advancing environmental sustainability in who/paho and in the health sector

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Advancing environmental sustainability in WHO/PAHO and in the health sector

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Page 1: Advancing environmental sustainability in WHO/PAHO and in the health sector

Advancing environmental sustainability in WHO/PAHO and in the health sector

Page 2: Advancing environmental sustainability in WHO/PAHO and in the health sector

Advancing environmental sustainability in the health sector | 2 |

ContentsContents

1. Rationale for advancing environmental sustainability at WHO and PAHO

2. Brief overview of WHO and PAHO’s environmental management activities• At the programme and project level• Focused on facilities and operations• With special attention on procurement

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UN Consultative Process on Advancing Environmental and Social Sustainability in the UN

UN Consultative Process on Advancing Environmental and Social Sustainability in the UN

Development of a framework for advancing sustainability in the UN

Focused on three main entry points:

– Policies and strategies– Programmes and projects– Facilities and operations

Now initiating pilots to further test feasibility of adoption at individual agency level

Page 4: Advancing environmental sustainability in WHO/PAHO and in the health sector

Why do anything at all to “green” the WHO?

Page 5: Advancing environmental sustainability in WHO/PAHO and in the health sector

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Part of WHO's mandate to do thisPart of WHO's mandate to do this

Environmental management is important for global public health

– 13 million deaths each year due to environmental factors

Environmental responsibility is key part of "do no harm" – one of medicine's core values

Action on environmental root causes of disease is a Leadership priority in WHO's 12th Global Programme of Work

Page 6: Advancing environmental sustainability in WHO/PAHO and in the health sector

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Important opportunity for WHOImportant opportunity for WHO

Major opportunity to influence good practice – Benefit health systems in countries in which we operate– Influence policies and practices of health development partners

and vendors

Approach was developed especially for WHO– Based on international good practice and standards in

environmental assessment – To be implemented via policy applicable to all Regional Offices

Page 7: Advancing environmental sustainability in WHO/PAHO and in the health sector

What are we doing at the programme and project level?

Page 8: Advancing environmental sustainability in WHO/PAHO and in the health sector

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WHO's environmental safeguard systemWHO's environmental safeguard system

Aims to help us:– Anticipate potential environmental

and human health risks associated with public health activities

– Address those risk before they are generated

– Monitor and measure the environmental performance of WHO projects

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Steps in the environmental procedureSteps in the environmental procedure

2) Planning of environmental mitigation measures

Environmental screening

4) Environmental performance evaluation

3) Environmental monitoring and reporting

Project set up / preparations

Implementation of activities

End of project, evaluation

• Hiring and training of project team

• Further needs assessment activities

• Procurement of medicines, equipment and supplies

• Implement activities, e.g. training, vaccination, clinical trials, etc.

• Handover of project, supplies, equipment (if applicable)

• Evaluate and document project results, lessons learned, etc.

• Facility refurbishment /small scale construction

• Ongoing stakeholder / partner engagement

Project design

• Development of project proposal and work plans

• Situation analysis

• Resource mobilization activities

• Identification of key stakeholders and partners

• Monitoring and reporting activities

• Quality assurance activities

Project set up / preparations

Implementation of activities

End of project, evaluation

• Hiring and training of project team

• Further needs assessment activities

• Procurement of medicines, equipment and supplies

• Implement activities, e.g. training, vaccination, clinical trials, etc.

• Handover of project, supplies, equipment (if applicable)

• Evaluate and document project results, lessons learned, etc.

• Facility refurbishment /small scale construction

• Ongoing stakeholder / partner engagement

Project design

• Development of project proposal and work plans

• Situation analysis

• Resource mobilization activities

• Identification of key stakeholders and partners

• Monitoring and reporting activities

• Quality assurance activities

1) Environmental screening

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WHO activities aimed at "greening" the health sector

WHO activities aimed at "greening" the health sector

Looking at:– Green house gases and other pollutants– Sustainable access to and use of resources (energy, water) – Health and safety

Action across several pillars:– Water, sanitation, and waste – Hazardous materials (e.g. mercury, chemicals)– Transport– Energy

Page 11: Advancing environmental sustainability in WHO/PAHO and in the health sector

What are we doing at the WHO and PAHO facility and operations level?

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Greening WHO facilities and operationsGreening WHO facilities and operations

WHO conducted its first GHG inventory in 2008 and then again in 2012. PAHO is currently conducting this inventory.

WHO and PAHO are currently considering policies (including targets) for reducing air travel.

Renovations, which are estimated to reduce by up to 80% of WHO HQ current level of CO2 with respect to power generation and electricity consumption, are under way.

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UN Interagency Joint Initiative on Green Procurement in the Health Sector

UN Interagency Joint Initiative on Green Procurement in the Health Sector

Overall objective:

– Health sector procurement contributes to the promotion and protection of health and does not adversely impact on the environment

Outputs/expected results:1. Evidence based standards established, and activities to address

research gaps are initiated, 2. UN procurement officers, suppliers, and health actors are

capacitated so as to be able to operationalize green procurement practices in the health sector;

3. Key stakeholders are aware of, engaged in and supportive of the overall initiative.

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PAHO Policy on Sustainable (Corporate) Procurement

PAHO Policy on Sustainable (Corporate) Procurement

Requires PAHO to use environmentally-responsible suppliers and to consider the environment in procurement planning, requirement definition, solicitation development, bid evaluation, and contract management:

– Specs must provide for the expanded use of environmentally-preferred products

– Solicitations will include information about PAHO’s environmental sustainability expectations

– Evaluation criteria related to environmental sustainability will be included in the technical evaluation and/or considered in the cost analysis of all quotations, bids, and proposals.

– Environmental sustainability evaluation criteria will also be used in service level agreements

Page 15: Advancing environmental sustainability in WHO/PAHO and in the health sector

How will WHO and PAHO really cause positive change for the environment?

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Revolving Fund for Vaccines

Strategic Fund for Medicines

Founded:19771999

Mission:

Improve access to quality vaccines and related products at the lowest possible price

Improve access to and availability of strategic public health supplies

Participants:41 countries and territories24 countries

Catelog:75 products130 products

Purchases (2014):

US$ 603 MUS$ 69 M

Capitalization: (31/12/2014)

US$132 MUS$ 7 M

Affect PAHO’s Pooled Procurement Mechanisms

Affect PAHO’s Pooled Procurement Mechanisms

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PAHO RF/SF PROCUREMENT PROCESSPAHO RF/SF PROCUREMENT PROCESS

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GREENING PAHO RF/SF PROCUREMENTGREENING PAHO RF/SF PROCUREMENT

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THANK YOU!

Michaela Pfeiffer

Technical Officer

World Health Organization (WHO) Av Appia 20 CH-1211 Geneva 27 Switzerland +41 22 791 2379

[email protected]

Genevieve GrabmanPolicy Specialist

Pan American Health Organization (PAHO)525 Twenty-third Street, NWWashington, DC 20037USA202-974-3138

[email protected]