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Dr. Rosemary KumwendaTeam Leader & SPHS Secretariat Coordinator
SDG Clinique Training. 1st Nov 2018Venue: Kadir Has University, Research Center (Arastirma Merkezleri Binasi), Konak Meeting Hall
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SDG3 HEALTHHow to use SDGs as a framework for sustainable procurement in the health sector.
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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
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
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
normative mandate
procurement leverage
financial volumes
technical expertise
3.Vision, Objectives and Impact
We aim to enhance the global partnership for sustainable
development by promoting Health procurement practices
that are sustainable.
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
Health Impact on Health Care Workers
Nurses have one of the highest rates of asthma compared to other professions
The Lancet, July 2007
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
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
5. Focus areas
www.savinglivesustainably.org
PROCUREMENT STATISTICS 2013-2016
Procurement Statistics 2013 - 2015
6.Achievements – online knowledge hub (1)
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)
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
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)
INTRODUCTION
Checklist, Indicators and Guidance
6.Achievements – (4)
Automated Report Dashboard
6.Achievements – (5)
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)
Environmental Questionnaire for
Suppliers and Manufacturers 6.Achievements – (8)
Taking Responsibility:
UNDP is currently active to develop a practical
toolkit for healthcare waste management
Healthcare Waste Management
6.Achievements – (9)
To assess the possible environmental
impact of GF grants, rapid assessments
on healthcare waste were carried out
Healthcare Waste Management
6.Achievements – (10)
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)
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)
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)
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
More Global than ever
More global than ever
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
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ATTENTION.
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