Annual Report 2014
2014 Annual Report of the informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) All rights reserved Š2015 UNDP April 2015 Author: SPHS Secretariat, UNDP Istanbul Regional Hub Disclaimer: The content, analysis, opinions and policy recommendations contained in this publication do not necessarily reflect the views of the United Nations Development Programme or any of the member organizations of the SPHS. Design & Layout: Phoenix Design Aid A/S, Denmark
Contents Introduction 5 SPHS Vision, Desired Impact, Main Objectives and Outcome 6 SPHS Main Achievements in 2014 7 Main Venues for Establishing Partnerships and Promoting the SPHS 13 Green Procurement Index Health (GPIH) 17 SPHS Internal Developments 19 Annex 1 - Main Partnerships Initiated 21 Annex 2 - SPHS Members 22 Annex 3 - UN Informal Inter-Agency Route Map for Sustainable Procurement in the Health Sector 23 Annex 4 - Joint UN Programme on Greening Procurement in the Health Sector 24
About This Report This report summarizes the activities of the informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) during the period January 2014 through December 2014. The report was drafted by the SPHS Secretariat (Dr. Christoph Hamelmann, Mirjana Milic and Volker Welter), with input and guidance from the Task Team members. Please direct all comments to Dr. Christoph Hamelmann, Coordinator of the SPHS Secretariat at christoph.hamelmann@undp.org or Mirjana Milic, Associate Coordinator at mirjana.milic@undp.org.
About the SPHS The informal Interagency Task Team on Sustainable Procurement in the Health Sector was established in May 2012 in Copenhagen, Denmark, and was hosted by UNDP Nordic Representation Office. The aim for establishing the Task Team was to facilitate and coordinate the introduction of green procurement in the health sector among the members and to leverage the normative mandate and joint procurement volumes of member agencies to influence the global health aid market and beyond towards greener health systems and green economies. The SPHS envisions the UN as a leader in sustainable procurement in the health sector. Steps such as integrating sustainable procurement systems into global health aid policies and practices, setting targets and timelines for an overall reduction in the UN environmental footprint and ensuring the principle of doing no harm are among the main objectives of the SPHS. Member organizations and Steering Committee representatives are listed in Annex 2.
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Introduction The United Nation’s journey towards climate neutrality took momentum on the 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”, with an interest to promote climate neutrality with the UN, the focus was largely on addressing associated greenhouse gas emissions. However, the Sustainable United Nations (SUN) Facility, in collaboration with sustainability focal points in about 60 UN entities and the High Level Committee on Management (HLCM) procurement network, has extended the focus area also onto resource depletion and eco-toxicity of UN procured devices and products. Linkages between health sector procurement and the environment are still only partially understood despite the fact that the important role of procurements in influencing the environmental impact of health sector operations is well acknowledged. For example, studies show carbon emissions by national health systems and global health programmes are closely linked to procurements, especially with regards to pharmaceuticals and other health products throughout their life cycle including production, use and disposal.1 2 3 With an annual joint procurement volume of around US $ 5 billion in the health sector, members of the SPHS can be a market shaping force in regards to greening procurement processes and criteria. Task Team members’ procurements for the health sector represent a sizable portion of some segments of the global pharmaceutical and other health products markets. UN members also have a normative mandate that is used to address the environmental impact associated with their procurement. By adopting sustainable procurement policies and joint practices, members of the SPHS can influence governments and other international development partners and thereby act as drivers for transformational change towards greener health systems and green economics.
1 UNDP (2013). Carbon footprint of UNDP administered Global Fund HIV/AIDS and Tuberculosis grants in Montenegro and Tajikistan (http://www.eurasia.undp.org/content/dam/rbec/docs/Carbon-footprint-of-UNDP-Global-Fundhealth-initiatives-in-Montenegro-and-Tajikistan.pdf) 2 UNDP (2014). Managing our climate change risk: An approach for environmental safe guarding UNDP-Global Fund HIV/ AIDS, Tuberculosis and Malaria programmes (http://www.undp.org/content/dam/undp/library/HIV-AIDS/ Regional%20practices/UNDP%20final%20report%20+%20case%20reports%20carbon%20foot%20printing.pdf) 3 NHS (2012). Greenhouse Gas Accounting Sector Guidance for Pharmaceutical Products and Medical Devices (http://www.ghgprotocol.org/files/ghgp/Guidance-Document_Pharmaceutical-Product-and-Medical-Device-GHGAccounting_November-2012.pdf)
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SPHS Vision, Desired Impact, Main Objectives and Outcome Vision: A reduced environmental burden by the health sector. Desired Impact: 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. The main objectives of the SPHS are as follows:
Establishment of evidence-based standards
Procurement as a leverage to advance environmental health agenda
Increase awareness of stakeholders
Capacitate UN procurement officers, suppliers and health actors
• Using procurement as a strategic tool to advance the environmental health agenda. • Establish evidence-based standards on what constitutes “green” procurement in the health sector and activities to address research gaps. • Capacitate UN procurement officers, suppliers, and health actors to operationalize green procurement practices in the health sector. • Increase the awareness of key stakeholders with an influence over procurement activities in the health sector, e.g. suppliers/ manufacturers, procurement officers, international health development agencies, and health actors and engage them in support of the overall initiative.
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Outcome (specific goal/target): Task Team members adopt and implement environmentally sound procurement policies and practices in the health sector with a focus on three dimensions: greenhouse gas emissions (GHG), resource depletion (water, energy and material consumption) and chemical pollution.
SPHS Main Achievements in 2014 New SPHS Members • The Global Fund to Fight AIDS, Tuberculosis and Malaria and UNITAID joined the SPHS in November 2014.
SPHS as a driver of sustainable progress in the global health aid market
Greening of the global health sector
Increase of awareness for environment and sustainability
Trajectory for transformational change
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“I AM DELIGHTED TO ACCEPT YOUR INVITATION FOR THE GLOBAL FUND TO JOIN THE UN INTERAGENCY GROUP ON THE GREENING OF HEALTH PROCUREMENT. I BELIEVE THIS IS A CRUCIAL INITIATIVE FOR THOSE OF US IN PUBLIC HEALTH PROCUREMENT AND LOOK FORWARD TO HELPING DRIVE SUSTAINABILITY PROGRESS.” Christopher Game, Chief Procurement Officer, The Global Fund
“ON BEHALF OF UNITAID I HAVE GREAT PLEASURE IN OFFICIALLY ACCEPTING THE STEERING COMMITTEE’S INVITATION TO BE PART OF THE UN INTERAGENCY GROUP ON GREENING OF HEALTH PROCUREMENT. UNITAID IS FULLY AWARE OF THE IMPORTANCE OF IMPACT OF THE COMMODITIES IT SUPPORTS AND THEIR NEED TO BE ENVIRONMENTALLY FRIENDLY AND SUSTAINABLE.” Lelio Marmora, Executive Director, UNITAID
Developments and Innovations • A substantial part of SPHS work was dedicated to the development and finalization of the Joint UN Programme on Greening Procurement in the Health Sector4 programme document finalized in March 2014. The overall objective of the Programme is to achieve that health sector procurement policies and practices in the health sector promote and protect health and do not adversely impact on the environment or on human health and well-being. Expected outcome is that UN agencies adopt and implement environmentally sound procurement policies and practices in the health sector (see Annex 4). Figure 1 – Pillars of the Joint UN Programme on Greening Procurement in the Health Sector
Joint UN Programme
Establishment of evidence-based standards
Implementation of environmental product specifications and procurement criteria
Engagement with suppliers / manufacturers and global health financing agencies
• Green Procurement Index for the Health Sector (GPIH) project.5 The main objective was the development of the roadmap for developing the green procurement index for the health sector. The project was implemented in collaboration with the Copenhagen Institute for Futures Studies (Copenhagen, Denmark) and was funded by UNDP Innovation Facility (New York, USA), with an additional in-kind contribution by UNFPA.
4 UNDP, UNEP, UNFPA, UNOPS, WHO (2014). Joint UN Programme Document on Greening Procurement in the Health Sector. Copenhagen, Denmark 5 UNDP, UNFPA (2014). Roadmap for developing a Green Procurement Index in the Health Sector (GPIH). Copenhagen, Denmark
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• Finalization of the SPHS 2013 Annual Procurement Statistics Analysis and Report.6 The final report provided recommendations on products and product categories to be used for GPIH pilot project, based on 2013 procurement data of UN Agencies participating in the SPHS. Moreover, the report gave an insight on the most important identified challenges and barriers in the procurement analysis (data unavailability, use of different procurement software among UN agencies and unsynchronized classification of products in categories across agencies), as well as the suggested actions (agreement of the UN Agencies on a common data collection template). The report provided important information about the supplier and manufacturer network and represents a critical standard piece for all the SPHS work.
6 Milic, Jovana (UNFPA) (2014). SPHS 2013 Annual Procurement Statistics - Analysis and Report (internal). Copenhagen, Denmark
Figure 2 – Virtuous circle of green procurement in the health sector
Resource depletion (water, energy and material consumption) Greenhouse gas emissions (GHG)
Chemical pollution
HEALTH CARE SYSTEM
• Reduction of GHG emissions • Reduction of resource depletion • Reduction of chemical pollution
Less pressure on health care system
Improved health outcomes and environmental benefits
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• Developed a project proposal on forming a buyers group to influence ecoinnovation procurement of condoms and gloves. Proposal was submitted for the Waste-5-2014 call within the EU Horizon 2020 Framework, in collaboration with Health Care Without Harm Europe and Stockholm International Water Institute. • Developed a project proposal on Corporate Social Responsibility (CSR) certification of natural rubber, in collaboration with Fairtrade International. • UNFPA conducted its first environmental inspection to a male condom factory. This was a pilot activity to start building a complete environmental inspection scheme in the future as part of the prequalification process. • UNFPA developed a Green Procurement Questionnaire and was distributed among all its suppliers in order to assess their environmental performance. • UNFPA hired an independent laboratory to conduct two studies with the aim of reducing the environmental impact of condoms: · Extension of male condom shelf-life · New male condom packaging size and shape. The main goal is to reduce the environmental impact of condoms.
Advocacy and Outreach • SPHS used three important venues in September and October 2014 (UN Supplier meetings in Copenhagen – session organized in collaboration with Implement Consulting Group – and Kuala Lumpur, and the Global Green Growth Forum in Copenhagen) to promote green procurement in the health sector and test grounds for potential partnerships with the private and public sector. High-level representation from the private and public sector debated on the issue of green public procurement in the health sector. • On-going discussions with shipping companies and freight-forwarders on greenhouse gas emission strategies in the supply chain. • Collaboration with business organizations (sustainability leaders in diverse fields) with an aim of getting them on board as technical experts, to collaborate with UN suppliers and manufacturers on pilot projects regarding water / energy efficiency and chemicals. • Numerous meetings to promote SPHS objectives and to build partnerships. • Engagement with senior researchers from various universities and think-tanks to discuss possible research cooperation under the Joint UN Programme on Greening Procurement in the Health Sector. • Training of SPHS interns in the area of sustainable development in the healthcare sector, and assisting them in their research and development of research ideas for their Master theses.
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“IT IS VITAL THAT WE AS UN FAMILY JOIN TOGETHER IN OUR EFFORTS TO ENSURE SUSTAINABLE SOLUTIONS TO PROCUREMENT AND LOGISTICS IN THE MEDICAL SECTOR (AND IN THE OTHER SECTORS FROM WHICH WE SOURCE) - UNHCR IS COMMITTED TO THIS IMPORTANT INITIATIVE.” Stephen Ingles, Head of UNHCR procurement
Main Venues for Establishing Partnerships and Promoting the SPHS “Pharmaceuticals in the Environment – Options for Action” consultation, 9th April 2014, Geneva, Switzerland Presentation given by Dr. Christoph Hamelmann (UNDP), on the topic: “Global Consultation on Environmentally Friendly Procurement in the Health Sector”
WHO Global Health and Climate Conference, 27th – 29th August 2014, Geneva, Switzerland Speech given by Dr. Christoph Hamelmann (UNDP), on the topic: “Promoting health by mitigating climate change – leading by example in the health sector”
UN Supplier Meeting, 24th September 2014, Copenhagen, Denmark During the UN Supplier Meeting held in UN City in September 2014, UNDP and UNFPA co-hosted a working session on the topic “What is the business case for greening production in the market for global health aid?”7 The session was organized by the SPHS secretariat together with UNFPA and hosted around 65 guests, including UN suppliers, funding institutions and other important stakeholders. Presentations, moderated by Pauling Göthberg from the Swedish Regions and County Councils, were delivered by Ms Pernille Fenger (Director, UNFPA Nordic Office), Ms Charlotte Köhler Lindahl (Programme Manager, Swedish Water House) and Dr Pawan Mehra (Managing Director, cKinetics), Mr Ingo Walterscheid (CEO, Environmental Protection Encouragement Agency) and Mr Volker Welter (Senior Procurement Adviser, UNDP). Secondly, a panel discussion led by Dr. Christoph Hamelmann (UNDP) was held. The panel consisted of: • Ms Ruth Stringer, International Science and Policy Coordinator, Health Care Without Harm • Ms Victoria Elizabeth Stone-Bjarup, Responsible Sourcing Manager, Corporate Procurement, Novo Nordisk A/S • Mr Morten Sorensen, Deputy Chief of Procurement, UNFPA • Mr Silas Holland, Lead, Tuberculosis Products Portfolio (Sourcing Department), The Global Fund to Fight Aids, Tuberculosis and Malaria • Mr Mukul Jerath, Deputy General Manager- Global TB, Lupin Limited • Ms Oshani Perera, Programme Leader, Public Procurement and Infrastructure Finance, International Institute for Sustainable Development
7 UNDP (2014). What is the Business Case for Greening Production in the Market for Global Health Aid Report? Copenhagen, Denmark (http://www.scribd.com/doc/244855276/What-is-the-Business-Case-for-GreeningProduction-in-the-Market-for-Global-Health-Aid-Report-24-09-14)
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Lastly, a workshop was facilitated by Implement Consulting. The following conclusions were drawn from the working session: • UN suppliers of pharmaceuticals and medical devices are ready to become involved in pilot projects on eco-innovation. • Suppliers are willing to develop eco-innovative products and to work with the UN and other procurement agencies towards tender processes that take environmental aspects into consideration. • Procurement agencies recognize the importance of the Joint UN Programme on Greening Procurement in the Health Sector and will show their full support by encouraging and committing to activities proposed by its Secretariat. • There is an overall consensus among actors to continue the dialogue as soon as possible and to identify structured forms of engagement for greening production within the market for global health aid.
Sustainable Development Goals and the European Environment and Health Process: Aligning the agenda, 30th September 2014, Bonn, Germany Presentation delivered by Dr. Christoph Hamelmann (UNDP), on the topic: “Health and Environment on the post-2015 agenda for Europe and Central Asia”
Introduction to Sustainability 1st – 2nd October 2014, Kuala Lumpur, Malaysia UNFPA initiated a pilot programme called “Introduction to Sustainability” to which eleven male condom manufacturers signed up voluntarily. Three teams were formed and during the year, periodical online conferences were organized with each of the teams to identify actions and best practices that could help to reduce the environmental impact of male condom production. At the end of the year, a final meeting was organized in Kuala Lumpur and each of the teams presented their ideas and solutions.
Global Green Growth Forum (3GF), 21st October 2014, Copenhagen, Denmark During the Global Green Growth Forum, UNDP co-hosted a session on Public Procurement and Eco-Innovation in the Health Sector8 together with the Danish Ministry of Environment and the International Institute for Sustainable Development. The event brought together senior level participants from both the private and public sphere.
8 Global Green Growth Forum (3GF) (2014). Public Procurement and Eco-Innovation in the Health Sector. Copenhagen, Denmark (www.3gf.dk/en/events/3gf-2014/3gf-2014-partnership-sessions/public-procurement-andeco-innovation-in-the-health-sector/)
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The event was opened by Ms Kirsten Brosbøl, Minister for the Environment (Denmark). A panel discussion was then held, with Mr Gary Cohen (President, Health Care Without Harm) acting as moderator. The panel consisted of: • Ms Kirsten Brosbøl, Minister for the Environment, Denmark • Mr Scott Vaughan, President and Chief Executive Officer, International Institute for Sustainable Development • Mr Jens Wandel, Assistant Secretary General and Director of Bureau of Management, United Nations Development Programme • Mr Harry Hendriks, Executive Chairman Global Government & Public Affairs, Philips • Ms Susanne Stormer, Chief Sustainability Officer, Novo Nordisk • Mr Peter Buch-Skals, Senior Environment, Health and Safety Specialist, Coloplast The session provided evidence that the private sector is willing to engage in greening production and products, and that present technical requirements from procurement agencies will need to be assessed to what extent they actually are an obstacle to eco-innovation.
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“DISCOURSE AROUND GLOBAL HEALTH NEEDS TO ADDRESS THE LINKAGES BETWEEN EQUITY, SUSTAINABILITY AND HEALTH OUTCOMES EXPLICITLY.” From the Afterword by Helen Clark in Partnerships for Global Health: Pathways to Progress” – 2012 Cambridge International Development Report
Green Procurement Index Health (GPIH) Roadmap The development of the GPIH Roadmap was initiated in September 2014. UNDP Innovation Facility granted US$ 80.000 for the development of the roadmap, and UNFPA contributed with an additional US$ 20.000 to fund a research consultant for the project. Copenhagen Institute for Futures Studies (CIFS) has been a partner for phase 0 (development of the roadmap), tasked with delivering the roadmap together with a report by the end of 2014.
Figure 3 – Outline of the GPIH roadmap (illustration)
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The GPIH Steering Committee consisted of: • Mr Ignacio Sanchez Diaz (UNFPA) • Dr. Christoph Hamelmann (UNDP) • Mr Henrik Jensen (CIFS) • Mr Gerardo Sanchez Martinez (WHO) • Mr Volker Welter (UNDP) • Mr Farid Yaker (UNEP)
The GPIH Resource team consisted of: • Mr Javier Carrasco (Universidad Politécnica de Madrid) • Ms Stine Kirsten Junge (UNDP) • Ms Anja Leetz (Health Care Without Harm Europe) • Mr Thomas Moeller (Aarhus Universitetshospital) • Mr Henrik Ballebye Okholm (Copenhagen Economics) • Dr. Anastasia O’Rourke (UNEP) • Ms Aure Adell Querol (Ecoinstitut) • Mr Gregory Soneff (UNDP) • Professor Åke Wennmalm (Sustain Pharma)
A joint proposal has been submitted to the UNFPA Innovation Facility for phase I of the GPIH. A proposal will also be submitted to the UNDP Innovation Facility. A detailed Gantt-chart for phase I (2015) has been developed by the SPHS Secretariat together with the UNFPA. Focus for 2015 will be to apply green procurement criteria in the procurement practice. These criteria will in the long-term serve as an input for the Green Procurement Index Health. The plan for 2015 also includes data collection from UN suppliers, crowdsourcing and inputs from various experts.
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SPHS Internal Developments Internal approval of the Joint UN Programme Document UNDP, UNFPA, UNOPS and the Multi-Partner Trust Fund have signed the Programme Document in 2014. WHO and UNEP have communicated high level approval of the programme document.
SPHS Steering Committee Six Steering Committee meetings were held in 2014. UNICEF appointed Mr David Muhia, Manager, Essential Medicines Unit, Medicines and Nutrition Centre, to represent UNICEF together with Ms Helene Moeller on the SPHS Steering Committee. Furthermore, the Global Fund to Fight Aids, Tuberculosis and Malaria and UNITAID officially joined the Steering Committee in November 2014.
Move of the SPHS Secretariat The SPHS Secretariat will be moved from the UNDP Nordic Representation Office in Copenhagen, Denmark to the UNDP Istanbul Regional Hub, Turkey, effective February 2015. Mr Volker Welter’s assignment as Senior Procurement Advisor in Copenhagen ended in December 2014. While the programmatic work of the Secretariat will benefit from the closer technical support at the UNDP Istanbul Regional Hub, the UNDP Nordic Representative Office will remain involved in the Secretariat’s future work and ensure continued liaising with the UN agencies in UN City and support to reach out to potential partners.
“THE UN INITIATIVE ON SUSTAINABLE PROCUREMENT IN THE HEALTH SECTOR HAS BEEN A JOINT EFFORT, BUT I BELIEVE THAT ALL MEMBERS WILL BE PARTICULARLY INDEBTED TO VOLKER WELTER. HIS VISION AND COMMITMENT INSPIRED US ALL.” Camilla Brückner, Director, UNDP Nordic Representation Office
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“THERE ARE MANY DIMENSIONS TO SUSTAINABLE PROCUREMENT, INCLUDING EQUITY. ONE OF THE GREATEST CHALLENGES IN GREENING UN PROCUREMENT IS ENSURING THAT THE WORLD’S MOST VULNERABLE PEOPLE CAN CONTINUE TO HAVE ACCESS TO AFFORDABLE, LIFE-SAVING HEALTH SUPPLIES.” Shanelle Hall, Director, Supply Division, UNICEF
Annex 1 - Main Partnerships Initiated
SPHS Annual Report 2014
Organization
Key persons
Comments
Collaborative Centre for Sustainable Production and Consumption
Ms Christina Raab Mr Kuhndt Michael
Potential to participate in second phase of an on-going project. Phase II would consist of pilot projects on resource depletion among UN suppliers in India and would include applying for funding under the Switch-Asia Programme (Call for proposal: December 2014- February 2015).
Fairtrade international
Mr Andreas Kratz Mr Jonas Giersing
UNDP, UNFPA, and UNOPS engaged in an informal discussion with Fairtrade International on a potential funding proposal to Danish International Development Agency (DANIDA) concerning a CSR certification standard for natural rubber.
Health Care Without Harm (HCWH)
Mr Gary Cohen Ms Anja Leetz Ms Ruth Stringer
Ms Ruth Stringer (HCWH) was a panellist at the UN Supplier working session, and Gary Cohen (HCWH) was the moderator of the panel discussion at the 3GF session. HCWH is a partner of the Joint UN Programme and was involved in the design. Joint funding proposal on the GPIH submitted to Skoll/UN Foundation.
Implement Consulting Group
Mr Martin Hansen Mr Mohammad Asim
Facilitated the organizing of the UN Supplier working session and discussed follow up actions on a pro-bono basis.
International Institute Sustainable Development
Ms Oshani Perera
Project on prequalification requirements and international standards. IISD has recruited a research consultant (Ms Rachel Bagnall) to look into the WHO prequalification requirements and other international standards to understand how these might hinder suppliers from greening their practices.
Lupin Limited
Mr Mukul Jerath
Mr Mukul Jerath, Deputy General Manager, Global TB, was a panellist at the UN Supplier Meeting working session.
Maersk Line
Ms Mette Olsen
UNDP has been involved in discussions with Maersk Line on reducing the carbon footprint in transport.
Novo Nordisk
Ms Victoria Stone-Bjarup Ms Gadegaard Anne
Ms Victoria Stone-Bjarup, Responsible Sourcing at Novo Nordisk A/S, was a panellist at the UN Supplier Meeting working session.
Social Responsibility in Public Procurement – A collaboration between Sweden’s regions and county councils/ Stockholm County Council
Ms Pauline Göthberg
Ms Pauline Göthberg, National Coordinator for Social Responsibility in Public Procurement, has been involved in various SPHS projects, most recently acting as moderator at the SPHS working session during the UN Supplier Meeting.
Stockholm International Water Institute
Ms Katarina Veem Mr Nicolai Schaaf Ms Köhler Lindahl Charlotte
Discussions on conducting pilot projects on water (energy) efficiency and chemicals reduction in production. Initial contact has been established with suppliers. The initiative will be further explored once the SPHS has developed a supplier engagement strategy.
UN Foundation
Ms Jennifer Kim Field Ms Ilze Melgnailis Mr Robert Skinner
Potential collaboration regarding: Social outreach and advocacy of the Joint UN Programme. Channelling submission of funding proposals. UN Foundation as a source of funding.
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Annex 2 - SPHS Members
Position
The Global Fund to Fight AIDS, Tuberculosis and Malaria
Game Christopher
Chief Procurement Officer
Jackson Ashley
Sourcing Ethics, Compliance, and Sustainability Consultant
Lobis Patrick
Associate Specialist, Strategy and Policy, Policy Hub
United Nations Development Programme (UNDP)
Brückner Camilla
Director, Nordic Representation Office
Buxens Alfonso
Procurement Adviser, UNDP Global Fund Partnership PSM Team
Hamelmann Christoph
Regional Team Leader (Europe and Central Asia) and Senior Advisor (Arab States), HIV, Health and Development; incoming SPHS Coordinator
Kirsten Junge Stine
Private Sector Officer, Nordic Representation Office
Milić Mirjana
SPHS Associate Coordinator
Soneff Gregory
Team Leader, Global Procurement Unit, Procurement Support Office
Welter Volker
Senior Procurement Advisor
Kurian Jacob
Programme Officer, Sustainable UN (SUN)
Marras Isabella
SUN Facility Coordinator
Montecillo Narvaez Desiree
Programme Officer, UNEP Chemicals Branch, Division of Technology, Industry and Economics
United Nations Population Fund (UNFPA)
Sanchez Diaz Ignacio
Project Coordinator
Sørensen Morten
Deputy Chief, Procurement Services Branch
United Nations High Commissioner for Refugees (UNHCR)
Ingles Stephen
Head, Procurement Management and Contracting Service
Llevat Roger
Supply Officer
United Nations International Children’s Emergency Fund (UNICEF)
Blanco Francisco
Chief, Medicines and Nutrition Centre
Moller Helene
Chief of Health Technology Centre, UNICEF Supply Division
Muhia David
Manager, Essential Medicines Unit, Medicines and Nutrition Centre, UNICEF Supply Division
UNITAID
Duneton Philippe
Deputy Executive Director
McCullough Gelise
Technical Officer
United Nations Office for Project Services (UNOPS)
Blecken Alexander
Deputy Director, Procurement Practice
Costa Nives
Team Manager, Sustainability Team
World Health Organization (WHO)
Dora Carlos
Coordinator, Interventions for Healthy Environments (IHE)
Grabman Genevieve
Policy and Compliance Specialist (WHO PAHO)
Jordi Balleste
Procurement - Strategic Fund, Unit Chief (WHO PAHO)
Menne Bettina
Programme Manager, Climate Change, Sustainable Environment, Green Health
Pfeiffer Michaela
Technical Officer, Department of Public Health, Environmental and Social Determinants of Health
Racioppi Francesca
Senior Policy and Programme Adviser, Environment and Health Policy and Governance
Sanchez Gerardo
Technical Officer, CGS Climate Change, Sustainable Environment, Green Health
Wilburn Susan
Technical Officer
Organization
1
2
3
4
5
6
7
8
9
22
Steering Committee Member
No.
United Nations Environment Programme (UNEP)
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Annex 3 - UN Informal Inter-Agency Route Map for Sustainable Procurement in the Health Sector
Vision
UN becomes a global leader in sustainable procurement
UN practices and policies used for benchmarking
No Waste No Harm
Enhanced innovation and changed thinking
Technology an enabler of positive societal and env. change
The overall UN footprint reduced through set targets and timelines
Baseline indicators in sustainable procurement established and shared publicly
Establish a Sustainable Index for suppliers as a reference.
All health systems have access to affordable technology (including drugs) to enable better care delivery
Sustainability integrated into all decision making processes
Value all resources and a “No Waste” approach
Substitution and Innovation delivers more health with fewer resources
All products have a low environmental impact
Clear on contribution to joint approach
Account and regulate for total cost of ownership
Report impacts of decisions on health and the environment
Enhanced procurement and supply chain management
Enable and support new technologies and materials
Raise Awareness and understand where you are and where you want to get to
Agree sustainable development definition and structures
Agree baseline and indicators. Act to reduce resource waste
Achieve more outcomes from the same investment – maximise efficiency
Adopt and Invest in more sustainable materials and technologies
USE OF RESOURCES
PROCUREMENT PROCESSES
MATERIALS & TECHNOLOGY
Our global health donors are integrated with our sustainable procurement practices
Measures of Success
Normative approaches for the health sector become valid for other sectors including the agricultural sector
Getting There
Embed/Integrate Sustainable Procurement into all levels of working
On The Way
Systematic Joint Framework in place
Getting Started
Identify and engage with stakeholders
SYSTEM WIDE
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All agencies understand their individual role in sustainable procurement
INDIVIDUAL AGENCIES
GOVERNANCE
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Annex 4 - Joint UN Programme on Greening Procurement in the Health Sector Activities · WHO Guidelines on “Green Procurement” · WHO guidelines for the safe disposal of pharmaceutical waste · WHO standards and environmental performance criteria for pharmaceutical manufacturing · Defining essential energy requirements for medical devices, including through a labelling scheme · Operational research (pilot studies) to identify opportunities to reduce waste in packaging · Researching options for efficient use of resources and for reduction of waste as part of the manufacture of selected pharmaceuticals
Project Output 1: Evidence based standards on what constitutes “green” procurement in the health sector are established and activities to address research gaps are initiated
Assumptions: 1. Cooperation from suppliers and exchange of information and communication between suppliers and UN agencies 2. Collaboration with procurement practitioners in implementing recommendations and guidance 3. Engagement from global health financing institutions 4. Effective coordination between all participating Agencies 5. Good delivery or reporting by non-UN partners contracted by the UN 6. Consensus and acceptance in the scientific community of long-term environmental impact on the ecosystem and human health
Activities · Tools and guidance for procurement officers, including environmental scorecards and checklists · Development of a common approach for product substitution · Guidance on substitution and disposal of PVC and mercury containing products · Toolkit on the management of health care waste · Guidance on environmentally sustainable shipping options/freight · Tool for calculating carbon footprint (emissions) associated with procurement in the health sector · Training toolkit/modules for procurement officers · Operational research (pilot studies) to identify opportunities to reduce waste in packaging · Researching options for efficient use of resources and for reduction of waste as part of the manufacture of selected pharmaceuticals
Activities · Engagement and outreach with suppliers/ manufacturers, including through the use of progressive change approach · Development of the business case for “green” procurement in the health sector · Engagement and outreach with global health finance institutions, e.g. GFATM, GAVI · Estimation of the carbon footprint associated with a representative sample of GFATM projects · Development and piloting of a model for engaging with public health programmes · GEF/UNDP incremental cost coverage project for mercury and PCV-free alternatives
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VISION
Project Output 2: UN procurement officers, suppliers and health actors are capacitated so as to be able to operationalise green procurement practices in the health sector
A reduced environmental burden by the health sector
Project Outcome UN Agencies adopt and implement environmentally sound procurement policies and practices in the health sector
Impact Health sector procurement policies and practices in the health sector promote and protect health and do not adversely impact on the environment or on human health and well-being
Project Output 3: Key stakeholders with an influence over procurement activities in the health sector, e.g. suppliers/ manufacturers, procurement officers, international health development agencies and health actors, are aware of, engaged in and supportive of the overall initiative
Outcome Indicators: 1. Number of UN Agencies that update and/or adopt procurement policies for the health sector on the basis of WHO guidelines 2. Number of UN Agencies that report on carbon emissions associated with health sector procurement 3. Proportion of substituted products procured with lesstoxic materials
SPHS Annual Report 2014
Photo credits: Page 2: Shot of pills. © 2007 by sparktography Page 4: Sustainability image light bulb at sunset. © 2014 by Intel Free Press (Kee Seng Heng) BSL-3 Tb laboratory in Dushanbe. © by UNDP India: five-in-one pentavalent vaccine. © 2013 by Gavi (Romana Manpreet) A man cleans a solar panel in Niger. © 2013 by United Nations Capital Development Fund (Adam Rogers) Five-in-one vaccine. © 2007 by Gavi (Atul Loke) A female doctor at a mobile health clinic in Pakistan. © 2010 by Department for International Development (Russell Watkins) Vaccines cold chain. © 2012 by Gavi (Adrian Brooks) EXPAND-TB project, India © FIND 2012 Page 8: A Swazi Mothers-to-Mothers Volunteer’s Story. © 2013 by The Global Fund (John Rae) EXPAND-TB project, India © FIND 2012 Page 12: UNHCR airlift delivering relief for 50,000 IDPs in northeast Syria © 2014 by UNHCR (N. Khalil) Page 16: Children at a health post in the Amazon Rainforest. © 2008 by The Global Fund (John Rae) Page 19: UN Supplier Meeting. © 2014 by United Nations (Mirjana Mili´c) Page 20: Cote d’Ivoire: Equipping a nation’s people against malaria © 2014 by The Global Fund (David O’Dwyer)
For further information please contact: Dr. Christoph Hamelmann Coordinator Secretariat of the SPHS UNDP Istanbul Regional Hub christoph.hamelmann@undp.org Mirjana Milić Associate Coordinator Secretariat of the SPHS UNDP Istanbul Regional Hub mirjana.milic@undp.org www.iiattsphs.org