do not adversely impact on the environment or on human health and well-being

• Outcome: UN agencies adopt and implement environmentally sound procurement policies and practices in the health sector

Joint UN Programme Green Procurementin the Health Sector

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• Output 1: Evidence based standards for “green” procurement in the health sector are established, and activities to address research gaps are initiated

• Output 2: UN procurement officers and health sector practitioners operationalize green procurement in the health sector

• Output 3: Key stakeholders such as suppliers/manufacturers, global health financing institutions and development partners are engaged and introduce envionmental safeguard policies and practices

Key Outputs of the Joint UN Programme

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Aiming for Transformational Change

Transformational Change

$3 billion $3 trillionJoint UN Programme

GlobalIntl

FundsUNNatlPubl

ProcurGlobalHealth

Industry

Normative: Green Procurement

guidelines

Operational: $3 billion of

procurement

Stakeholder EngagementPurchasers,

suppliers/manufacturers

UNHealth SectorProcurement

Current paradigm

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• The Minamata Convention (ratified in January 2013) is an agreement between governments to ban products using mercury by 2020

• Cost-effective alternatives for nearly all uses of mercury in health care do exist

Examples of ‘Low Hanging Fruits’Mercury

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• PVC in health care causes a number of problems for health and the environment:– Manufacturing: high energy consumption and increased rates of cancer and other

illnesses – Usage: to be usable it has to be softened with phthalates: DEHP (most common)

which has shown reproductive toxicity– Disposal: Poor waste incineration may generate and spread toxic dioxins

• Alternatives exist for devices, and are available at equivalent cost

• Example: Stockholm County Council started to procure PVC free gloves 20 years ago, avoiding 200 tonnes of PVC every year. Now they are not more expensive than PVC gloves

Examples of ‘Low Hanging Fruits’PVC

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Examples of ‘Low Hanging Fruits’Existing Substitutions lists

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General Environmental Safeguard Analysis

HIV

Pr

ogra

ms

Pharmaceutical Waste

Target Waste StreamTB

Prog

ram

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Mal

aria

Pr

ogra

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Identification of Waste Stream

WASTE A WASTE B

Sector Concept

Planning Guide

Operation Guide

Greening Procurem

ent

Impact Analysis &

Evaluation

Continuous Improvement

Healthcare Waste Toolkit

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*UNFPA private sector progressive implementation policy

Progressive Supplier Engagement*

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Leadership and Innovations

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