SPHS Annual Report 2016 by The informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS)

SPHS Annual Report 2016

Saving lives Sustainably ANNUAL REPORT 2016

SPHS Annual Report 2016

All rights reserved © 2017 UNDP July 2017 Authors: The SPHS Secretariat, UNDP Istanbul Regional Hub The SPHS Secretariat, UNDP Istanbul Regional Hub Dr. Rosemary Kumwenda, SPHS Coordinator Ms. Mirjana Milić, SPHS Associate Coordinator Ms. Nevra Gomdeniz, Communications Specialist Ms. Lorea Coronado-Garcia, Sustainable Procurement Specialist Mr. Ignacio Sanchez Diaz, Previous Greening Health Systems Specialist

Design & Layout: Ms. Cansu Topaloglu, UNDP Vectors and graphics: www.freepik. com 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 Task Team.

About the SPHS SPHS brings together seven United Nations agencies and three global health financing institutions, committed to introducing sustainable procurement in the global health sector. Through a transparent and inclusive engagement process, and by leveraging its normative and market power, the SPHS TaskTeam is dedicated to lowering the nvironmental and social impact of its procurement, with the aim of improving human health and well-being. For more information about the SPHS and its work, visit: www.savinglivesustainably.org

Acronyms 10YFP SPP: 10-year Framework of Programmes on Sustainable Consumption and Production 3MDG: Three Millennium Development Goal Fund

HIV: Human Immunodeficiency Virus HPV: Human Papillomavirus ILO: International Labour Organization

AIDS: Acquired Immune Deficiency Syndrome

kg: Kilogram

AMR: Anti-Microbial Resistance

kWh: Kilowatt-hour

ARV: Antiretroviral

LTA: Long Term Agreement

CIPS: Chartered Institute of Procurement and Supply

m3: Cubic Meter

TLE: Tenofovir Lamivudine Effavirenz UN: United Nations UNDP: United Nations Development Programme UNEP: United Nations Environment UNFPA: United Nations Population Fund UNHCR: United Nations High Commissioner for Refugees

MSL: Medical Stores Limited

UNICEF: United Nations Children’s Fund

FSC: Forest Stewardship Council

NOREPS: Norwegian Emergency Preparedness System

UNITAID: International Drug Purchase Facility

GAVI: Global Alliance for Vaccines and Immunization

PPM: Pooled Procurement Mechanism

UNOPS: United Nations Office for Project Services

GF: Global Fund to Fight AIDS, Tuberculosis and Malaria

PV: Photovoltaic

WHO: World Health Organization

CO2: Carbon Dioxide

GGHH: Global Green and Healthy Hospitals GPIH: Green Procurement Index Health GRI: Global Reporting Initiative

SDD: Solar Direct Drive SDGs: Sustainable Development Goals SPHS: Sustainable Procurement in the Health Sector

HCWH: Health Care Without Harm

SPP: Sustainable Public Procurement

HIST: Health Implementation Support Team

SSFLC: Substandard, Spurious, Falsely Labelled and Counterfeit

SPHS Annual Report 2016

CONTENTS

The Year in Review

Sustainable Health Procurement Practices

Innovative Health Procurement Tools

Promotion of sustainable health

monitor and evaluate performance

procurement practices and docu-

of suppliers and manufacturers of

menting good practice.

health commodities.

New initiatives, tools, platforms and partnerships to support countries in strengthening sustainability in their health systems, in building procurersâ&#x20AC;&#x2122; capacities and in supporting sustainable supply chain

Development of novel tools to

performance.

Capacity-Building in Sustainable Health Procurement

Influencing Global Health Markets

Message from the

Strategic health procurement and

Supply Overview

Page 7

Meet the SPHS Voices

Page 26

Looking Forward

Page 28

Annex 3 Statement of Intent

Page 31

Building capacity of public procurers market transparency as strategies to improve supply security and affordato design and implement sustainable health procurement practices

bility of key health commodities.

Coordinator

Page 5

Health Procurement and

and policies.

Annexes Annex 1 The SPHS Task Team

Page 30

Annex 2 The SPHS Route Map

Page 30

SPHS Annual Report 2016

Message from the Coordinator

SAVING LIVES SUSTAINABLY

Dr. Kumwenda at the CleanMed Europe, ÂŠ 2016 HCWH Europe

Every year we strive to do better, and

to the threat of climate change,

This was truly a year for growth and

2016 was no different.

2016 also saw the inauguration of

expansion and it is a great privi-

the Paris Climate Agreement. This

lege to spearhead this important

This Annual Report highlights the

landmark agreement lays out a

initiative and work alongside key

key achievements of the Sustainable

framework for sustainability with-

stakeholders from the global health

Procurement in the Health Sector

in which the SPHS work can be

sector. In 2017, we look forward

initiative (SPHS). Our objective, as

anchored.

to new global partnerships and market-shaping investments in the

always, has been to reduce the

health sector.

environmental and social impact of

Thanks to the global capacity de-

procurement of health commodities

velopment sessions organized by

by the SPHS member agencies and

the SPHS members throughout the

I am delighted to share this annu-

to contribute to a more sustainable

year, many healthcare procurement

al report with you and our valued

global health sector.

and manufacturing professionals

partners.

were able to share and learn valuaOverall, it has been a lively year for

ble lessons. Together, we were able

We hope to continue to work with

the SPHS Task Team. As one of the

to design sustainable procurement

you to protect the planet by saving

leading advocates for sustainable

policies and practices that can be

lives sustainably.

healthcare and environmental

implemented in the health sector.

health, we have continued our efforts to promote more sustainable

The SPHS initiative has not only

health systems globally.

grown its network size to record numbers, but has also been able to

Crucial to these efforts and to

significantly expand its knowledge

strengthening the global response

base and expertise.

Dr. Rosemary Kumwenda The SPHS Global Coordinator

SPHS Annual Report 2016

HEALTH PROCUREMENT AND SUPPLY OVERVIEW

$4,027

Supplier Location per UN Region

UN HEALTH PROCUREMENT AND SUPPLY OVERVIEW $3,565 Total Health Goods and Services Total health supplies and services procured by the SPHS UN agencies

Procured byGoods the SPHS UN Agencies (in US $ millions)

$462

$3,661

Services

$3,402

97%

$4,027 UN UNHEALTH HEALTHPRO PR 2015

AND ANDSUPPLY SUPPLYOV O

2014

23%

2013 nt Health Total Total HealthGoods Goodsand andServices Services e m ocure r P of total UN proh lt a e H Procured Procured by by the the SPHS SPHS UN UN Agencie Agenc l a curement is health Annu The Annual Growth of of UN h t w (in (inUS US$the $millions) millions) procurement The gro United Nations Health Procurement

of total UN health procurement is purchased by SPHS UN member agencies

UNHEALTH HEALTHPROCUREMENT PROCUREMEN UN $3,402 $3,402 ANDSUPPLY SUPPLYOVERVIEW OVERVIEW AND Services (in US $ millions)

Key UN Categories of Goods 2013Volumes - 2015 UN Health Procurement Volumes 2013 - 2015 Health Procurement and Growth (in US $ millions) and Services in 2015 UN and Growth by Categories of Goods and Health Procurement Total UN Health Procurement Key Categories of Health Goods and Services

4,027

72%

3,661 3,402

2013

14% 9.3%

Total growth of health SEGMENT 2 SEGMENT 1 procurement Pharmaceuticals Medical - 2015 inc Contraceptives2014Equipment

2014

2015

2,400 2,400

$3,402 $3,402

1,800 1,800

UN Healthcare Procurement

International NonProfit (0.54%)

Laboratory and Testing Equipment Corporations (0.05%)

Health Care Services

Foundations (0.72%)

SEGMENT 4

Governments (98.19%)

SEGMENT 3

$4 $4

ththo ww hegrgoro Th Te

$3,661 $3,661

2,100 2,100

2013 2013and andGG e en em u rerm cServi u oServic rorc latlhthPP

Key KeyCategories CategoriesofofGoods Goods 2014 2014 and andServices Servicesinin2015 2015UN UN 2013 Health HealthProcurement Procurement 2013

1,500 1,500 1,200 1,200

2% Key Funding12% Partners for the

2013 2013

TotalHealth HealthGoods Goodsand andServices Services Total Procuredby bythe theSPHS SPHSUN UNAgencies Agencies Procured 3,000 3000 (in US $ millions) (in US $ millions) 2,700 2,700

US US$$mil mil

900 900

e ea lH alaH uu nnn NAA U N f U o f o h tht ow rorw e egg Th Th

600 600 300 300

72% 72%

USUS $ mil $ mil

14% 14%

3,000 3,000

2013 2014 2014 2015 2015 2013

2,700 2,700

Laboratory and Laboratory and Testing Equipment Equipment Testing

Medical Medical Equipment Equipment

Pharmaceuticals inc Pharmaceuticals incContraceptives Contraceptives

Health Care Healthcare Services Services

2,400 2,400

KeyCategories CategoriesofofGoods Goods Key

SEGMENT 2 Health 2 2,100 2,100 SEGMENT SEGMENT 1 1- 2015 2013 UNHealth Procu 2013 - 2015SEGMENT UN Procu

6% Africa

14% 14%

12% 12% 2,700

3,000 3,000 2,700

2,400 2,400 SEGMENT SEGMENT 11 1 SEGMENT

Pharmaceuticals Pharmaceuticals Pharmaceuticals Contraceptives incinc Contraceptives inc Contraceptives

36% 12% 12% Asia

1,200 1,200

International NonProfit (0.54%)

72% 72% All data is extracted from the 2015 Annual Statistical Report on United Nations Procurement. Key product categories taken into consideration are: Medical Equipment, Healthcare Services, Pharmaceuticals including Contraceptives, and Laboratory and Testing Equipment.

$ mil USUS $ mil

Corporations (0.05%)

Europe

Americas

Foundations (0.72%)

17%

Governments (98.19%)

Key Partners for andServices Servicesinin2015 2015 UN Funding Supplier Location per UN and Region UN Pharmaceuticals Pharmaceuticals Medical Medical 1,800 1,800 o and Growth by2015 Categories and Growth by Categories of Key Categories of Health Goods and Services in Health Procurement inc inc Contraceptives Contraceptives Equipment Equipment Health ProcurementHealth Care Procurement 1,500 1,500 UN41% Health Procurement Services(in (inUS US$$millions) millions) Services 900 900

2% 2%

600 600 300 300

SEGMENT SEGMENT 3 3 SEGMENT SEGMENT 4 4 2,100 2,100 SEGMENT 3 SEGMENT 4 Health Health Care Care Laboratory Laboratory and and Medical 1,800 Medical 1,800 Medical Healthcare Laboratory and Services Services Testing Testing Equipment Equipment Equipment Equipment Equipment Services Testing Equipment 1,500 1,500 All data is extracted from the 2015 Annual Statistical SEGMENT SEGMENT 2 22 SEGMENT

Report on United Nations Procurement. Key product 1,200 1,200 categories taken into consideration are: Medical Equipment, Health900 Care 900Services, Pharmaceuticals including Contraceptives and Laboratory and Testing 600 600 Equipment.

2% 2%

202

La TesT

Supplier SupplierLocation Locationper perUN UNRegio Reg 7

41% 41

SPHS Annual Report 2016

THE YEAR IN REVIEW Conventions on Chemicals.

2016 was another year of success

Our work on strengthening sus-

for the SPHS Member Agencies. We

tainability in health product

joined forces to leverage our health

supply chains was highlighted at

We continued to focus on capacity

procurement purchasing power into

the COP22 in Morocco by leading

building as one of the pillars of our

legislative and operational frame-

technical experts. An SPHS Mem-

work. In 2016 we developed and de-

works for sustainable health systems

ber Agency Cold Chain Equipment

livered a number of global and na-

and programmes. In 2016, this col-

Optimization Platform in India has

tional training courses in sustainable

lective health procurement totaled

also set us a great example for how

health procurement and supported

some US $5 billion.

sustainable immunization supply

staff from Ministries of Health and

chains can be implemented.

UN Agencies to understand, use innovative tools and implement

We signed the Interagency Statement on Sustainable Procurement

We supported procurement officers

sustainable health procurement

of Health Commodities to align and

in evaluating and incorporating sus-

practices.

â&#x20AC;&#x153;greenâ&#x20AC;? procurement of health com-

tainability into their practices, and

modities. This overarching, high-lev-

have developed a novel barcode

We recognize that achieving the

el United Nations commitment

technology to track health com-

sustainable development goal

provides a framework for the SPHS

modities during transportation. This

of improving human health and

initiative and gives guidance on how

technology can also expose counter-

well-being, cannot be reached with-

our agencies can work together to

feit medical products and prevent

out safeguarding the health of our

promote sustainable health systems.

thefts along the supply chain.

planet at the same time. This report details key achievements of the

It will also aid our engagement with key stakeholders within the health

We have developed a harmonized

SPHS initiative in 2016 as we strive

sector, in particular with suppliers

and standardized environmental

to protect our environment as well

and manufacturers of health com-

questionnaire, as well as the first

as the health of communities.

modities.

procurement tool to measure compliance of healthcare procurement

As part of our collective efforts to

with International Environmental

empower lives and built sustainable resilient nations, we built new of the world and under difficult conditions. We also continued to ensure a clean energy supply for Zambian pharmaceutical storage operations. We decreased CO2 emissions by transitioning transportation of medicines from air to sea freight. We worked with manufacturers of male condoms to enhance sustainability of the manufacturing process and achieved noteworthy savings in electricity and water, as well as a reduction in CO2 emissions and solid waste.

The graphic shows the complexity of the interface between Sustainable Development Goals and the SPHS focus areas. For more information about other good practice examples in sustainable procurement and manufacturing of health commodities, please visit http://savinglivesustainably.org/knowledge-practice.html

healthcare facilities in different parts

Perhaps, to follow format in Table of Contents page, this should not read as a complete sentence? “Achievements/accomplishments in our effort to promote... and document...”

SPHS Annual Report 2016

SUCCESS STORIES We succeeded in our effort to promote sustainable health procurement and documented the following good practices.

Healthy and Full Lives for Every Woman, Man and Child Accessing healthcare in rural My-

need it most and locally sourced

anmar is no easy task. Now, thanks

construction materials and labour

to 82 new rural health centres, it is

help to keep maintenance costs

getting easier for people to reach

down.

the services they need. In remote areas of the country, bad road

Before building the facilities, to-

conditions, inaccessible water ways

gether with the Ministry of Health

and expensive transportation costs,

and Sports, UNOPS developed

keep healthcare out of reach for

three types of designs for rural

many people. Those that manage

health centres, sub-rural health

to access medical facilities often

centres and modified rural health

find sub-standard amenities. This

centres. The Ministry then stand-

problem contributes to the deaths

ardized the designs so that they

of about 2,400 pregnant women

can be widely used, with variations

and 70,000 children every year.

for the different geological and topographical conditions of the

The achievements highlighted in this section contributed to the following Sustainable Development Goals (SDGs):

Primary healthcare in rural areas

country. This includes delta, flat-

of Myanmar is provided through

lands, hills and coastal areas.

rural health centres and sub-rural health centres. The Ministry of

The progress of work at each site

Health and Sports joined efforts

is regularly monitored and evalu-

with The Three Millennium De-

ated for quality assurance, health

velopment Goal Fund (3MDG) to

and safety, and the environmental

build 82 new centres in areas that

aspects of construction. Through

are remote or hard-to-reach.

the entire process, community engagement is prioritized to

The facilities are being construct-

develop a better understanding of

ed to withstand severe weather

local needs and encourage greater

conditions like earthquakes and

ownership of the final product by

floods. Solar panels ensure that the

the community.

power remains on, when people

SPHS Annual Report 2016

Cold Chain Equipment Optimization Platform

CO2 emissions by up to 1.25 tons

Gavi’s Cold Chain Equipment Opti-

mated savings.

annually, or $54 million in total esti-

mization Platform helps countries modernize cold chain systems with

2016 has served as a ‘learning year’

high-performing equipment – a vital

for the platform. Gavi has approved

building block towards delivering

or recommended for approval

vaccines more equitably throughout

applications with a Board approved

the full length of the immunization

investment totaling $250 million.

supply chain.

Solar Panels Improve Healthcare in Rural Zambia

The cold chain is a key part of the immunization supply chain, keeping temperature-sensitive immu-

Establishing a reliable and afforda-

nization products safe and potent. Hard-to-reach communities often have poor or no access to electricity, which reduces the ability to safely store health supplies such as vaccines. Frequent power outages can further compromise the safety and effectiveness of health supplies. In addition, the older-generation refrigerators currently in use in many Gavi-supported countries rely on costly, high-polluting fuels or can require nearly three times more electricity than newer-generation devices. Gavi works together with manufacturers of cold chain equipment that meet a higher-level of performance criteria, for example, Solar Direct Drive (SDD) refrigerators which operate without ancillary battery

or imported kerosene/diesel fuel; long-term passive devices with user-independent freeze protection; on-grid refrigerators that require less than eight hours of electricity per day; and freeze free cold boxes and vaccine carriers. These products enable the scale up of innovative green technologies, encourage the use of sustainable energy sources in remote communities, and ultimately improve healthcare access and provision. The carbon savings can be significant. For example, replacing kerosene-powered cold chain equipment with solar direct drive refrigerators and freezers can reduce

ble energy supply in sub-Saharan Africa is a main priority of UNDP in order to secure access to public health services towards the national responses of prevention, care and treatment of HIV and AIDS, tuberculosis, malaria and other diseases. According to a 2013 WHO study, which covered 4,000 clinics and hospitals, one out of every four health facilities in sub-Saharan Africa has no access to energy, with most facilities having access to an unreliable supply with regular power interruptions. The Medical Stores Limited (MSL) in Zambia, an autonomous government agency mandated to receive, store and distribute pharmaceutical health products across the country, is faced with a consistent energy distress that affects the operations of warehouses, including the critical refrigeration of medicines and vaccines. With funding received from the Norwegian Emergency Preparedness System (NOREPS), UNDP supported MSL to install Solar power systems, combined with an energy efficient temperature control system, that covers up to 7,000 m2 of warehouse storage space.

Success Stories

SPHS Annual Report 2016

With the new solar system in

ject, all CO2 data corresponding to

2015-2016, the savings achieved are

place, MSL can ensure the effective

UNDP first line Antiretrovirals (ARV)

quite significant.

running of its operations without

procurement is consolidated into

depending on an unreliable supply

an interactive dashboard in order to

from the national hydro-power grid,

systematically analyze and establish

and can record significant energy

metrics per trade lane.

cost savings by generating its own

Sustainability Scorecard for Antiretrovirals UNDP GF-HIST TLE/ARV LTA Sus-

clean solar power. The product qual-

Strengthened procurement plan-

tainability Baseline was originally

ity and efficiency of health services

ning has facilitated a gradual

introduced in 2014 as a CO2 Reduc-

from the warehouse has also im-

transition from air to sea based

tion Project and with the develop-

proved due to the reduced process-

freighted consignments. To create

ment and gathering of systematic

ing time that was caused by regular

an estimate of the amount of CO2

data, this led to the development

power interruptions, and also with

saved by shipping through sea

of the baseline and establishment

medicines and vaccines now being

freight instead of air, a comparison

of UNDP mandatory sustainability

consistently maintained at the re-

was made for the trade lane Mum-

eligibility criteria and call-off mech-

quired temperatures in order for the

bai/Durban - Harare/Lusaka. This

anisms. This Sustainability Scorecard

prescriptions to be effective. Based

trade lane represents 90% of total

was constructed via research, ques-

on the success of this pilot project

procurement. With an average size

tionnaires and discussions together

in partnership with the MSL, and in

container of 80,000 packs, 0.21 Kg

with TLE-ARV manufactures to

collaboration with funding entities

of CO2/pack are saved by using sea

understand their current market po-

such as the Global Fund, NOREPS

over air freight, with a 81% decrease

sitioning for sustainability initiatives,

and others, UNDP will be contrib-

in CO2. Furthermore, approximately

and to help create realistic criteria to

uting to future projects in 2017 to

US$0.26/unit is saved in freight cost

incentivize TLE-ARV manufacturers

help build solar capacity for health

for the same route by sea instead of

to move towards the implementa-

in Zambia, Zimbabwe and other

air, with 49% cost savings increase.

tion of sustainability initiatives.

countries.

Considering that the procurement

Transitioning From Air to Sea Freight with Clear Benefits As part of the UNDP Global Fund Health Implementation Support Team (GF-HIST) CO2 Tenofovir Lamivudine Efavirenz (TLE) Long Term Agreement (LTA) Emission Pro-

volume channeled through the UNDP TLE/ARV amounted to over US$ 150 million during the period

49 81 % cost savings increase

% decrease in CO2

Sustainability Call-off Criteria

CO2 Emmision Reporting for Logistics

Sustainability Scorecard Initiative

Packaging Optimization and Innovation

UNDP GF-HIST Sustainability pro gramme:

oo Sustainability Scorecard initiative: Working together with suppliers to collaboratively develop and monitor sustainability initiatives within the supply chain oo Sustainability Call-off Criteria: Creating incremental call-off mechanisms for the UNDP GF-HIST LTA frameworks oo CO2 Emmision Reporting for Logistics: Decreasing CO2 emissions by proactive planning and creating environmental performance metrics

One Stop Shops for HIV and TB Testing and Care a Winning Strategy in Zimbabwe ÂŠ 2014 The Global Fund / John Rae

oo Packaging Optimization and Innovation: Working together with manufactures and regulatory authorities to streamline packaging

SPHS Annual Report 2016

Certificate for Good Practice in Sustainable Procurement UNOPS received its second gold-level certificate from the world’s leading purchasing and supply association, Chartered Institute of Procurement & Supply (CIPS). UNOPS is the only United Nations organization, and one of only five organizations in the world, to achieve this honor. “We welcome this award as it strengthens our resolve to provide greater support to our partners and clients in achieving the sustainable development agenda,” said Grete Faremo, UNOPS Executive Director. One UNOPS project highlighted as part of the latest award submission implemented the distribution of solar-powered lanterns and mobile phone charging kits, as well as the setting up of solar street lights in internally displaced persons’ camps in the Kurdistan Region of Iraq. Solar photovoltaic power systems and solar water heaters were also installed. UNOPS previously received a bronze level award in 2011, a silver level award in 2013 and a gold level award in 2015.

2014 and 2015. Now under control,

sessments of each centre. Existing

41 healthcare centres across the

infrastructure was overhauled and

country are being rehabilitated and

rehabilitated to make the facilities

renovated to keep it that way.

accessible and safe for the workers that use the space. This included

UNOPS and the Government of

renovating bathrooms, fixing sur-

Guinea, with funding from the

rounding fences and constructing or

World Bank, established a $20

repairing water towers. Solar panels

million operational platform in

and waste treatment equipment,

2016 to support the fight against

such as incinerators, will be pro-

Ebola. The $5.5 million dedicated to

cured and installed this year in 2017.

infrastructure development promises a stronger national health sector,

The UNOPS team selected, trained

with better working conditions for

and supervised 23 local compa-

health workers and access to care

nies, five of which are managed by

for Guineans.

women, to complete the rehabilitation works. Two-three-day training

The rehabilitation or construction of

sessions were organized to build

the rural health centres, complete

capacities of around 50 national

with equipment, began in 2015 and

construction companies in procure-

finished in 2016. The project could

ment and contract management.

not have come at a more crucial time for the country, with over 2,000 Ebola deaths recorded by the end of 2015.

UNOPS personnel demonstrate how to use the solar-powered lamps. © Fabienne Vinet / UNAMI

Better Work Environments in the Fight against Ebola

UNOPS expedited the project, undertaking financial and techni-

5.5 41 M $ infrastructure investment

healthcare centres

cal evaluations, and procurement activities. The beginning of works coincided with the rainy season, adding to the challenges that needed managing.

Guinea battled one of the worst outbreaks of Ebola in its history in

Work began with individual as-

SPHS Annual Report 2016

Image

PROJECTS We initiated and supported the implementation of a number of projects aimed at introducing more sustainable practices in the global health sector.

ÂŠ 2012 UNHCR / F. Noy

Spearheading Packaging Reduction for Global Health The UNDP GF-HIST is currently

formance measurements, includ-

working together with TLE/ARV

ing a 16.7% increase in shipping

manufacturers included in their

container capacity for the pilot

LTA framework to reduce the im-

undertaken so far. In addition, the

pact of product waste through the

project achieved 14% reduction of

UNDP Packaging Reduction for

the transportation cost, as well as

Global Health Project. This project

12% reduction of waste.

is designed to reduce unnecessary product waste by optimizing TLE/

The project is based on a strong re-

ARV packaging, which not only

lationship and close collaboration

improves important environmental

with TLE/ARV suppliers in order

aspects such as a decrease in car-

to facilitate pragmatic transfor-

bon footprint and product waste,

mational change within manu-

but it also leads to substantial cost

facturing and logistics operations

savings and resource efficiencies.

for TLE/ARV products. This also includes strong working relation-

The achievements highlighted in this section contributed to the following Sustainable Development Goals (SDGs):

The Packaging Reduction for

ships with national regulatory

Global Health project was initiated

authorities in order to make any

in 2016 with pilots undertaken in

necessary adjustments for reg-

South Sudan and Zimbabwe. The

ulatory approval with regards to

project consisted of a new pack-

reduced packaging criteria.

aging criteria which include the removal of all outer packaging for

During 2016, UNDP also initiated

TLE/ARV bottles, the removal of

the supply of ARV of TLE formu-

glued leaflets, removal of carton

lation in 100 packs presentation.

used to pack shippers and a re-

These will also be supplied under

duction of stacked leaflets to only

the above described reduced

10% of what is required for each

packaging modality.

shipment. As a result, the pilot has demonstrated an improvement in the TLE/ARV environmental per-

14 12

% transport cost reduction

% waste reduction

SPHS Annual Report 2016

Technical Highlights from South Sudan Packaging Reduction Pilot 2016 Old packaging 11.16 kg per shipper 72 bottles in a shipper Total 79, 488 packs in a 40 ft-reefer container

New packaging 9.78 kg per shipper 96 bottles in a shipper Total 92,736 packs in a 40 ft-reefer container

Solar for Health Initiative

addition, it enables water pumping

established measurable goals and

and facilitates water purification.

engaged with suppliers to develop

Installation of PV power genera-

action plans to respond to its envi-

Since 2010, UNDP has acted as

tion systems in these facilities has

ronmental goals. The focus has been

interim Principal Recipient of the

demonstrated that renewable

on collaboration, mutual benefits,

Global Fund grants, on behalf of the

energy systems, notably solar energy

return on investment, and how to

Ministry of Health in Zambia. UNDP

can be an effective and cost-effi-

achieve value for money by scaling

support through installation of Solar

cient climate change mitigation

up sustainability rather than reduc-

Photovoltaic (PV) power generation

alternative. This project represents

ing costs. Changes were introduced

systems in ART Clinics in Zambiaâ&#x20AC;&#x2122;s

a key milestone in the activities of

progressively and improvements

Eastern Province is clear evidence

UNDP GF-HIST partnership in Zam-

monitored. Today, all male condom

of how renewable energy systems

bia and shows how health facilities

suppliers holding a LTA with UNFPA

can be an effective climate change

can significantly cut greenhouse

are ISO 14000 certified.

mitigation alternative. Photovoltaic

gas emissions and save energy costs

Key results:

(PV) technology installed in these fa-

over time, by using alternative forms

cilities produces electricity through

of renewable energy, which is both

virtually infinite renewable resource

environmentally and economically

at the human time scale (solar radia-

viable.

tion) and has great potential in providing energy source to help health facilities achieve health outcomes,

ty saved per month oo

More than 7 metric tons of CO2 saved per month

Environmental Friendly Condoms

Over 11 million kWh of electrici-

Reduction of 11.8M kg of solid waste per month

Over 200,000 kg of FSC certified or equivalent cardboard used

especially for populations that live

per month

in remote rural areas that have no

Since UNFPA launched its Green

connection to electric power grids.

Procurement Strategy in 2013, it

Besides helping to maintain the

has collaborated with its suppliers

temperature control systems in the

of male latex condom to reduce the

clinics, this helps with equipment

environmental impact of its supply

sterilization, maintaining cold chain

chain. UNFPA is the largest procurer

580,000 m3 of water is saved

for vaccine storage and provides

of contraceptives and has much lev-

and over 990,000 m3 of water is

power for operating theatres. In

erage for male condoms. UNFPA has

treated.

ERIC DUPONT

Chief, Procurement Services Branch, UNFPA Copenhagen

â&#x20AC;&#x153;

Outer boxes and shipping materials use more than 55% recycled/post-consumer materials.

Each month, more than

A different way to shape markets: Forward-thinking procurement strategies include proactive and open collaboration with suppliers. UNFPA, through its purchasing power, endeavors to create the conditions for suppliers to scale up their sustainability efforts throughout their supply chain by promoting, among other things, environmental protection.

SPHS Annual Report 2016

TOOLS We applied eco-innovative approaches in health procurement and developed novel tools.

ÂŠ UNFPA / Liuichi Hara

Scanning Our Public Health Supply Chain DNA The fight against substandard,

UNFPA Procurement Services

spurious, falsely labelled and coun-

Branch is responding to this chal-

terfeit (SSFLC) medical products

lenge, beginning with a two-step

requires pragmatic ways to ad-

approach: firstly, by introducing

dress the traceability of life-saving

barcoding technology to the

health commodities. This is why

public health supply chain and,

UNFPA is working with suppliers to

secondly, by taking a lean ap-

implement barcode technology in

proach to eliminate wasted time

public health supply chain.

and effort through the adoption of existing standards.

Aside from the high reputational

The achievements highlighted in this section contributed to the following Sustainable Development Goals (SDGs):

risk that traditional public procure-

This two-step approach will have

ment agencies are exposed to, fal-

several immediate impacts. First,

sified medical products and theft

it will help to build a solid founda-

or diversions of life-saving health

tion for organizations and recipi-

commodities can have a dire effect

ent countries to drastically improve

on final users who are reliant on

the visibility of the public-health

national public-health system.

supply chain. With better visibility, this will enhance the overall in-

The existence of SSFFC medical

tegrity of the public health supply

products is an unacceptable risk

chain. Moreover, the approach

to public health. It is believed

will reduce, if not eliminate, the

that SSFFC and theft/diversions

reputational risk to the donor

will remain a critical challenge for

agency and other development

the public health supply chain.

aid network participants, as well

Therefore, how can traditional pro-

as the negative health and safety

curement agencies fight against

risks to the consumers and final

falsified medical products and

beneficiaries.

ensure donated products become immune to theft or diversions?

Future-Proofing Procurement: For more examples on creatively re-imagining the new and existing roles, stakeholders, technologies and connections of procurement systems, read at: http://bit.ly/2nf00QT

SPHS Annual Report 2016

New Efforts with Suppliers of Health Products

ture on these dimensions.

For the Global Fund, which invests

e-marketplace through which recip-

the world’s money to defeat AIDS,

ients of Global Fund grants are able

Healthcare Procurement and the

tuberculosis and malaria, life-sav-

to place their orders starting initially

Compliance with International

ing medicines, mosquito nets and

with PPM countries but becoming

Environmental Conventions on

other health products are vital to

open to all recipients of Global Fund

Chemicals: A UNDP Guide for Pro-

the efforts to end the three diseases

grants. The vision is to expand use

curement Practitioners presents a

as major public health problems.

of wambo.org further to include

practical guide on how to monitor

One key tool for maximizing the

countries transitioning from Global

compliance of healthcare procure-

Global Fund’s purchasing power

Fund financing. Through partnership

ment with applicable International

when sourcing these critical health

and innovation, the Global Fund is

Conventions for environmental

products has been the Pooled

leveraging advances in technology

safe-guarding. It offers an introduc-

Procurement Mechanism (PPM),

and economies of scale to provide

tion to the International Environ-

through which it negotiates the best

better value for money in health

mental Conventions and highlights

prices and delivery conditions with

spending.

key aspects for procurement con-

Further, a new online platform called wambo.org is an innovative

manufacturers on behalf of Principal Recipients of grants implementing

As a vehicle for knowledge transfer

programs in countries.

in procurement and as a driver of value for money, PPM and expand-

Recently, the Global Fund’s Sourcing

ed use of wambo.org will support

team has taken steps to address en-

efficient and sustainable domestic

vironmental and social responsibility

health investment.

considerations further upstream

Novel Monitoring and Evaluation Tool for Green Procurement

with suppliers with whom it signs long term Framework Agreements to deliver value for money for countries fighting the three diseases.

In 2016, UNDP drafted the Environ-

International Environmental Conventions Procurer’s Guide

siderations. The indicators proposed in this guide are intended to serve as building blocks for the Green Procurement Index Health (GPIH), which will be a tool to monitor and report progress on the implementation of green procurement practices in a transparent manner. Procurement Guide: This document presents a simple guide for procurement practitioners in how to monitor compliance of healthcare, procurement with relevant International Conventions for environmental safeguarding. Download it at: http:// bit.ly/2dDbnL0

mental Questionnaire for Healthcare In 2015, the Global Fund conducted

Suppliers and Manufacturers. The

a production site Social and Envi-

questionnaire has been used by

ronmental Audit of manufacturers

several UNDP procurement units

of bednets to address environmen-

to extract critical questions and

tal health and safety issues. Begin-

include them in tender processes

ning in late 2016, the Global Fund’s

for the environmental assessment

sourcing team began engaging with

of suppliers. UNDP has taken the

manufacturers of artemisinin, a key

usability of the questionnaire and

ingredient of recommended malaria

data it generates one step further by

treatment, to address environmental

beginning the development of its

health and safety issues in a market

Online Environmental Assessment

that has not been subject to much

tool, to serve as a reporting platform

regulation on these matters. The

for both suppliers/manufacturers

Global Fund’s efforts are supporting

and procurement practitioners.

these health product markets maMAGDY MARTÍNEZSOLIMÁN Assistant SecretaryGeneral, Assistant Administrator and Director Bureau for Policy and Programme Support, the United Nations Development Programme (UNDP)

JENS WANDEL Assistant Administrator and Director of the Bureau for Management Services, the United Nations Development Programme (UNDP).

“

Conventions tool represents 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. 17

SPHS Annual Report 2016

TRAININGS We organized sustainable public procurement trainings for procurement practitioners.

The achievements in this

ÂŠ 2016 UNDP Ukraine /Â Olena Laba

Ukraine Ministry of Health Opens the Door to Sustainable Health Procurement UNDP, in collaboration with UNEP,

in-depth review of good practice

delivered a two-day training on

in sustainable procurement at

sustainable health procurement

both national and regional levels.

practices to Ministry of Health

The Ukrainian Ministry of Health

procurement experts in Ukraine.

procurement experts improved

UNDP plays a key role in support-

their knowledge of environmental

ing public health procurement in

and social impacts of health pro-

Ukraine. In 2015, in a bid to fight

curement and also gained sound

corruption, the Ukrainian Ministry

understanding of UNDP and UNEP

of Health temporarily transferred

sustainable health procurement

the procurement of emergen-

policies and practices. The experts

cy medications to international

had hands on experience with

organizations, including UNDP.

sustainable procurement tools,

Capacity strengthening is an

methodologies and international

important contribution to reform-

standards and learned how to

ing the healthcare system and to

develop sustainable procurement

the creation of a transparent and

criteria.

independent procurement agency.

section contributed to the following Sustainable Development Goals (SDGs):

The training took place on 10-12 October 2016 in Kiev, and helped the Ukrainian government officials to understand how to develop and implement sustainable health procurement practices. The training focused on understanding potential environmental risks posed by the transportation, packaging, use and disposal of medical products. The training also included an

Interested to learn more about this training or host a training at your organization? Take a look at the report at http://bit.ly/2qi8fft, and get in touch with us at info@savinglivesustainably.org

SPHS Annual Report 2016

Interactive Sustainable Procurement Training Tailored to the UN System

ment processes through the use of

In 2016, UNOPS continued to train

By the end of the training, partici-

procurement professionals in the

pants were able to:

* These workshops were based on the Buying for a Better World: A Guide on Sustainable Procurement for the UN System, developed by UNOPS, UNEP and ITC-ILO.

presentations, real-life case studies and through working on practical, participatory activities.

UNOPS SPP Trainings: UNOPS Procurement Group delivering SP training to UNOPS Ethiopia, Addis Ababa. ÂŠ UNOPS

UN system by offering its comprehensive sustainable procurement

oo Grasp the complexity of sustaina-

workshop, developed in partnership

ble procurement concepts, giving

with UNEP and the International

due consideration to risk mitiga-

Training Center of the ILO*.

tion, organizational priorities and the local context;

The two- three-day workshops were designed to help participants

oo Design a balanced, step-by-step

develop a thorough understanding

sustainable procurement ap-

of sustainable procurement and

proach, in full compliance with

provide sound approaches for im-

UN procurement regulations.

plementing and managing sustainable procurement in the UN context.

The training is designed for procure-

This included concrete guidance

ment practitioners, policy makers,

on tools, techniques and examples

project managers, specification

of good practice. The workshops

writers, requisitioners, members

assisted participants with under-

of contract committees and other

standing good practice for embed-

procurement professionals.

ding sustainability into procurePOLICY & ACTION PLAN

What is sustaina ble procurement? Key concepts, challenges and opportunities. An action plan to integrate sustainable health procurement .

S TEP 1

S TEP 2

Training Outline: The training combines presentations, practical cases, group work and real examples that allow the participants to acquire an extensive understanding and hands-on experience of sustainable public procurement practices in the health sector. For a full overview of the training, please see the graphic below.

MONITORING & EVALUATION

GOOD PRACTICES

Sourcing more sustainable suppliers. Evalua tion with inno vative procurement tools with empha sis on sustainability. Life cycle cost assessments .

Discussion on good practices from regional and global levels. Practical exercise on development and implementa tion of sustainable health procure ment process.

STEP 3

S TEP 4

PLANNING & IMPLEMENTATION

CONTRACT MANAGEMENT

Prioritizing action in sustainable health procure ment: assessment of risks and opportunities. Planning sustai nable health procurement and rethinking needs .

Development of contract conditions, use of KPIs and close collaboration with key strategic suppliers.

S TEP 5

SPHS Annual Report 2016

Image

EVENTS We strengthened our engagement with key partners from the global health sector including policy makers, global leaders, suppliers and manufacturers and technical experts.

Fostering Sustainable Health Procurement On 11 May 2016, The SPHS gath-

that environmental hazards like

ered more than 40 health procure-

climate change have an immedi-

ment experts and practitioners at

ate impact on people’s health and

UN City in Copenhagen to explore

well-being. They also know that

the latest sustainable procurement

their work should not be compro-

initiatives, share good practice ex-

mised by in-action which, in turn,

amples, and advance the dialogue

may increase the environmental

on how sustainable procurement

footprint of their collective endeav-

practices can be harmonized and

ors.

scaled up across the global health sector. Organized by UNDP and UNFPA, and supported by LeaderLab and the SPHS Secretariat, the meeting The achievements in this section contributed to the following Sustainable Development Goals (SDGs):

was a milestone in the work of the SPHS. It kicked off a broader engagement with public procurers, who jointly explored how sustainable practices and policies in the public and private spheres can be harmonized and scaled-up across the global health sector. Participants addressed the question of how to provide critical life-saving health commodities and services to individuals while also addressing environmental problems. This is a real challenge for procurers, who know

“Fostering Sustainable Health Procurement”: This meeting report captured highlights from participant dialogues, lessons shared through discussions, private sector insights, and resources for actionable steps, and is available at: http://bit. ly/1S8PX31

SPHS Annual Report 2016

More Global Than Ever Dive into Our Engagement Statistics for January-December 2016 Communication is key to success. In 2016, with over 13 million media impressions, SPHS was more global than ever. SPHS is highly active on seven social media channels: Twitter, LinkedIn, Issuu, SlideShare, YouTube, Flickr and the SPHS Newsletter. Our hashtag #act4health marks our individual and collective efforts for the implementation of sustainable procurement practices in the health sector. good practice examples on green-

ers’ perspectives under the SPHS

was the SPHS online engagement

ing the health sector, as well as the

Voices.

platform, on which we shared the

views of the global healthcare lead-

Total # of Media Impressions

13,963,503

Our most interactive media outlet

ROBERT MATIRU Director of Operations, UNITAID

67%

23% 21% 10% 9% 8% 7% 6% 5% 4% 2% 5%

Suppliers + Manufacturers

13%

Technical Experts

10%

Governmental Organizations

Other

Academia

Network Distribution

7 75% 50%

T3 2015

“

T1 2016

T2 2016

95% of Total Network Engagement

Media Channels

Average Time Spent Per Visit:

11 MINS

2 out of 3 visitors come back to the Platform

• Newsletter • Platform • Twitter

25%

Areas of Expertise of our Network #1 Media Platform

Network Focus

100%

Sustainable Development Medical Products Resource Efﬁciency Public Health Waste Management Chemicals Energy Procurement Water Transportation Other

T3 2016

Number of

6.000

Followers

4.500

• Newsletter • Platform • Twitter

3.000 1.500

T3 2015

T1 2016

T2 2016

T3 2016

As a member of the SPHS Task Team, Unitaid is very committed to promoting the concept of sustainable healthcare. When we engage with suppliers of health products to diagnose, prevent or treat HIV/ AIDS, tuberculosis and malaria, we make it our business to ensure environmentally and socially responsible procurement.

SPHS Annual Report 2016

PUBLICATIONS We advanced knowledge and practice in sustainable health procurement and in the manufacturing of health commodities.

Strengthening Sustainability in the Health Supply Chains In the context of global devel-

In the transition to green pro-

opment assistance, mounting

curement, the SPHS Task Team is

a successful and responsible

committed to ensuring fair-play

response to current environmental

for its global base of suppliers and

and development challenges often

manufactures. It is recognized that

hinges on relationships with sup-

maintaining a level playing field

pliers and manufacturers and how

across a diverse range of compa-

these are managed, measured

nies requires a gradual approach,

and grown. Relationships that are

which takes account of different

mutually supportive and based on

circumstances and contexts.

trust and transparency can provide opportunities to eliminate inefficiencies, introduce eco-innovations and develop synergies. The SPHS engagement with suppliers and manufacturers is guided by the signed High Level EngageThe achievements in this section contributed to the following Sustainable Development Goals (SDGs):

ment Statement and the SPHS Engagement Strategy, which expresses the voluntary, informative, collective commitment to work with suppliers and manufacturers to introduce sustainable procurement in the global health sector. Our vision is for the SPHS Task Team and its suppliers and manufacturers to be able to act as drivers for change, working towards sustainability.

“The SPHS Engagement Strategy”: with Suppliers and Manufacturers on Green Procurement in the Health Sector was officially launched at the COP 22: Conference on Climate Change and Health on 14 November 2016. Read the Strategy at: http://bit.ly/2fSmXmC

SPHS Annual Report 2016

Switzerland: Signing ceremony at WHO Headquarters, Geneva. The Joint Interagency Statement being signed by the WHO, the Global Fund to Fight AIDS, Tuberculosis and Malaria, GAVI - The Vaccine Alliance, UNITAID, UNDP, UNEP, UNFPA, UNICEF and UNOPS. Read full Statement at page 31. © 2016 World Health Organization

Interagency Statement on Sustainable Procurement of Health Commodities In the context of Agenda 2030 for Sustainable Development, a successful response to current

systems and improved governance,

environmental and development

is at the heart of the Sustainable De-

challenges must include sustain-

velopment Goals and the UN’s work

able procurement practices. The

in supporting countries to achieve

Joint Statement reminds us that

these goals. We are confident that

we can no longer afford to advance

together with suppliers and man-

one strand of development at the

ufacturers of health products and

expense of others. Advancing social,

our other partners, we can work

economic, and environment goals

together towards sustainable health

together, underpinned by resilient

systems.

Helen Clark Video Speech can be watched at this link: https://youtu.be/zjtsydXwD1k

Supplier Countries and Engagement Focus

Health procurement in 2015 (in $ millions by the SPHS

Top supplier countries of health commodities

Overview of countries where the

member UN agencies)

(exceeded $20 million)

$4,027

India

999,0

United States

598,0

Belgium

567,2

Netherlands

284,8

Rep. of Korea

173,1

Germany

97,4

Switzerland

82,6

Denmark

82,0

United Kingdom

72,1

Luxembourg

43,9

China

35,7

Indonesia

33,7

Kenya

32,6

Canada

25,3

South Africa

23,8

Nigeria

22,4

UAE

21,9

UN SPHS Members have conducted health procurement (based on country of invoice from 2015)

Procurement

This map is for illustrative purposes and does not imply the expression of any opinion concerning the legal status of any country or territory or concerning the delimination of froontiers or boundries.

DR. MARIATOU TALA JALLOW

“

For more information about the SPHS UN Agencies procurement statistics, see the page 7.

The Global Fund’s mission to end AIDS, TB and malaria as epidemics is situated within a broad health context, where working conditions and the environment have a significant impact on well-being. Improving sustainability in production and procurement of health products is part of our commitment to innovation for maximum impact.

Chief Procurement Officer The Global Fund to Fight AIDS, Tuberculosis and Malaria

SPHS Annual Report 2016

Publications

Role of Immunization in Environmental Sustainability and Climate Change

Gavi provides health system strengthening funding to help countries address barriers to immunization, including those related to gender. In addition, Gavi supports two vaccines that particularly

Gavi, the Vaccine Alliance, pub-

benefit women’s and girls’ health:

lished an Environmental Sustain-

human papillomavirus (HPV) and

ability Statement on Earth Day

rubella vaccines. HPV is the main

2016. This statement recognizes the

cause of cervical cancer. Over 85% of

impact that issues such as environ-

deaths from cervical cancer occur in

mental degradation and climate

developing countries, where women

change have on global disease

often lack access to screening and

trends. For example, changes in

treatment. By 2020, approximately

temperature and rainfall can lead

40 million girls in Gavi-supported

to increased prevalence and spread of vector-borne and water-borne diseases; this can disproportionately affect children living in the countries which Gavi supports. Immunization can be a key and cost effective strategy to protect against these anticipated health effects of climate change. Gavi investments in strengthening immunization programmes can also build resilience in health systems, reducing the risk of severe disruptions due to population displacement and disease outbreaks.

A health worker with a vaccine carrier, which keeps vaccines cold to maintain safety and effectiveness. The photo was taken at a ceremonial vaccine launch as Tanzania became only the second GAVI-eligible country to introduce pneumococcal and rotavirus vaccines concurrently. The vaccines protect children against the leading causes of pneumonia and severe infant diarrhea, at the Buguruni Health Clinic in Dar-es- Salaam on Thursday. © 2012 Gavi, the Vaccine Alliance

exploring the nexus of climate

countries are expected to have been immunized with HPV vaccine. Gavi measures two indicators directly related to gender equity under the 2016-20 strategic framework: oo Gender related barriers: This indi-

change, environmental sustaina-

cator uses education status as a

bility and immunization, poten-

proxy of women’s empowerment

tially including ways to make its

and tracks the differential level of

programmes and operations more

coverage between women with

environmentally-friendly while at

no education and women with

the same time maintaining high

secondary or higher education.

standards of quality and safety.

Gavi Alliance partners implement environmental sustainability policies and safeguards that guide Gavi

oo Sex discrepancies: this indicator

Overcoming GenderRelated Barriers

tracks coverage with all three doses of pentavalent vaccine for girls and boys.

programmes. The Alliance encourages countries to have immuni-

The purpose of Gavi’s Gender Policy

zation waste management plans

is to support countries to increase

compliant with WHO standards and

immunization coverage by support-

requires manufacturers to comply

ing countries overcoming gender-re-

with internationally recognized

lated barriers to accessing immu-

standards.

nization services and to promote equity of access and utilization for

In 2016, Gavi committed to further

STEPHEN INGLES

Head, Procurement Management and Contracting Service, UNHCR

“

all boys and girls.

At UNHCR we remain committed to sustainable procurement. Through our constant focus on improving the social, environmental and economic impacts of our procurement, UNHCR aims to play an influential and decisive role in encouraging our suppliers and partners to create and develop sustainable procurement solutions. UNHCR in collaboration with the SPHS Task Team is fully committed to expanding these best practices in the medical sphere.

SPHS Annual Report 2016

Towards Green Procurement Index Health

Publications

GPIH Project Report Phase I: Read the full version at: http://bit.ly/22sh7x2

its values. This report reflects UNOPS’ firm belief that transparency and accountability lead UNOPS to

There is a wide range of environ-

better work. Consistently measuring,

mental risk caused by medical

monitoring and reporting UNOPS’

products. Following the maxim of

performance using the GRI stand-

medical ethics “primum non nocere”

ard enables UNOPS to assess their

(first do no harm), these risks need

sustainability impact and to plan

to be addressed systematically on

for better decision making, stronger

the normative, financial and oper-

operations and increased benefits

ational level. The leveraging power

for the people they serve. Going

that procurement has to influence

forward, UNOPS will evolve its re-

the adoption of sustainable prac-

porting of results to better measure

tices into the health sector is well demonstrated. However, more work is required

Prequalification Recognizes Sustainable Health Procurement

the impact of their actions. UNOPS’ measurement of success must increasingly focus on how individuals and communities have been positively affected by their projects. This

to specify and harmonize green procurement criteria and to monitor

WHO, together with UNDP, UNF-

report also serves as UNOPS’ mani-

and benchmark green procurement

PA, The Global Fund and UNITAID,

festo of continued commitment to

practices. The Green Procurement

recognize that international procur-

putting its core values into action for

Index Health (GPIH) project aimed

ers are working towards sustainable

sustainable development.

to address these challenges. In 2016,

(“green”) procurement and will con-

UNDP finalized the first phase of

sider how assessment for prequali-

the GPIH project. The project report

fication can contribute to meeting

explains the challenge of measur-

this objective. The SPHS Task Team

ing green health procurement. It

strongly supported the integration

describes what UNDP, with gener-

of sustainable health procurement

ous support from the Government

in the Prequalification Statement.

of Denmark and the UNDP Innovation Facility, has done to improve transparency of procurement in

“Our Common World” showcases UNOPS contribution to sustainable development, by profiling the organization and its people, partnership goals and work on the ground, as well as the impact of UNOPS operations on the planet. Download a copy of the Report at: http://bit.ly/2r8jrMS.

Launch of the Global Reporting Initiative Report

the health sector with regard to its environmental impact.

Our Common World’ is one of the first sustainability reports from a

Through this report, UNDP encour-

UN organization using the Global

aged UN agencies, their suppliers

Reporting Initiative (GRI) framework.

and manufacturers to produce, pro-

GRI is a global standard for sustaina-

cure and supply in a more environ-

bility reporting, and UNOPS adop-

mentally friendly manner.

tion of this framework underscores the organization’s commitment to sustainability, which is ingrained in

PATRICIA MOSER Director of the Procurement Group, UNOPS

“

At UNOPS, Sustainable Procurement continues to be at the heart of what we do. By working with our clients, partners and suppliers, we are driving sustainability considerations upstream and downstream throughout our supply chain to help people build better lives and countries achieve sustainable development. We strive for continued leadership in this area to ensure that we remain worthy of the recognition we have as one of five organizations in the world with the CIPS gold-level certificate in sustainable procurement. 25

SPHS Annual Report 2016

MEET THE SPHS VOICES We bring you thought leaders’ personal perspectives on the nexus of sustainable development, procurement and health By taking a closer look at the inspiring leaders who aim to save the planet as we save lives, we share their vision through their very own eyes and learn what has yet to be done and how we will achieve it together. 1

What is your role in the nexus between sustainable development, procurement and health?

What is your vision for the SPHS space?

What sustainable healthcare challenges do you anticipate for 2017?

Being the Voice of the SPHS, and a prominent leader in its network, which opportunities would you pursue, given the momentum created in 2016?

Towards a Low Carbon, Toxic Free Economy GARY COHEN even consequences into policy and President and Founder, Health Care without Harm

development decision making

oo Building a powerful network

Lorem Ipsum Lorem President and Founder, Health Care Without Harm

challenge we need to counter is the incorrect perception that sustaina-

and set of partnerships that can

ble procurement is more expensive.

achieve all the above.

If we work together to aggregate

A2: SPHS can validate a powerful

GARY COHEN

more important. The other

strategy to drive its procurement volumes and support companies that are innovating for the 21st cen-

sufficient demand, we can lower the price for sustainable products and technologies and scale them across many countries (e.g. Greenhealth Exchange).

A1: We see Health Care Without

tury. By leveraging its environmental

Harm’s role in this nexus of goals in

specifications to health systems and

A4: We plan to continue building

four ways:

health ministries around the world,

momentum for the 2020 Health

oo Educating the health sector and

the SPHS can educate them about

Care Climate Challenge across many

policy makers to achieve the UN’s

sustainable health procurement

countries and support their sharing

SDGs by transforming the global

and help shape global markets for

of case studies on Health Care With-

economy away from fossil fuels,

environmentally superior products

out Harm (HCWH)’s Global Green

toxic chemicals and industrial

and technologies.

and Healthy Hospitals (GGHH) net-

agriculture. oo Leveraging the purchasing power of the healthcare sector to model the transformation to a low carbon, toxic free economy oo Mobilizing the voices of health leaders around the world to advocated for policies to accelerate the transition to a renewable energy economy and other policies that incorporate the health

A3: There are powerful economic forces that are working to impede the transformation to a low carbon, toxic free economy and they have recently received high level political support that could slow down progress at the policy level. In such a political environment, making transformative progress through procurement strategies become

work. In addition, we believe there is a great opportunity to educate the supply chain through the Asia Forum 2017|18. We need the supplier community to partner with health systems, ministries and agencies to develop the next generation of products that meet the needs of 21st century healthcare, where planetary health will become a core value and aspiration.

SPHS Annual Report 2016

The Untapped Potential of Sustainable Health Procurement Sweden to the detriment of people’s

of those demands, we can contrib-

health in other countries so there is

ute to combatting anti-microbial

a clear connection between pro-

resistance.

curement, health and a sustainable

PAULINE GÖTHBERG

Lorem Ipsum Lorem National Coordinator for Sustainable Public Procurement, Swedish County Council

A1: Public procurement in Sweden is used as a political and strategic tool to ensure that products and services are manufactured in a responsible and sustainable way throughout the supply chains. Since 2010 all 21 Swedish county councils work together using our joint buying power to increase leverage and create a demand for sustainable products and services. This is beneficial for both suppliers and society. We cannot conduct healthcare in

development.

A4: During 2016, we have done our

A2: My vision for the SPHS space is

proved our processes and strategies

that good examples can be shared

for sustainable procurement. Look-

and used as inspiration. But also, to

ing at 2017 we see an untapped

drive progress by harmonizing de-

potential in increasing our leverage

mands and sharing information.

by more formalized cooperation’s

A3: One of the challenges of utmost importance is the development of anti-microbial resistance (AMR). The use and misuse of antibiotics is one driver behind the problem of drug-resistance. Another driver is the large environmental discharges of antibiotics from pharmaceutical manufacturing. By using sustainable public procurement, i.e. making the right demands and doing follow-ups

internal “health-check” and im-

with other actors procuring supplies to the healthcare sector. We have already signed a letter of intent with the healthcare sector in Norway which entails coordinating follow-ups and sharing results. However, we see great opportunities in developing more partnerships with other global actors to promote awareness of and respect for human rights.

The Power of Collaboration

ARTHY Lorem Ipsum SANTHAKUMAR Lorem Senior Policy Advisor (Global Health), British Medical Association

A1: The interlinked agenda of sustainable development, procurement and health is extremely important, and each community must under-

change through accounting for wid-

A4: The regulatory environment is

er social and environmental issues in

closing in and shaping the market,

purchasing decisions. Small changes

bringing with it the opportunity to

at local level can have a big impact,

embed a zero-tolerance principle

especially when shared and imple-

towards labour rights abuses. Euro-

mented at scale. There is a wealth of

pean directives, coupled with the

examples of individual groups pio-

UK Modern Slavery Act at national

neering system-wide changes that

level, to the UN SDGs, and guiding

have far reaching benefits. Using the

principles have created a political

SPHS as a learning platform we can

momentum towards more socially

share our pockets of excellence and

responsible business activity and

best practice with other countries

reporting. This is a clear signal that

and organizations.

this is not business as usual – and

stand the power of collaboration.

A3: One of the biggest challenges

Our role is about using the clout of

that we continue to try and address,

the health sector to foster real and

is that of transparency within global

sustainable gains, from the perspec-

supply chains. We must continue to

tive of human rights due diligence

apply the same scrutiny and encour-

in global supply chains.

age the same consumer demand

A2: There is an opportunity to use public procurement as an agent for

seen in the retail and agriculture sectors.

that healthcare organisations around the world want the goods it uses to not come at a cost to basic human rights and wellbeing.

Interested to read more from the SPHS Voices and explore the news and stories on sustainable healthcare practices around the world? Visit us at: http://savinglivesustainably.org/ news.html

SPHS Annual Report 2016

LOOKING FORWARD* 2017 Plan: More Sustainable Health Policies, Strategies and Practices * SPHS Member Agencies will participate in activities on a voluntary and informal basis and to the extent possible.

Further Growth of Our Global Technical Network Engaging and connecting leading experts in the procurement, sustainability and healthcare sectors from academia, practice, private and public sectors to share knowledge, opportunities for collaboration and to strengthen initiatives.

Sustainable Public Procurement Trainings for the Health Sector Delivering tailored training courses and providing interactive learning with real-life case studies. Empowering participants to master the complexity of sustainable health procurement

Guidance Note on Green Health Procurement Criteria

Developing a methodology for procurers to understand environmental impacts of healthcare procurement and include environmental aspects in the decision-making process.

Low Carbon Purchasing in Healthcare Co-developing and co-organizing with international partners, advocacy and awareness raising and training materials and activities on low carbon purchasing in healthcare. Providing support to governments for the development of legal frameworks for sustainable health procurement.

SPHS Annual Report 2016

Environmental Assessments of Health Suppliers and Manufacturers Evaluating the environmental performance of healthcare suppliers to develop a realistic green procurement requirement that supports our organizations to advance the sustainability agenda and the transition to green economies.

Carbon Footprint Assessments of Health Programmes Assessing the carbon emissions of healthcare programmes to reduce the environmental burden. Identifying corrective actions and sustainable practices for the main areas of impact.

Healthcare Waste Management Promoting sustainable waste management practices for healthcare waste to reduce environmental and health impacts of hazardous substances generated during waste disposal.

Sustainable Healthcare Manufacturing Organizing the 1st Saving Lives Sustainably: Asia Forum 2017, with the aim of fostering social, economic and environmental benefits in healthcare manufacturing.

SPHS Annual Report 2016

Members List Gavi, the Vaccine Alliance Andrew Mends, Director of Operations Aurelia Nguyen, Director, Policy & Market Shaping

Camilla Brückner, Director, Nordic Representation Office

Deepali Patel, Senior Program Officer, Policy Pan American Health Organization (WHO PAHO) Jordi Balleste, Unit Chief Genevieve Grabman, Policy and Compliance Specialist The Global Fund to Fight AIDS, Tuberclosis and Malaria

Lin(Roger) Li Manager, Strategy, Analytics & Data Management at the GF Sourcing Department Nathan Vasher, Data Management Specialist UNITAID Robert Matiru, Director of Operations

United Children’s Emergency Fund (UNICEF) Katinka Aanjesen Rosenbom, Chief Contracting, UNICEF Supply Division

Stephen Ingles, Head, Procurement Management and Contracting Service

Rosemary Kumwenda, HIV, Health and Development Team Leader, SPHS Coordinator

Martine Israel, Head of Unit, Procurement Omkar Sivakumar, Senior Procurement Assistant United Nations Population Fund (UNFPA)

Mirjana Milić, SPHS Associate Coordinator

Eric Dupont, Chief, Procurement Services Branch

Tilly Sellers, HHD Regional Team Leader RBA

Roberto Mena, Procurement Specialist Strategic Procurement

Gregory Soneff, Team Leader, Global Procurement Unit, Procurement Support Office

World Health Organization (WHO)

United Nations Environment (UNEP) Isabella Marras, SUN Facility Coordinator

Michaela Pfeiffer, Technical Officer, Department of Public Health, Environmental and Social Determinants of Health

Farid Yaker, Programme Officer Names of the member representatives are listed alphabetically.

Carlos Dora, Coordinator, Interventions for Healthy Environments (IHE)

Francesca Racioppi, Senior Policy and Programme Adviser, Environment and Health Policy and Governance Gerardo Sanchez Martinez, Technical Officer, CGS Climate Change, Sustainable Environment, Green Health

UN Informal Inter-Agency Route Map for Sustainable Procurement in the Health Sector Roadmap

Vision

UN becomes a global leader in sustainable procurement

Measures of Success

Normative approaches for the health sector become valid for other sectors including the agricultural sector

Getting There

Jamieson Saab, Team Manager, Sustainability Team

Dominic Grace, Director, Procurement Support Office

Desiree Montecillo Narvaez, Programme Officer, UNEP Chemicals Branch Division of Technology, Industry and Economics

Lorenzo Witherspoon, Supply Advisor

Patricia Moser, Director

United Nations High Commisioner for Refugees (UNHCR)

John Macauley, Regional Programme Specialist, HIV, Health and Development

Nick Jackson, Ethics Officer

United Nations Office for Project Services (UNOPS)

Lorea Coronado-Garcia, Sustainable Procurement Specialist, HHD IRH

Amanda Lindstorm, Technical Officer, GF - HIST

Dr. Mariatou Tala Jallow, acting Chief Procurement Officer

SPHS

United Nations Development Programme (UNDP) Alfonso Buxens, Procurement Advisor, GF - HIST

All agencies understand their individual role in sustainable procurement Our global health donors are integrated with our sustainable procurement practices

Embed/Integrate Sustainable Procurement into all levels of working

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

On The Way

Systematic Joint Framework in place

Clear on contribution to joint approach

Account and regulate for total cost of ownership

Report impacts of decisions on health and the environment

Enhanced supply chain management

Enable and support new technologies and materials

Getting Started

Identify and engage with stakeholders

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

SYSTEM WIDE

INDIVIDUAL AGENCIES

GOVERNANCE

USE OF RESOURCES

PROCUREMENT PROCESSES

MATERIALS & TECHNOLOGY

SPHS Annual Report 2016

Engaging with Suppliers and Manufacturers to Promote Environmentally and Socially Responsible Procurement of Health Commodities Statement of Intent Recognizing the importance of “leading-by-example” as UN and international health development agencies and other organizations that are engaged with procurement of health commodities in the development sector (‘the Signatories’) in enacting policies and practices that promote sustainable development;

Cognizant of existing international agreements, declarations, and commitments that reaffirm the above¹; Understanding that procurement can contribute to sustainable development, particularly where it promotes responsible consumption and production patterns, as called for in Sustainable Development Goal 12, and where it positively influences the application of environmental and social standards to products and services², including in the health sector;

Aware that in leveraging our collective positioning and purchasing power in the international health development sector, we can help advance environmentally and socially responsible procurement principles and practices, including through our engagement with suppliers and manufacturers of health commodities;

Mindful that such engagement is part of our collective commitment to ensuring environmental and social responsibility of our own procurement practices; We, the undersigned Signatories, agree to align our approach to engagement and communication with suppliers and manufacturers of health commodities in our efforts to collectively advance environmentally and socially responsible procurement; The approach we will take to this engagement will: oo Take into account compliance by manufacturers with applicable national and international legislation and regulations addressing environmental issues associated with manufacturing; oo Be supportive of wider principles of value for money and effective competition based on equal treatment, transparency and accountability; oo Balance important environmental, social, health, and economic priorities; oo Recognize the different mandates of the Signatories, and opportunities for engagement with suppliers and manufacturers available to each; oo Build upon existing good practice, including relevant ongoing interagency efforts to advance environmentally and socially responsible procurement.³ We further agree to make efforts to reflect this common commitment to advancing environmental and social responsibility as part of our engagement with suppliers and manufacturers in our respective, related institutional (or organizational) strategies and policies, as applicable. Launched in Geneva on 7th December 2016,

Dr Margaret Chan Director-General WHO

Mr Anthony Lake Executive Director UNICEF

Ms Helen Clark Administrator UNDP

Dr Mark Dybul Executive Director The Global Fund

Ms Grete Faremo Executive Director UNOPS

Dr Babatunde Osotimehin Executive Director UNFPA

Mr Erik Solheim Head UN Environment

Dr Seth Berkley Chief Executive Officer GAVI

Mr Leilo Marmora Executive Director UNITAID

¹ For example in Agenda 21, the outcome document of RIO+20 “The Future We Want”, the Millennium Development Goals Sustainable Development Goals, and in other related commitments such as the ILO Declaration on Fundamental Principles and Rights at Work, as well as in other protocols for the protection of the environment, such as the Basel, Stockholm, Montreal and Minamata Conventions and Kyoto Protocol. ² Recommendation # 28 in the United Nations Secretary-General’s High-level Panel on Global Sustainability (2012). Resilient People, Resilient Planet: A future worth choosing. New York: United Nations. ³ For example: Greening the Blue and the UNSG’s wider initiative on Moving forward to a Carbon Neutral UN; The HLCM Procurement Network Statement on Sustainable Procurement; interagency efforts underway as part of the UN Environmental Management Group (EMG); work being carried out within the Informal Interagency Task Team on Sustainable Procurement in the Health Sector (iIATT-SPHS); etc.

SPHS Annual Report 2016

Saving lives Sustainably