HEALTHCARE PROCUREMENT AND THE COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS A UNDP GUIDE FOR PROCUREMENT PRACTITIONERS
TOWARDS A GREEN PROCUREMENT INDEX HEALTH
This document has been developed with the generous support from the Skoll Foundation and the United Nations Foundation
All rights reserved Š2016 UNDP September 2016 Authors: Dr. Christoph Hamelmann UNDP Regional HHD former Team Leader and SPHS Coordinator christoph.hamelmann@undp.org Ignacio Sanchez Diaz UNDP Greening Health System Specialist ignacio.sanchez.diaz@undp.org Mirjana Milic SPHS Associate Coordinator mirjana.milic@undp.org Acknowledgements: We would like to thank Volker Welter (Chief of Procurement Services Unit, UNDP), Jacques van Engel (Director of the Montreal Protocol / Chemicals Unit, UNDP), Ajiniyaz Reimov (Programme and Research Analyst, Montreal Protocol Unit/ Chemicals, UNDP), Gregory Soneff (Team Leader Global Procurement Unit, UNDP), Tilly Sellers (Regional Team Leader, HIV, Health and Development, UNDP Regional Service Centre for Africa, Addis Ababa and Interim Team leader EECA, IRH), Rosemary Kumwenda (UNDP Senior Advisor Health and HIV Sustainable responses and SPHS Secretariat Coordinator) and Jan-Gerd Kßhling (Environment & Hygiene Consultant, ETLog Health GmbH) who provided valuable comments and suggestions to this document as peer reviewers.
This guide contributes to the development of the Green Procurement Index Health (GPIH) and the indicators proposed are intended to serve as a building block of the Index
GREEN PROCUREMENT INDEX HEALTH (GPIH)
PHASE 1 | 2015 PROJECT REPORT
Disclaimer: The content, analysis, opinions and policy recommendations contained in this publication do not necessarily reflect the views of the United Nations Development Programme.
Table of Contents Foreword.............................................................................................................................................................................................................5 Background .......................................................................................................................................................................................................6 Stockholm Convention on Persistent Organic Pollutants (POPs) ....................................................................................7 Minamata Convention on Mercury....................................................................................................................................................8 Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances That Deplete the Ozone Layer ............................................................................................................................9 Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their Disposal ......................................................................................................................................................................................10 Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade ...........................................................................................11
List of tables Table 1: Checklist, Indicators and Guidance for Monitoring and Evaluation of Compliance of Health Sector Procurement with International Environmental Conventions on Chemicals.............................................................................................................................................12 Table 2: Integration of Monitoring and Evaluation of the Compliance with International Environmental Conventions on Chemicals into UNDP Health Procurement tool.......................13 Table 3: Automated Report Dashboard (example) ............................................................................................................14
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Road to recovery © 2014 by UNDP
Foreword The 2030 Agenda for Sustainable Development recognizes the strong interdependence of health and development. It also calls for universality, sustainability and coherence in the way that development services are delivered. UNDP’s Health and HIV work contributes to eradicating poverty, reducing exclusion and inequalities and building resilience. Public procurement is a key entry point for promoting more sustainable production and consumption patterns. By adopting sustainable procurement policies and practices, governments and international development actors, by virtue of their cumulative global purchasing power, can be drivers for a major shift towards inclusive green economies and the achievement of the Sustainable Development Goals (SDGs). UNDP is the host agency for the Informal Interagency Task Team for Sustainable Procurement in the Health Sector (SPHS) that is leading the work on ensuring sustainable procurement practices. As an important public procurer in the global health market, UNDP leads by example in following key international conventions and principles, including adherence to environmental standards. For the first time, UNDP will monitor the compliance with relevant International Environmental Conventions through this publication “Healthcare Procurement and Compliance with International Environmental Conventions on Chemicals. A UNDP Guide for Procurement.” This publication presents a practical guide aimed at assisting the procurement practitioners to monitor compliance of healthcare procurement using the relevant international conventions for environmental safeguarding. This is an important step towards greening of UNDP healthcare procurement practices. It is a major shift towards greener healthcare systems and will contribute to the 2030 Agenda, by reducing the overall impact of the health sector on the environment, reducing the risk of diseases that may be generated by healthcare related hazardous substances and final disposal of medical products. This guide has been developed jointly by the Bureau of Policy and Programme Support’s HIV, Health and Development Group and the Bureau of Management Services’ Procurement Support Office and Chemical Unit and in close collaboration with the SPHS Secretariat. We call on UNDP procurement practitioners to use this guide and implement green procurement practices.
Magdy Martinez-Soliman Assistant Secretary General Assistant Administrator and Director Bureau for Policy and Programme Support
Jens Wandel Assistant Secretary General Assistant Administrator and Director Bureau for Management Services Services
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Background Patients, healthcare workers and the public are exposed to environmental and health risks during the implementation of health programmes. These risks range from direct exposure of staff to biological or chemical agents, to public health risks from improper healthcare waste management, including the burning of waste or the indiscriminate disposal of infectious healthcare waste or toxic materials. Following the maxim of medical ethics primum non nocere (first do no harm), these risks need to be addressed systematically at all levels.
using these value reference as guidance, can benefit both people and the environment on the path towards sustainable human development.
The United Nations journey towards their own climate neutrality began officially on 5th June 2007 when UN Secretary-General Ban Ki-moon publicly called on all UN agencies, funds and programmes to ‘go green’ and become climate neutral. Driven initially by the UN initiative “Greening the Blue”1, with an interest in promoting climate neutrality within the UN, the informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS)9 was established, along with other initiatives, to introduce sustainable procurement practices in the global health sector2.
There are several International Environmental Conventions of explicit significance for healthcare procurement:
Public procurement has been identified as a key entry point for promoting more sustainable production and consumption patterns. The role of procurement in influencing the environmental impact of health sector operations is well acknowledged3,4,5. The idea behind adopting sustainable procurement policies and practices is that governments and international development actors – by virtue of their cumulative global purchasing power – can be drivers for a major shift towards inclusive green economies. This global purchasing power can also promote compliance with environmental and social standards applied to products and services, and contribute to achieving the new Sustainable Development Goals (SDGs)6 and related targets. The SPHS informal Interagency Task Team is aligned with the principles established by the UN Supplier Code of Conduct7 and the UN Global Compact8. As part of financing for development, 1 2 3 4
5 6 7 8
6
http://www.greeningtheblue.org/ http://savinglivesustainably.org/news/E7777K.html http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/ rapid-assessment-healthcare-waste-global-fund http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/ Carbon_footprint_UNDP_Global_Fund_health_initiatives_Montenegro_ Tajikistan/ http://www.undp.org/content/undp/en/home/librarypage/hiv-aids/ managing-our-climate-change-risk--an-approach-for-environmental-.html https://sustainabledevelopment.un.org/ http://tinyurl.com/p5ya67j https://www.unglobalcompact.org/what-is-gc/mission/principles
UNDP, as an advocate for sustainable development, is the host agency for the SPHS initiative. As an important public procurer in the global health market, UNDP has a particular responsibility to follow International Conventions and principles, including adherence to environmental standards.
{
{ {
{
{
The Stockholm Convention on Persistent Organic Pollutants (POPs) The Minamata Convention on Mercury The Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances that Deplete the Ozone Layer The Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and their Disposal The Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade
This document presents a simple guide for procurement practitioners in how to monitor compliance of healthcare procurement with relevant International Conventions for environmental safeguarding. It provides a brief introduction to the Conventions listed above and highlights key aspects which need to be considered from a procurement perspective. Three tables are provided at the end of this guide which provide practical examples of how compliance with the conventions can be monitored and evaluated during procurement processes. This guide also contributes to the development of the Green Procurement Index Health (GPIH)9. The objective of the GPIH is to monitor and report progress on the implementation of green procurement practices in a transparent manner. The indicators proposed in this guide are intended to serve as building blocks for the GPIH.
9
http://savinglivesustainably.org/news/H7777K.html
HEALTHCARE PROCUREMENT AND THE COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS
Stockholm Convention on Persistent Organic Pollutants (POPs) Summary: This Convention aims to protect human health and the environment from the harmful impacts of persistent organic pollutants (POPs) by eliminating and/or controlling the production, trade, use and releases of POPs. The Convention introduces three levels of control for POPs: {
{
{
Substances that Parties must eliminate in their production and use. Annex A to the Convention Substances that Parties must restrict in production and use. Annex B to the Convention Substances that parties must reduce from unintentional releases. Annex C to the Convention
A complete overview of these substances can be found here: List of POPs in the Stockholm Convention10. Since the launching of the Convention, new substances have been added to the list of POPs and parties can propose additional substances to be considered.
What is important for health sector procurement? POPs are categorized into three main areas: pesticides, industrial chemicals and unintentional POP production. The Convention restricts the use of DDT for some specific situation, including for vector control in accordance with the World Health Organization (WHO) recommendations and guidelines on the use of DDT11, and when locally safe, effective and affordable alternatives are not available to the Party in question. It also recommends and supports a series of initiatives to substitute DDT for less harmful substances. The downstream life cycles of products can be critical in terms of unintentional generation of POPs (uPOPs). The incineration or open burning of waste containing chlorine (such as PVC based plastics like IV bags, tubing, gloves, etc.) is a predominant factor leading to 10 http://chm.pops.int/TheConvention/ThePOPs/ListingofPOPs/tabid/2509/ Default.aspx 11 http://apps.who.int/iris/bitstream/10665/69945/1/WHO_HTM_ GMP_2011_eng.pdf
Tanzania – POPs contaminated materials are being shipped for proper disposal Š 2013 by Global Environment Facility
uPOP release. Therefore, the substitution and reduction of substances which will result in the emission of uPOPs must always be taken into consideration at the procurement planning stage, when PVC-free alternatives should be considered, where available. In addition, the proper management of all healthcare waste, to reduce environmental and health risks must also be considered at the procurement planning stage, starting with the development and inclusion of a waste stream concept12. This will include using nonincineration technologies for waste treatment (e.g. autoclaves) or having good quality incinerators that meet national and international standards on uPOPs emissions13,14,15. Read more at: www.pops.int/
12 www.eurasia.undp.org/content/dam/rbec/docs/UNDP%20Waste%20 Toolkit%20Part%20B_web.pdf?download 13 http://apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf 14 http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/ rapid-assessment-healthcare-waste-global-fund/ 15 http://www.slideshare.net/undpeuropeandcis/healthcare-wastemanagement-in-the-context-of-global-health-initiatives?qid=a061b25cd94a-4418-a854-20616563c19f&v=default&b=&from_search=2
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Minamata Convention on Mercury Summary: The objective of this Convention is to protect human health and the environment from anthropogenic emissions and releases of mercury and mercury compounds. Mercury is recognized as a substance producing significant adverse neurological and other health effects, with particular concerns expressed about its harmful effects on unborn children and infants16. The Convention has identified many products, manufacturing processes and point sources of emissions containing mercury and establishes specific phase-out dates after which the manufacturing, import or export of some of these products shall not be allowed. These mercury-added products include certain batteries, compact fluorescent lamps, dental amalgams, switches and relays, soaps and cosmetics, thermometers and blood pressure devices. Annex A to the Convention includes mercury-added products with deadlines for phasing out or restrictions on the production and usage of these products. Annex B includes manufacturing processes in which mercury or mercury compounds are used. Annex C refers to artisanal and small scale gold mining processes. Annex D includes a list of point sources of emissions of mercury and mercury compounds to the atmosphere.
The convention establishes the year 2020 as the date after which the manufacture, import or export of the products included in Annex A to the Convention shall not be allowed.
What is important for health sector procurement? Global health initiatives procure and use a large variety of mercury-added equipment and medical products such as thermometers and blood pressure devices, vaccines that might contain mercury-based thimerosal and some general products such as batteries or fluorescent lamps. Health-care facilities are one of the sources of mercury release into the atmosphere because of emissions from the incineration of healthcare waste. In the United States, healthcare waste incinerators may have been responsible for as much as 10% of all mercury air releases17. In many cases, there are already mercury-free alternatives on the market. By following the recommendations of the Convention, health procurers can fast track, monitor and achieve the phasing out of mercury-added products, before the 2020 deadline18. Environmental safeguarding and healthcare waste management guidelines can be followed to ensure correct waste stream planning and implementation of appropriate healthcare waste management solutions19,20,21. Read more at: http://www.mercuryconvention.org/
Spilled mercury, Pancevo. Š 2001/2002 by UNEP
16 http://www.who.int/mediacentre/factsheets/fs361/en/
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17 http://www.who.int/water_sanitation_health/medicalwaste/ mercurypolpap230506.pdf 18 http://www.mercuryconvention.org/AwarenessRaising/Publications/ tabid/3429/Default.aspx 19 http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/ rapid-assessment-healthcare-waste-global-fund/ 20 http://apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf 21 http://www.mercuryfreehealthcare.org/Mercury_Elimination_Guide_for_ Hospitals.pdf
HEALTHCARE PROCUREMENT AND THE COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS
Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances That Deplete the Ozone Layer Summary: The Vienna Convention and its Montreal Protocol aim to phase out substances that deplete the ozone layer. It is the first International Convention of any kind to achieve universal ratification. The Montreal Protocol on Substances that Deplete the Ozone Layer has been successful in meeting its goals in phasing out Ozone Depleting Substances (ODS). The Protocol has now led to the phase-out of 98% of the historic levels of production and consumption of ozone-depleting substances (about. 1.8 million ODP22 tons or 2.5 metric tons)23. Hydrochlorofluorocarbons (HCFCs) constitute the remaining 2% of ODS to be phased out. As a result, the concentration of ODS in the atmosphere is declining and the ozone layer is expected to recover by the middle of this century. The Protocol is also one of the prime global contributors to the fight against climate change, as most of the ozone-depleting substances it has phased out are also powerful greenhouse gases. A List of ODS controlled under the Protocol can be found in the Annexes A, B, C, D and E of the Montreal Protocol.
What is important for health sector procurement? A number of ODS are still being produced and used in different sectors. ODS are still being used for example in refrigeration, air conditioning and heat pumps systems. Some solvents considered as ODS are used in laboratories and the pharmaceutical industry24. Global health initiatives sometimes procure products and equipment containing ODS. It is important, therefore, to always verify whether ODS-free alternatives 22 Ozone Depletion Potential. http://www3.epa.gov/ozone/defns.html 23 http://ozone.unep.org/node/5710/ 24 http://ozone.unep.org/Assessment_Panels/TEAP/Reports/CTOC/ctoc_ assessment_report06.pdf
Hole in the Ozone Layer over Antarctica. Š 1998, NASA
are available prior to procurement. In many cases, there are eco-labels such as EU eco-label25 or The Blue Angel26 certifying the non-use of ODS. Procurers can initiate and monitor the phase-out or reduction of ODS and equipment containing these substances from its procurement, projects and programmes. Proper waste management at the end life of health products and equipment containing ODS (such as refrigerators used for vaccines, cooling equipment for cold chambers and trucks, air conditioning units for hospital and offices, etc.) will reduce the risk of releasing these substances into the atmosphere, reducing at the same time the carbon footprint of health initiatives27,28. Read more at: http://ozone.unep.org/
25 http://ec.europa.eu/environment/ecolabel/ 26 https://www.blauer-engel.de/en 27 http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/ Carbon_footprint_UNDP_Global_Fund_health_initiatives_Montenegro_ Tajikistan.html 28 http://www.slideshare.net/undpeuropeandcis/carbon-footprint-andreduction-strategies-for-global-fund-grants?qid=82752167-108a-4cf2acae-9fb691fbb332&v=qf1&b=&from_search=8
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Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their Disposal Summary: The overarching objective of the Basel Convention is to protect human health and the environment against the adverse effects of hazardous waste. It aims to reduce the generation of waste, promote environmentally sound management practices, and restrict the trans-boundary movements of hazardous wastes unless in accordance with the principles of environmentally sound management. The Convention defines a series of waste streams (Annex A and B to the Convention) that must be regulated, controlled, reduced and restricted, including biomedical and healthcare waste. The Convention defines biomedical and health-care waste as the solid or liquid waste arising from healthcare (including collected gaseous waste)29.
What is important for health sector procurement? Under the Basel Convention there are four healthcare waste streams, listed below, from products procured by global health initiatives: {
{
{ {
10
The convention states that the disposal of hazardous healthcare waste must be done at an approved facility, which is authorized to operate for this purpose by a relevant authority of the State where the site or facility is located, following national regulations. Procurement practitioners should follow and promote the recommendations and guidelines developed by the Secretariat of the Basel Convention and other relevant stakeholders33,34,35. They should work on finding safer alternatives to products which will generate hazardous waste and should work with health-care facilities and governments to work on sustainable solutions for the treatment of health care waste. Read more at: http://www.basel.int/
Clinical waste from hospitals, medical centers and clinics Waste from the production and preparation of pharmaceutical products Waste pharmaceuticals, drugs and medicines Waste from the production, formulation and use of biocides and phytopharmaceuticals
Products containing substances such as mercury30, Persistent Organic Pollutants (POPs)31, Ozone Depleting Substances (ODSs)32 or any other substance, which can generate hazardous waste or releases during their life cycle, must be identified at the procurement planning phase.
29 30 31 32
In many cases, there will be less harmful alternatives, that can be taken into consideration during product selection. To ensure less harmful alternatives can be used, procurers and policy makers must engage with those in the private healthcare industry to promote and guarantee their availability.
http://archive.basel.int/pub/techguid/tech-biomedical.pdf http://www.mercuryconvention.org/ http://chm.pops.int/default.aspx http://ozone.unep.org/
Tanzania – medical waste inside. Š 2013 by Global Environment Facility
33 http://www.basel.int/Implementation/Publications/TechnicalGuidelines/ tabid/2362/Default.aspx 34 http://archive.basel.int/pub/techguid/tech-biomedical.pdf 35 http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/ rapid-assessment-healthcare-waste-global-fund/
HEALTHCARE PROCUREMENT AND THE COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS
Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade Summary: The Convention intends to promote shared responsibility and cooperative efforts among Parties in the international trade of certain hazardous chemicals and pesticides in order to protect human health and the environment from potential harm. It also intends to contribute to the environmentally sound use of those hazardous chemicals, by facilitating information exchange about their characteristics, by providing for a national decision-making process on their import and export and by disseminating these decisions to Parties.
What is important for health sector procurement?
The Convention creates legally binding obligations for the implementation of the Prior Informed Consent (PIC) procedure. PIC is a mechanism for formally obtaining and disseminating the decisions of importing parties as to whether they wish to receive future shipments of those chemicals listed in Annex III of the Convention and for ensuring compliance with these decisions by exporting parties.
Procurers can monitor if the products contain any hazardous chemicals listed under the Rotterdam Convention which make them subject to the Prior Informed Consent (PIC) Procedure. In order to import/export these substances, the procedures and labeling requirements established by the involved Parties (country of manufacturing and recipient country) must be followed.
The Convention does not apply to pharmaceuticals, including human and veterinary drugs nor wastes.
Read more at: http://www.pic.int/
Although pharmaceuticals and healthcare waste are not covered by the Rotterdam Convention, some pesticides (i.e. DDT) listed under the Annex III of the Convention are still procured in some cases by global health organizations as a disease control vector in regions at high risk of malaria transmission. More information can be found under the section on the Stockholm Convention of this document.
The chemicals listed in Annex III of the Convention include pesticides and industrial chemicals that have been banned or severely restricted for health or environmental reasons by two or more Parties and which the Conference of the Parties has decided to subject to the PIC procedure.
UNDP Georgia pesticide management. Š 2014 by UNDP (Vladimer Valishvili)
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HEALTHCARE PROCUREMENT AND THE COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS
% of procurements =
Formulas for Indicators
I 2.1.3 Aggregated volume per product which contains Mercury I 3.1.1 % of procurements which are included in the Annexes of the Vienna Convention
No
M 3.1 The product is free of any substances that deplete the ozone layer included in the Annexes of the Vienna Convention
No
Yes
∑ total procurements
% of procurements volumene =
M 5.1 The product is free of any banned or severely restricted chemicals or severely hazardous pesticides formulations included in the Annex III of the Rotterdam Convention
No
Suppliers must prove that disposal of hazardous waste is done by an approved site or facility authorized or permitted to operate for this purpose by a relevant authority of the State where the site or facility is located. The presentation of a certificate or permit provided by the facility is required.
Check list of Ozone Depleting Substances (ODSs) (Annex A, B, C, D and E). In case of equipment such as refrigerator, air conditioning systems, there are ecolabels certifying the non-use of ODS; examples: EU ecolabel, The Blue Angel.
Check if the product contains mercury or it is used during the manufacturing process. Annexes of the convention include lists of products and process containing of using mercury as a reference.
The incineration of healthcare waste can result in unintentional emissions of POPs.
∑ total procurement volume
∑ volume (USD) of affirmative procurements
Aggregated volumene per product = ∑ procurement volume (USD) per product
I 5.1.3 Aggregated volume per product which is included in the Annex III of the Rotterdam Convention
I 5.1.1 % of procurements which are included in the Annex III of the Rotterdam Convention
Check if the product is or contains banned or severely restricted chemicals or severely hazardous pesticides formulations included in the Annex III of the Rotterdam I 5.1.2 % of procurement volume which are included in the Annex Convention III of the Rotterdam Convention
I 4.1.3 Aggregated volume per product which is included in the Annex III of the Rotterdam Convention
I 4.1.2 % of procurement volume for which supplier has proven that disposal and treatment of hazardous waste is done by an approved site or facility
I 4.1.1 % of procurements for which supplier has proven that disposal and treatment of hazardous waste is done by an approved site or facility
M 4.1 The supplier has proven that disposal and treatment of hazardous waste is done by an approved site or facility
Yes
I 3.1.3 Aggregated volume per product which is included in the Annexes of the Vienna Convention
No
I 3.1.2 % of procurement volume which are included in the Annexes of the Vienna Convention
I 2.1.2 % of procurement volume which contain Mercury
Yes
Yes
I 2.1.1 % of procurements which contain Mercury
I 1.1.3 Aggregated volume per product which is included in the Annexes of the Stockholm Convention
M 2.1 The product is free of mercury
∑ affirmative procurements
5. ROTTERDAM CONVENTION ON THE PRIOR INFORMED CONSENT PROCEDURE FOR CERTAIN HAZARDOUS CHEMICALS AND PESTICIDES IN INTERNATIONAL TRADE
4. BASEL CONVENTION ON THE CONTROL OF TRANSBOUNDARY MOVEMENTS OF HAZARDOUS WASTES AND THEIR DISPOSAL
3. VIENNA CONVENTION FOR THE PROTECTION OF THE OZONE LAYER AND THE MONTREAL PROTOCOL ON SUBSTANCES THAT DEPLETE THE OZONE LAYER
2. MINAMATA CONVENTION ON MERCURY
Listed in Annex A.- Elimination Listed in Annex B.- Restriction Listed in Annex C.- Reduction of Unintentional Production
No (please select from the options below):
I 1.1.2 % of procurement volume which are included in the Annexes of the Stockholm Convention
Check if the product is, contains or generates any Persistent Organic Pollutants (POPs) included in the Annexes of the Stockholm Convention. List of POPs.
I 1.1.1 % of procurements which are included in the Annexes of the Stockholm Convention
M 1.1 The product is free or does not generate any Persistent Organic Pollutants (POPs) included in any of the Annexes (A, B or C) of the Stockholm Convention:
1. STOCKHOLM CONVENTION ON PERSISTENT ORGANIC POLLUTIONS (POPS)
Yes
Guidance
Indicator
What to measure? (Checklist)
Convention
Table 1 introduces a checklist to identify the existence of hazardous substances or processes covered by the International Environmental Conventions included in this publication. It also proposes indicators and formulas to calculate those indicators in order to monitor compliance of the healthcare procurement processes with the Convention. In addition, it includes specific guidance on how to check and monitor compliance and where to find relevant information on the hazardous substances covered by the Conventions.
Table 1: Checklist, Indicators and Guidance for Monitoring and Evaluation of Compliance of Health Sector Procurement with International Environmental Conventions on Chemicals
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Product Category
Product
Quantity
Unit price
Total value (USD) Manufacturer Annex A
Annex B
*Annex C
Yes
No
M 1.1 The product is free or does not generates any Persistent Organic Pollutants (POPs) included in any of the Annexes (A, B or C) of the Stockholm Convention
No (please select from the options below)
M 2.1 The product is free of mercury
STOCKHOLM CONVENTION
Yes
MINAMATA CONVENTION
Yes
No
Yes
No
M 4.1 The supplier has proven that disposal and treatment of hazardous waste is done by an approved site or facility
M 3.1 The product is free of any substances that deplete the ozone layer included in the Annexes of the Vienna Convention
No
M 5.1 The product is free of any banned or severely restricted chemicals or severely hazardous pesticides formulations included in the Annex III of the Rotterdam Convention Yes
ROTTERDAM CONVENTION
BASEL CONVENTION
VIENNA CONVENTION AND MONTREAL PROTOCOL
Table 2 illustrates how to integrate the checklist proposed in Table 1 as part of a procurement data-sheet based on the templates used by the UNDP Procurement Services Unit.
Table 2: Integration of Monitoring and Evaluation of the Compliance with International Environmental Conventions on Chemicals into UNDP Health Procurement tool
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HEALTHCARE PROCUREMENT AND THE COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS
Yes No
Yes Yes No No
Yes Yes No No
% of procurement % of%procurement of procurement % of%procurement of procurement
87% 87%87% 87% 87%
13% 13%13% 13% 13%
% of procurements % of%procurements of procurements % of% procurements of procurements
M 2.1 The product is free of mercury
MINAMATA CONVENTION
Yes No
Yes Yes No No
Yes Yes No No
Yes Yes No No
Product
Product F1
Product I1
Product G3
Product I3
Product I2
s.n.
1
2
3
4
5
517.613
572.972
714.353
1.332.708
1.733.580
Procurement Volume (USD)
STOCKHOLM CONVENTION
Product I2
Product I1
Product G3
Product F1
Product G1
Product
323.978
418.718
714.353
924.120
1.662.889
Procurement Volume (USD)
MINAMATA CONVENTION
Top list of products that do not comply with the International Convention
Product A1
Product G2
Product D1
Product G1
Product F1
764.940
832.315
1.634.988
1.662.889
3.294.450
VIENNA CONVENTION AND MONTREAL PROTOCOL Procurement Product Volume (USD)
Product H1
Product I2
Product I1
Product G2
Product F1
Product
455.000
517.613
721.864
832.315
1.128.240
Procurement Volume (USD)
BASEL CONVENTION
5%
9% 9%
Yes No
Product A9
Product F2
Product D3
Product I1
Product C1
Product
Yes Yes No No
Yes No
Yes Yes No No
151.250
231.240
232.436
274.100
295.201
Procurement Volume (USD)
Yes Yes No No
% of procurement % of%procurement of procurement % of%procurement of procurement 5% 5% volumevolume volumevolume volume
95% 95%95% 95% 95%
5% 5%
Yes Yes No No
% of procurements % of%procurements of procurements % of% procurements of procurements
91% 91%91% 91% 91%
9% 9%
ROTTERDAM CONVENTION
% of procurement % of%procurement of procurement % of%procurement of procurement
Yes Yes Yes No No 61% 61%61% No 61% 61%
9%
M 5.1 The product is free of any banned or severely restricted chemicals or severely hazardous pesticides formulations included in the Annex III of the Rotterdam Convention
ROTTERDAM CONVENTION
% of procurements % of%procurements of procurements % of% procurements of procurements
39% 39%39% 39% 39%
% of procurement % of%procurement of procurement % of%procurement of procurement
80% 80%80% 80% 80%
20% 20%20% 20% 20%
BASEL CONVENTION M 4.1 The supplier has proven that disposal and treatment of hazardous waste is done by an approved site or facility
% of procurements % of%procurements of procurements % of% procurements of procurements
M 3.1 The product is free of any substances that deplete the ozone layer included in the Annexes of the Vienna Convention
VIENNA CONVENTION AND MONTREAL PROTOCOL
12% 12%12% 12%volume 12% volume volumevolume volumevolume volume volumevolume volumevolume volume volumevolume volumevolume volume volumevolume volume 21% 21%21% 21% 21% 30% 30%30% 30% 30% 7% 7% 7% 7% 7% Yes Yes Yes Yes Yes 9% 9% 9% 9% 9% Yes Yes Yes Yes Yes 45% 45%45% 45% 45% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 55% 55%55% 55% 55% Annex AAnnex Annex A AAnnexAnnex A A No No No No No No No No No No No No No No No B BAnnexAnnex B B 70% 70%70% 70% 70% 72% 72%72% Annex 72%BAnnex 72%Annex 79% 79%79% 79% 79% Annex CAnnex Annex C CAnnexAnnex C C
% of procurement % of%procurement of procurement % of%procurement of procurement
Yes Yes Yes Yes Yes Annex AAnnex Annex A AAnnexAnnex A A 11% 11%11% 11% 11% 63% 63%63%Annex 63%BAnnex 63% Annex B BAnnexAnnex B B 5% 5% 5% 5% 5% Annex CAnnex Annex C CAnnexAnnex C C
21% 21%21% 21% 21%
% of procurements % of%procurements of procurements % of% procurements of procurements
M 1.1 The product is free or does not generate any Persistent Organic Pollutants (POPs) included in any of the Annexes (A, B or C) of the Stockholm Convention
STOCKHOLM CONVENTION
Table 3 shows an example of a report dashboard to monitor compliance with the International Environmental Conventions included in this publication. The dashboard includes diagrams showing the percentage of procurement and procurement volume complying with each Convention. In addition, it shows the list of the top 5 products (highest procured volumes) that do not comply with the Conventions. The statistics provided in this dashboard are a sample model, and do not represent UNDP’s compliance with International Conventions.
Table 3: Automated Report Dashboard
UNDP Georgia pesticide management. Š 2014 by UNDP (Vladimer Valishvili)
For further information regarding this publication please contact: Dr. Rosemary Kumwenda SPHS Coordinator and Senior Advisor Health and HIV Sustainable responses rosemary.kumwenda@undp.org Ignacio Sanchez Diaz UNDP Greening Health Systems Specialist ignacio.sanchez.diaz@undp.org Mirjana Milić SPHS Associate Coordinator mirjana.milic@undp.org SPHS website: savinglivesustainably.org Twitter: @UN_SPHS For further information on UNDP’s work in support of the chemicals-related Conventions, please contact: Mr. Jacques van Engel Director of the Montreal Protocol / Chemicals Unit (New York) jacques.van.engel@undp.org