sustainable healthcare procurement and supply chain
TRANSCRIPT
Sustainable Healthcare Procurement & Supply ChainLorea Coronado-Garcia, UNDP Sustainability [email protected]
Mirjana Milic, SPHS Associate [email protected]
23.03.17 Workshop on Biodegradable Packaging Materials for Health Commodities
2012 – Establishment of the United Nations Task
Team on Sustainable Procurement in the
Health Sector (SPHS)
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.
Market leverage of the SPHS Task Team
Key pillars of our work
Linking our work to the Sustainable
Development Goals and Key Focus Areas
The United Nations Task Team on Sustainable Procurement in the
Health Sector (SPHS)
Procurement as
leverage.
Three Main Procurement StagesUnited Nations
Procurement Process
Procurement processPre-purchasing
PurchasingPost-purchasing
Sourcing
Evaluation
Logistics
Contract Management
Planning
Requirements definition
Bid receipt and opening
Contract finalization and issuance
Solicitation
Review and award
Goal of the planning stage:
Introduce sustainability from the start when the health commodity or service requirements are being definedUnited Nations
Procurement Planning
Sourcing
Evaluation
Logistics
Contract Management
Planning
Requirements definition
Bid receipt and opening
Contract finalization and issuance
Procurement process
Solicitation
Review and award
Pre-purchasingPurchasing
Post-purchasing
1
Who might be involved in identifying
needs?
KEY ROLE
Procurer‘s Dilemma:
Does Final Price of the Health Commodity or Service Rise with the
Introduction of Sustainability Criteria?
The price on its own does not allow us to achieve a sustainable purchase or contract
The price on its own, without considering other costs and if no sustainability criteria have been included elsewhere (selection, obligatory specifications, contract performance clauses), does not allow us to achieve a sustainable purchase or contract. Nor does it allow us to get the most efficient purchase from the point of view of resource use.
The most advantageous bid allows the use of sustainability criteria and actually make a purchase that uses the administration's economic resources efficiently.
Efficiency in the use of economic
resources
Lowest Priced Bid
• Quality• Social and
Environmental criteria• Life Cycle Costs…
1
Sourcing
Evaluation
Logistics
Contract Management
Planning
Requirements definition
Bid receipt and opening
Contract finalization and issuance
Procurement process
Solicitation
Review and award
Pre-purchasingPurchasing
Post-purchasing
2
3
4
5
Some examples of SPP integration:1) Planning
• Assess sustainability impacts of the procurement
• Consider using a “sustainable title” for the process
2) Requirements definition• Use relevant technical standards and
environmental labels• Use performance and functional
specifications
3) Sourcing• Research the market for sustainable health
products/services• Pre-qualify suppliers that minimize
sustainability risks
4) Solicitation• Include pre-determined sustainability evaluation
criteria • Include Life-cycle-costs considerations
5) Contract management• Work with suppliers to improve sustainability
performance
Structured Approach to Sustainable Health
Procurement:
Integration of Sustainability
Considerations Throughout the
Procurement ProcessSpecial attention: when integrating technical SPP requirements in health sector, you need to ensure that they will comply with the World Health Organization Pre-Qualification Scheme of Medicines Programme (PQP) and national regulations
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UNDP Policies and Strategies
Introducing Sustainable Procurement
Practices in the Global Health Sector:
Green Procurement Index Health
THE GREEN PROCUREMENT INDEX HEALTH ROADMAP
PHASE 1 Develop GPIH green procurement criteria/ Collect suppliers’ data /
Develop supplier engagement strategy/ Communicate
PHASE 2 Finalize and launch
GPIH criteria 2.0 and the Guidance Note
PHASE 3 Launch Beta-
version GPIH and improve/scale
Scoping
Desk Research & Interviews
Clarify Vision / Goals/Milestones
Project Set-up/ Plan/ Budget
Resource Mobilization $$
$
FOCU
S
IIII II
PHASE 0 (2014)Roadmap
development and funding
UN Expert
X: CO2 Y: ResourcesZ: Toxicity
Supplier Environment
al Profile
Supplier
Product data
UN Procurement
data
Communication
Start Working Group B(Data Collection, Processing, Publication and Implementation)
Start Working Group A(Development of GPIH Green Procurement Criteria)
Set-up Advisory Boards
I
I*Operate Supplier Engagement Forum
Develop Supplier Engagement Strategy
Develop GPIH Green Procurement Criteria 1.0*
Organize UN Procurement Workshop and develop GPIH Green Procurement Criteria 1.1
Revise GPIH Green Procurement Criteria 1.1 (Crowdsourcing)
Finalize and Launch GPIH Green Procurement Criteria 2.0II
Use GPIH Green Procurement Criteria 2.0 (Basis for Beta-version GPIH). Improve and Scale Continuously
Publish GPIH on a Regular Basis for Each UN-Agency (Aim: Transparent Development of the GPIH and Individual Underlying Green Procurement Criteria)
IIIDevelop a Guidance Note on the GPIH Green Procurement Criteria 2.0
$$$ Analysis of Financial Implications
Legal and Regulatory Reviews
Sustainability impacts over the life of a productMapping
Sustainability RisksExample: Carbon emissions of a UNDP Global Fund health initiative – HIV/AID grant R8P2 in TajikistaniSource: UNDP (2013) Carbon footprint of UNDP Global Fund health initiatives in Montenegro and Tajikistan
Pathways of Environmental
Footprint Related to Healthcare Waste in
Global Health Initiatives
Healthcare Waste Management
UNDP is developing a practical toolkit for healthcare waste management.To assess the possible environmental impact of GF grants, rapid assessments on healthcare waste were carried out
http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/rapid-assessment-healthcare-waste-global-fund.html
UNDP Procurement Case Studies
Source: UNDP (2016) Solar Panels Improve Healthcare in Rural Zambia
Package Reduction Pilot for South Sudan / Zimbabwe 2016
Source: UNDP (2016). New packaging examples provided by one of the UNDP TLE/ARV suppliers
Solar For HealthInitiative
CO2 Emissions Reporting for Logistics
Air16%
Sea84%
Introducing Sustainable Procurement Practices
in the Global Health Sector with HCWH
Healthcare Procurement and the
Compliance with International
Environmental Conventions on
Chemicals:
A UNDP Guide For Procurement Practitioners
UNDP Environmental Assessments of Suppliers and
Manufacturers of Health Commodities
and Services:
Questionnaire and Online Environmental Assessment Tool (OET)
A user-friendly and dynamic tool which provides comprehensive overview of the environmental performance of suppliers and manufacturers of health commodities and services
Interested in testing this tool, which was developed in consultation with leading technical experts? Please contact us at [email protected]
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Questionnaire and OET
Sustainable Procurement GuidelinesWill provide comprehensive information on sustainable procurement recommendations in the health sector
UNEP, Sustainable UN, UNDP Sustainable
Procurement Guidelines – Health
Sector:
Background ReportThis guideline will be part of a series: Additional guides available at www.greeningtheblue.org & www.ungm.org
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Engagement with the key stakeholders from
the health sector:
Focus on Procurement Practitioners
Sustainable Public Health Procurement TrainingsUNDP-UNEP-HCWH support government officials to design and implement sustainable public health procurement policies that equally factor in the social, economic and environmental impact of their operations.
Next training in New Delhi, India, 10-11 April, 2017 Interested to host a training in your organization? Please contact us at [email protected]
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Engagement with the key stakeholders from
the health sector:
Focus on Suppliers and Manufacturers of Health
Commodities
Engagement Strategy on Engaging with Suppliers and Manufacturers on Green Health Procurement
Engagement with the key stakeholders from
the health sector:
Focus on Suppliers and Manufacturers of Health
Commodities
Interagency Statement on Engaging with Suppliers and Manufacturers on Sustainable Health Procurement
Engagement with the key stakeholders from
the health sector:
Focus on Suppliers and Manufacturers of Health
Commodities
Engaging with suppliers and manufacturers
Allocating due time to
respond to EOIs and
RFIs
Contactin
g previou
s
shor
tlisted
supp
liers
Information in journals,
radio stations, internet, etc.
Pre-bid w
orkshops
and
seminars
Targeted Communication and Ensured Fair-Play
E.g. SMEs, disadvantaged and vulnerable groups
Engagement with the key stakeholders from
the health sector:
Focus on Suppliers and Manufacturers of Health
Commodities
The supply chain is the new frontier for sustainable business Once your processes are in
place, the next major source of sustainability risk and opportunity is your supply chain.
You need to know where your products and services are coming from, and you need to be confident that the third parties involved in this sourcing understand and adhere to your principles.
Continuous improvements through linking supplier engagement to contract KPIs:
Development meaningful relationships with suppliers
Gain the assurance you need for proper risk management
Drive more sustainable business practices within your supply chain operations
Hyderabad, India 2013
Pauline Göthberg. “Swedish healthcare causing environmental problems in other countries”. April 2016. PowerPoint PresentationPharmaceuticals in
the Environment
Online Knowledge-Hub on Good Practices in
Sustainable Health Procurement and Manufacturing:
www.savinglivesustainably.org
Engagement Statistics:
Jan - Dec 2016
Our Network Outreach:
Jan - Dec 2016
Engagement with the key stakeholders from
the health sector:
Focus on Suppliers and Manufacturers of Health
Commodities
Asia Forum 2017Manila, PhilippinesNovember 2017Sustainable Manufacturing in the Health Sector: Fostering Social, Economic and Environmental Benefits
Looking Forward – 2017 onwards:
More Sustainable Health Policies, Strategies and
Practices
The future starts today.GET IN TOUCH @ www.savinglivesustainably.org
We look forward to working with you on a more sustainable global health sector.