SDG3 HEALTH How to use SDGs as a framework for sustainable procurement in the health sector.

Transcription

1 SDG3 HEALTH How to use SDGs as a framework for sustainable procurement in the health sector. 990 Dr. Rosemary Kumwenda Team Leader & SPHS Secretariat Coordinator rosemary.kumwenda@undp.org SDG Clinique Training. 1st Nov 2018 Venue: Kadir Has University, Research Center (Arastirma Merkezleri Binasi), Konak Meeting Hall 1

2 PRESENTATION OUTLINE TOPICS 1. UNDP Health Portfolio 2. The SPHS Who we are and why Procurement 3. Vision, Objectives and Impact 4. Aim and link to SDGs 5. Focus areas 6. Achievements (UNDP/HCWH SHIPP project, International conventions, Checklist, Indicators and Guidance, Automated Dash board, Environmental Questionnaire, Health care waste management) 7. Capacity Building. 8. Sustainability 9. Challenges/Opportunities.

3 1.RBEC HHD PROGRAMME 1. Strengthening HIV responses for key populations at higher risk of HIV 2. Addressing the social, economic and environmental determinants (SEEDS) of health and health equity 3. Strengthening national responses to ensure a multi-sectoral response to Non-Communicable Diseases (NCDs) 4. Sustainable Financing and responses for Health and HIV 5. Addressing linkage between health, Climate change and environment (Planetary Health) All in the context of sustainable development SDGs are Indivisible, Integrated, Universal

4 2.The SPHS Who we are SPHS Task Team is, through a transparent and inclusive engagement process, leveraging its normative and market power, lowering the environmental impact of its procurement, with a final aim of improving human health and well-being.

5 3.Vision, Objectives and Impact normative mandate procurement leverage financial volumes technical expertise

6 We aim to enhance the global partnership for sustainable development by promoting Health procurement practices that are sustainable.

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10 Hazardous chemicals in healthcare Disinfectants glutaraldehyde triclosan ethylene oxide OPA Sodium hypochlorite Silver Pharmaceuticals Cytotoxics Lab chemicals formaldehyde Mercury Thermometers Blood pressure meters Dental amalgam Fluorescent light tubes Plastics PVC (DEHP) Polycarbonates (BPA Flame retardants Brominated compound

11 Health Impact on Health Care Workers The Lancet, July 2007 Nurses have one of the highest rates of asthma compared to other professions

12 Extent of the Medical Waste Problem Over half of the world s population are now at risk from occupational, environmental or public health threats from improperly treated medical waste. Harhay et al. (2009) Tropical Medicine and International Health 14(11):

13 Ensure healthy lives and promote well-being for all at all ages Health is a fundamental human right and a key indicator of sustainable development. Poor health threatens the rights of children to education, limits economic opportunities for men and women and increases poverty within communities and countries around the world. In addition to being a cause of poverty, health is impacted by poverty and strongly connected to other aspects of sustainable development, including water and sanitation, gender equality, climate change and peace and stability. (13 Indicators) Sustainable procurement should ensure Occupational health and safety Access to medicines Access to quality essential health care services Air quality Water quality

14 5. Focus areas

15 Procurement Statistics PROCUREMENT STATISTICS

16 6.Achievements online knowledge hub (1)

17 6.Achievements UNDP/HCWH Joint Project (2) Sustainable Procurement Practices in the Global Health Aid Market Project partners: Funding partners: Objectives Develop and implement a guidance note on an initial priority list of a green procurement criteria Develop a list of products that remove priority toxic chemicals from production, products and waste Engage with suppliers and manufacturers of pharmaceuticals and medical devices to stimulate the development of greener products and manufacturing processes, subsequently reducing the environmental burden of the health sector Outcomes Initial priority list of green procurement criteria and the monitoring of their implementation Recommendations on specifications and how to evaluate and select healthcare products based on the established green procurement criteria Assessment of the environmental footprint from UNDP purchased health care products based on three environmental pillars: Carbon Footprint, Toxicity and Resource Depletion Effective phase-in of the green procurement criteria through a multistakeholder engagement process

18 6.Achievements (4) UNDP HCWH SIDA supported project Project INTRODUCTION Location Global and in 10 selected project countries (EECA: Moldova and Ukraine, Africa: South Africa, Tanzania and Zambia, Asia: China, India, Vietnam, Latin America: Brazil, Guatemala) Project Duration Four years, Development Objective Promote sustainability in the health sector supply chain to improve human health and reduce greenhouse gases, resource depletion, and chemical pollution Programme Objective Strengthen sustainable procurement in the UN system and in strategic countries to leverage purchasing power and drive policy and market demand for sustainable manufacturing and waste management in the health sector

19 International Environmental Conventions on Chemicals 6.Achievements (3) This novel and unique tool will allow procurement practitioners to measure and monitor the status and progress of healthcare procurement related to the compliance with International environmental Conventions The indicators proposed as part of this guide are intended to serve as a building block of the GPIH and the compliance with International environmental Conventions might be considered as one of the pillars for the development of the Index

20 Checklist, Indicators and Guidance 6.Achievements (4) INTRODUCTION

21 6.Achievements (5) Automated Report Dashboard

22 Environmental Questionnaire for Suppliers and Manufacturers 6.Achievements (6) Based on international standards, Global Compact principles, Global Reporting indicators and existing and well accepted environmental scorecards and questionnaires from other national and international organizations International consultation with feedback from more than 15 technical experts from the SPHS network list Development of environmental profiles of suppliers and of green procurement criteria that will be used for the further development of the SPIH Innovative Online Environmental Assessment Tool -Implementation Social Questionnaire added to the Environmental questionnaire Globally adaptable Sustainable Procurement Index for Health

23 6.Achievements (8) Environmental Questionnaire for Suppliers and Manufacturers

24 6.Achievements (9) Healthcare Waste Management Taking Responsibility: UNDP is currently active to develop a practical toolkit for healthcare waste management

25 6.Achievements (10) Healthcare Waste Management To assess the possible environmental impact of GF grants, rapid assessments on healthcare waste were carried out

26 6.Achievements (11) Healthcare Waste Management Country specific recommendations and monitoring on their implementation This was motivating initiative that triggered additional effort of our HIV PMU (in UNDP BiH CO) to further develop one comprehensive Project Proposal dealing with Sustainable Management of Medical Waste in BiH Bosnia and Herzegovina Country Office The recommendations were presented to the National QA Task Force and specific activities included in the QA Plan and approved by the Global Fund Zimbabwe Country Office

27 7. Capacity Building (1) Capacity Building Sustainable public health procurement trainings for UNDP Cos To capacitate policy makers and public procurers operating in the health sector to develop sustainable procurement policies and strategies, integrate sustainable practices into healthcare procurement processes and monitor the implementation of sustainable public healthcare procurement at a national level, aligned with the national targets for the achievement of Sustainable Development Goals.

28 7. Capacity Building (2) Capacity Building 1 st Saving Lives Sustainably: Asia Forum Sustainable Manufacturing in the Health Sector June 2018 Manila Phillipines UNDP, and UNFPA, UNICEF, ADB HCWH with the support of the SPHS Secretariat, organized the first Saving Lives Sustainably - Asia Forum 2018, bringing together technical experts, suppliers and manufacturers from across the global healthcare industry. To exchange the knowledge and practice on the latest sustainable production techniques, share concrete examples of the benefits and savings brought by sustainable manufacturing, and developed a Catalogue of good practices in sustainable healthcare manufacturing on how manufacturers can implement changes that can simultaneously generate positive social, environmental and financial benefits. Next year, the forum will be held in Africa - Tanzania

29 8. Sustainability SUSTAINABILITY Sustainability, shared responsibility and ownership encouraged by: Inclusive Country processes and engagements, participatory and encouraging leadership. Building on existing work at national level to strengthen sustainability in the health sector. Promoting linking, sharing and learning across countries increase long-term knowledge and capacity Securing financial sustainability: institutionalize on-going action on sustainability in the health sector and to leverage additional funds from national governments and development partners.

30 More Global than ever More global than ever

31 9. Challenges and Opportunities Challenges Informal IATT therefore not binding Opportunities Offers agency specific innovation and creativity. HQ and IRH management very supportive. Inadequate programming funding. Resource mobilized from SIDA and strong Partnerships HCWH and SIWI, UNGC MoU. Awareness is increasing demand from Countries.

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