The SPHS Annual Report 2015

saving lives sustainably

2015 ANNUAL REPORT United Nations informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS)

saving lives sustainably

“[…] Innovation and procurement are viable, tested and proven policy options to achieve sustainable growth in the developed world and, increasingly, in the developing world as well.”

Ban Ki-moon United Nations Secretary-General

2015 Annual Report of the informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) All rights reserved ©2016 UNDP June 2016 SPHS Secretariat, UNDP Istanbul Regional Hub Dr. Rosemary Kumwenda, SPHS Coordinator Dr. Christoph Hamelmann, Former SPHS Coordinator (until April 2016) Mirjana Milić, SPHS Associate Coordinator Ignacio Sanchez Diaz, Greening Health Systems Specialist Alessandra Blasi, Communications Specialist Contact: info@savinglivesustainably.org Website: www.savinglivesustainably.org 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.

2012 © Gavi Tanzania/Sala Lewis

CONTENT 1. Foreword

4

2. Abbreviations

6

3. The environmental impact of health procurement

7

4. About the SPHS

8

5. Focus areas of our work

9

6. Our strengths

10

7. What we have achieved in 2015

11

7.1 Advancement of knowledge and practice on sustainable health procurement

12

7.2 Application of eco-innovative approaches 20

in the health procurement 7.3 Provision of environmental capacity building for key health actors

28

7.4 Strengthening of multi-stakeholder engagement with key health actors

36

7.5 Importance of effective communications

40

7.6 Success stories of our work

46

ANNEXES SPHS Roadmap SPHS Task Team members

52 54 2015 annual report

3

1. FOREWORD Since its establishment in 2012, UNDP has hosted the UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) and encouraged its remarkable development in greening the global health sector. The SPHS Secretariat, together with its 10 member agencies and institutions, has done an extraordinary job introducing sustainable procurement among members of the UN family. The SPHS is a global flagship initiative of the UN and multilateral financing institutions and has become a driver for transformational change in the health sector worldwide.

More than 3,500 experts, institutions, and companies now constitute the SPHS global network; it includes active partnerships with the UN Member States, philanthropic organizations, academia, and the private sector. Both public and private sectors have an unquestionable stake in promoting sound sustainable healthcare procurement practices where environmental impact is taken into account.

The SPHS has engaged with UN procurement practitioners and suppliers and manufacturers at global, regional and national levels. The private sector has repeatedly made it known to the SPHS Secretariat that it is ready to pilot ecoinnovative projects. UNDP is, therefore, promoting and facilitating B2B eco-innovation between suppliers and manufacturers and technical experts to address sustainability across public health, environment and procurement.

4 2014 Š UNICEF/NYHQ2014-1467/ Bindra

The innovative programmatic work of the SPHS members has been recognized funders such as the Government of Denmark, UNDP Innovation Facility, Skoll Foundation and the UN Foundation. With the launch of the redesigned SPHS online engagement platform, which serves as a knowledge hub of best-practice examples on sustainable procurement in the health sector, the SPHS members convey their clear commitment to promoting sustainable public procurement in the health sector to as wide of an audience as possible.

Cihan SultanoÄ&#x;lu

Assistant Administrator and Director Regional Bureau for Europe and the CIS

The SPHS offers a window into the future in which saving lives and environmental sustainability are two sides of the same coin. After all, the Sustainable Development Goal of ensuring healthy lives and promoting well-being for all cannot be achieved without also protecting the health of the planet through the path towards inclusive green economies. The SPHS Annual Report 2015 is a great testimony about what can be achieved in this direction through a clear vision, global partnerships and market-shaping investments in the health sector, one of the largest economic sectors in all countries.

Jens Wandel

Assistant Administrator and Director of Bureau of Management Services | UNDP

2015 annual report

5

2. ABBREVIATIONS CO2 EPPP EU GAVI GF GPIH ICCM ILO IPC LTA NGOs POPs PSM RHSC SAICM SDGs SP SPHS SUN UN UNDP UNEP UNFPA

6

Carbon Dioxide Environmentally Persistent Pharmaceutical Pollutants European Union Global Vaccine Alliance Global Fund Green Procurement Index Health International Conference on Chemicals Management International Labour Organization Interagency Pharmaceutical Coordination Long-term Agreement Non-Governmental Organizations Persistent Organic Pollutants Procurement and Supply Management Reproductive Health Supplies Coalition Strategic Approach to International Chemicals Management Sustainable Development Goals Sustainable Procurement informal Interagency Task Team on Sustainable Procurement in the Health Sector Sustainable United Nations Facility United Nations United Nations Development Programme United Nations Environment Programme United Nations Population Funds

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

UNICEF UNITAID UNOPS WHO 3GF

Children’s Rights & Emergency Relief Organization A Global Health Initiative United Nations Office for Project Services World Health Organization Global Green Growth Forum

3. THE ENVIRONMENTAL IMPACT OF HEALTH PROCUREMENT The healthcare sector is providing an indispensable service to the general public, and therefore plays a crucial role in human development. Sustainable health procurement can play a major role in lowering the environmental burden caused by the health sector, contributing to inclusive green economies with the aim to improve human health and well-being in the context of the Sustainable Development Goals (SDGs).

Placing a focus on reducing greenhouse gas emissions, resource depletion and chemical pollution, SPHS’ mission is to improve the uptake of environmentally friendly and sustainable procurement, in a joint effort with healthcare suppliers and manufacturers, and other key stakeholders from the global health aid market, with the final aim of improving human health and wellbeing.

The range of environmental risk caused by medical products is numerous. Pharmaceutical residues in the environment are an emerging environmental and health concern as well as toxic releases of substances such as PVC, dioxin and mercury found in many medical devices. Furthermore, procurements are one of the most significant sources of greenhouse gas emissions from the health sector, which at the same time represents a strategic opportunity to introduce sustainable procurement practices in the global health sector.

By following the medical ethics “primum non nocere” (first do no harm), these risks need to be addressed systematically on the normative, financial and operational level.

The leverage power of green procurement is well proven both in the public sector with National Procurement Agencies fully committed towards sustainability; and in the private sector with healthcare companies performing supply chain risks assessments.

2012 © GAVI/Sala Lewis

2015 annual report

7

4. ABOUT THE SPHS Establishment of evidence-based standards on what constitutes sustainable procurement in the health sector, and activities to address research gaps

Use of SPHS members’ procurement as a vehicle to advance the environmental health agenda (about 5 billion of some segments of the global pharmaceutical and other health products markets)

$

Engagement with UN procurement officers, suppliers and manufacturers and other key health actors to introduce and operationalize sustainable procurement practices in the global health sector

$

Technical knowledge and practice sharing on a multi-stakeholder platform to connect and increase collaboration among the SPHS members and key public and private stakeholders from the global health sector

• • •

focus on three environmental dimensions:

greenhouse gas emissions resource depletion chemical pollution

For more information see the SPHS Roadmap on p. 53

2015 annual report | SPHS

5. FOCUS AREAS OF WORK With the overall mandate of promoting sustainable procurement in the global health aid market, the SPHS has put a particular focus on the environmental footprint of large-volume purchasing in 2015.

towards sustainable procurement Efforts on the introduction of sustainable procurement policies and practices to strengthen health systems are particularly targeting our nine focus areas of intervention, as listed below.

How does the SPHS act on these key focus areas?

ensure safe management of hazardous chemicals and promote safer alternatives

foster saving and recycling habits to improve efficiency of resources

support energy efficiency, and generation of renewable and alternative energy

promote low-carbon transportation systems and technologies, reduce carbon emissions

incorporate sustainable principles into the production/management of medical products

enhance environmentally sound practices in the treatment of healthcare waste

ensure safe and environmentally-friendly packaging and eco-innovative solutions

minimize water consumption and support greener wastewater treatment

promote sustainable procurement practices in purchasing health products and services

2015 annual report

9

The United Nations informal Interagency Task Team on Sustainable Procurement in the Health Sector (iIATT-SPHS) facilitates and coordinates the introduction 6.ofOUR STRENGTHS green and inclusive procurement policies and practices, to promote sustainability of the global health aid market.

s y

MULTI-LEVEL PERSPECTIVE

cing

CROSS-CUTTING INNOVATION

global, regional, national base of UN agencies, UN suppliers and manufacturers addressing sustainability across various fields (public health, environment, procurement)

TRANSFORMATIONAL DRIVER

SPHS as driver for change towards greener health systems and inclusive green economies

INCLUSIVE APPROACH MARKET INTELLIGENCE

nt

ONLINE ENGAGEMENT PLATFORM

rk

BUSINESS TO BUSINESS

engagement with suppliers and manufacturers based on systematic consultation, ongoing dialogue and collaboration open contribution and manifold benefits from the vast knowledge pool of the SPHS network knowledge hub of best practice examples on sustainable procurement policies and practices bringing together a global network of technical experts with suppliers and manufacturers

savinglivesustainably.org

nts or r way 10

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

7. WHAT WE HAVE ACHIEVED IN 2015 IN RELATION TO OUR PILLARS AND KEY STRENGHTS

Advancement of knowledge and practice on sustainable health procurement

Strengthening of multistakeholder engagement with key health actors

Application of ecoinnovative approaches in the health procurement

Importance of effective communications

Provision of environmental capacity building sessions

Success stories of our work

We enhanced a international dialogue on sustainable procurement in the health sector

we developed tools, methods and approaches for sustainable procurement practices

we organized trainings and webinars for procurement practictioners and suppliers and manufacturers

we enhanced collaboration with global leaders, suppliers and manufacturers, and technical experts

we promoted the SPHS through improved strategic communications and built a strong network of partners

we succeeded in our effort to promote sustainable procurement and witnessed stories of best practices

2015 annual report

11

7.1.

Advancement of knowledge and practice on sustainable health procurement

2016 Š GAVI

A STORY OF SUCCESS PUBLICATION UNDP NEW PROCUREMENT STRATEGY In 2015, UNDP published the Procurement Strategy 2015 2017, which represents a meaningful commitment to UNDP’s mission of helping countries achieve the simultaneous eradication of poverty and significant reduction of inequalities and exclusion, as articulated in its Strategic Plan.

The fulfillment of UNDP’s vision and mandate requires the efficient and effective provision of goods and services, making procurement a strategic function essential to delivering results globally.

A STORY OF SUCCESS INITIATIVE UNDP: SUSTAINABILITY ASSESSMENT OF ANTIRETROVIRALS LONG TERM SUPPLIERS During 2015, the UNDP Global Fund Programme PSM team has performed a sustainability assessment with the aim to enhance the sustainability agenda together with the long term agreement (LTA) holders, analyze their performance and establish a sustainability baseline.

The assessment was based on the answers and the documentation provided by suppliers to a detailed questionnaire, which was developed taking into consideration international standards, recognized reporting systems and similar scorecards used by other international organizations and public procuring institutions.

The establishment of a set of call-off requirements has been recommended for the second year of the LTAs. The incorporation of such requirements helps to verify which suppliers are taking needed actions towards improving sustainability practices. Furthermore, suppliers can implement these requirements in the second year of the LTA without compromising their delivery of goods.

FIND OUT MORE http://bit.ly/1QYuE6Q

A clear commitment to greener practices is shown by suppliers achieving environmental certificates and performing risks assessment of their production processes.

Nevertheless, the results of the questionnaire shows still space for improvement in areas such as monitoring carbon footprint or using renewable energy sources at the production facilities.

2015 annual report

13

INITIATIVE A STORY OF SUCCESS

INITIATIVE A STORY OF SUCCESS

UNEP: SUSTAINABLE MANAGEMENT OF CHEMICALS AND WASTE

GAVI: MINIMISING ENVIRONMENTAL IMPACT OF GLOBAL PROGRAMMES

In 2015, UNEP has engaged in several initiatives as part of its effort towards promoting benefits to health from sustainable management of chemicals and waste. UNEP Chemicals and Waste branch has in place a brochure on mercury free alternatives for medical devices that brings together the health and climate domain into serving a more sustainable delivery of medical services.

In 2015, GAVI continued addressing the environmental impact of GAVI-supported immunisation activities, as described in its Environmental Statement.

In its effort to raise awareness on the production of mercuryfree products and on a sustainable management of all stages of the product’s life-cycle, UNEP has launched a number of projects under the Mercury in Products partnership area, which focused on medical products, amongst others.

•

Based on the finding that reducing mercury in products is the most effective means to control mercury in waste, UNEP has promoted environmentally sound production of medical devices, explored good practices in the health sector and affordable alternatives to mercury, and promoted improved management of mercury-added products waste.

FIND OUT MORE http://bit.ly/1RpvDz1 | http://bit.ly/1QrjqVD

14

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

FIND OUT MORE http://bit.ly/25nx7PR

•

New Vaccine Support Applications: Gavi requires countries applying for New Vaccine Support to describe their waste management plans, including availability of waste management supplies, safe handling, storage, transportation and disposal of immunisation waste.

Additionally, countries choose their preferred product presentation from the “product menu”, including the option to obtain multi-dose vials for select vaccines, contributing to greener procurement practices.

Grant Reporting: Generally, countries report on any challenges or difficulties with waste management implementation. In addition, through the Effective Vaccine Management (EVM) initiative and the PostIntroduction Evaluation (PIE) process overseen by WHO, countries provide further information on waste management. If a substantial specific investment is made in waste management activities through Gavi’s health systems strengthening funding window, additional indicators could be developed to assess progress.

GAVI JOINS THE SPHS Gavi joined the SPHS as as the 10th member in February 2015. Gavi works with countries through WHO and UNICEF to facilitate national immunisation programmes.

Through this partnership, countries are encouraged to implement immunisation safety and waste management practices. For instance, Gavi has funded technical assistance provided by WHO to support the development and implementation of national immunisation waste management frameworks in countries.

•

•

Supply Chain Investment: Gavi has recently intensified its engagement in improving the supply chain system at the country-level, including through market-shaping for more efficient and effective cold chain equipment.

Optimised supply chains enhance safety and reduce wastage through more accurate management of temperature control, mitigation of device failure, more expedient distribution of vaccines, and better integration of the vaccine supply chain into local health supply chain systems.

Vaccines with Improved Characteristics: While not an explicit focus of Gavi’s market-shaping activities, potential positive environmental benefits could accrue from efforts to support vaccines with improved characteristics, such as thermostability.

“Gavi, the Vaccine Alliance, is committed to playing its part in environmental sustainability. We aim to mitigate adverse environmental impacts linked to the programmes that we fund. Gavi’s partnership model demonstrates that a common goal can be achieved through collaborative effort, and we commit to working with key partners and stakeholders, such as the SPHS, to uphold our social responsibility to the environment.”

Aurelia Nguyen

Director, Policy & Market Shaping | GAVI January 2016

2012 © GAVI/Doune Porter

A STORY OF SUCCESS INITIATIVE UNDP: ENVIRONMENTAL SAFEGUARDING AND HEALTHCARE WASTE MANAGEMENT OF GLOBAL FUND HIV, TB AND MALARIA PROJECTS UNDP has been conducting rapid assessments of healthcare waste components during the implementation of Global Fund grants to improve planning and management on country level.

This has served to link the evidence and recommendations with the broader HCWM national policies and practices.

Based on the experience and lessons learnt during the rapid assessments, UNDP published the “Healthcare Waste Management Toolkit for Global Fund Practitioners and Policy Makers (Part A and B)�. The toolkit explores environmental and health risks during the implementation of health programmes, with regard to the procurement and use of large volumes of goods and services that have a potential negative environmental and public health impact. Strategic concepts were also outlined for managing different waste streams expected to occur during the implementation of GF HIV, TB and malaria grants. The country specific context was taken into account.

In addition, UNDP, with the support of the Global Environmental Facility has been implementing several projects in the African region to reduce the generation of Unintentional Persistent Organic Pollutants (uPOPs) and mercury releases in the healthcare sector. The projects aimed to introduce best practices, monitoring and sustaining of the existing HCWM treatment capacity and increase the use of HCWM best available technologies.

16

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

FIND OUT MORE http://bit.ly/1k9U6Lw

Empowered lives.

Resilient nations.

Empowered lives.

Resilient nations.

Rapid Assessment:

Rapid Assessment:

Healthcare Waste Component of Global Fund HIV/AIDS and TB Projects

Healthcare Waste Component of Global Fund HIV/AIDS and TB Projects

in Bosnia and Herzegovina

in Kyrgyzstan

Supplement to the Healthcare Waste Management Toolkit for Global Fund Practitioners and Policy Makers

Supplement to the Healthcare Waste Management Toolkit for Global Fund Practitioners and Policy Makers

Empowered lives.

Resilient nations.

PART A

Healthcare Waste Management Toolkit for Global Fund Practitioners and Policy Makers

Rational for Environmental Safeguard Policies and Strategies

Empowered lives.

Resilient nations.

PART B

Healthcare Waste Management Toolkit for Global Fund Practitioners and Policy Makers

Waste Stream Concept Development

A STORY OF SUCCESS INITIATIVE UNICEF: CHILDREN AND CLIMATE CHANGE A STRATEGY ON ENVIRONMENTAL SUSTAINABILITY The evidence is indisputable: climate change and environmental degradation undermine the rights of every child, especially the most disadvantaged. UNICEF is committed to increase its contribution to environmental sustainability, given both the importance of the issue to children and the global commitment to the Sustainable Development Goals.

The UNICEF Strategic Framework on Environmental Sustainability for Children aims to significantly strengthen UNICEF’s policy, programmes, advocacy, research and engagement on environmental sustainability to deliver better results for children, especially the most disadvantaged.

UNICEFs Priorities for 2015 were: • Reducing by half the proportion of people without access to safe drinking water and basic sanitation • Identifying and removing bottlenecks that prevent equitable health outcomes • Helping governments improve technology and hygiene education • Building community and household water security • Providing emergency interventions • Committing to end child preventable deaths • Implementing integrated, multi-sectoral policies and programs

Environmental sustainability provides major opportunities to deliver better results for children. UNICEF is strengthening its engagement at both global and local level together with its partners.

FIND OUT MORE http://uni.cf/1ovobHf

FIND OUT MORE on environmental sustainability http://uni.cf/1Q8y5Z7

2015 annual report

17

A STORY OF SUCCESS PUBLICATION UNOPS: STRATEGIC PLAN, 2014-2017, SUSTAINABILITY, FOCUS & EXCELLENCE In 2015, UNOPS continued with the implementation of its strategic plan 2014-2017, which includes: I. Focused strategy in context; II. Contribute to partners through sustainable delivery practices; III. Focus on organizational excellence.

In particular, under the sustainable delivery practice section, UNOPS has identified three key areas of procurement where they will support their partners.

“

Sustainable procurement products and services 58. UNOPS will assist and guide partners, in the three primary areas of focus for the UNOPS sustainable procurement practice: construction procurement, health procurement, and procurement of common user products and services. UNOPS seeks to increase the overall sustainability of its operations, and those of its partners, by actively guiding them when they procure through UNOPS.

”

FIND OUT MORE http://bit.ly/ZTTej1

18

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

A STORY OF SUCCESS INITIATIVES GLOBAL FUND AND SUSTAINABLE PROCUREMENT The Global Fund is focused on achieving lower prices for health and medical commodities, and on securing speedier delivery to implementing partners. Under the Global Fund procurement process, staff are collaborating closely with manufacturers at an early stage. Supply chains have been improved to reduce costs, while better planning and scheduling has improved continuity of supply. By 2015, the Global Fund had achieved two-year savings worth more than US$500 million through more effective procurement.

Evaluation of Global Fund and the Environment The Global Fund commissioned a 2015 Environmental Review to evaluate current Global Fund practices and opportunities to account for, reduce, and/or mitigate environmental impacts.

Decrease in Environmental Impact Related to Shipping The Global Fund is working closely with suppliers, procurement agents, and grant principal recipients to shift health product shipments from air to sea by increasing its focus on procurement planning – not only to minimize the environmental impact of shipments but also to increase value for money.

Analysis of Core Suppliers’ Social and Environmental Profiles and Mitigating Systems In 2014 and 2015, the Global Fund began analyzing the social, ethical, and environmental profile of its core suppliers.

Analysis included research, objective questionnaires, and manufacturing sites audits that looked at social and environmental impact.

High-level Communications Related to Sustainability In 2014 and 2015, the Chief Procurement Officer formally emphasized to core suppliers the importance of sustainability in their operations and those of their own suppliers. The purpose of these high-level communications was to underscore the Global Fund’s focus and attention to sustainable practices.

Engagement with Suppliers to Improve Support for Social and Environmental Objectives Following the site audits of core suppliers, the Global Fund is currently working to provide these suppliers with information and tools to improve their social and environmental practices.

A number of areas with long term characteristics were FIND OUT MORE identified, which are expected to further improve the sustainability http://bit.ly/1U6PfZ0 engagement of LTA holders, thus enhance sustainability impact. To ensure longer term engagement, the SPHS secretariat will support the UNDP GF Programme PSM

“At the Global Fund, where over 40 percent of total investments are spent on medicines, health products and equipment, sustainable procurement is a critical component of our operation. We are committed to working with partners in governments, private sector and international organizations to achieve more effective procurement, drive innovative solutions, and continue to support in-country supply chains and pharmaceutical management. SPHS has been an extremely helpful platform to share challenges and best practices in this important area of our work.”

Christopher Game

Chief Procurement Officer | THE GLOBAL FUND January 2016 21 2013 © The Global Fund

7.2.

Application of eco-innovative approaches in the health procurement

2014 Š UNDP

A STORY OF SUCCESS PROJECT UNDP WITH HEALTHCARE WITHOUT HARM, SUSTAINABLE PROCUREMENT PRACTICES IN THE GLOBAL HEALTH AID MARKET PROJECT In 2015 UNDP and Health Care Without Harm (HCWH) has initiated the project “Sustainable Procurement Practices in the Global Health Aid Market. The main objectives are: • Developing and implementing guidance note on an initial priority list of a green procurement criteria; • Developing a list of products that remove priority toxic chemicals from production, products and waste; • Engaging 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.

In order to maximize the impact of the project beyond UNDP procurement practices, SPHS members have been involved and medical products from other UN Agencies have been included as part of the systematic analysis of hazardous chemicals and potential substitutes.

The main expected outcomes include: • 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 multi-stakeholder engagement process including UN suppliers, UN procurement departments and multilateral funding institutions.

As part of the initiative and based on its ongoing work and experience with UN suppliers and manufacturers, UNDP was developing in collaboration with the SPHS members an inclusive supplier and manufacturer online engagement platform (see more on p. 44), as well as an engagement strategy. The progress and results of this project are also connected with the development of the Green Procurement Index. The development of green procurement criteria and the implementation and monitoring will be a critical milestone for the development of the index.

Suppliers and manufacturers were also engaged to participate through an inclusive and voluntary engagement process. This process was necessary to ensure there is an acceptance of gradual introduction of green procurement criteria.

2015 annual report

21

A STORY OF SUCCESS PROJECT GREEN PROCUREMENT INDEX HEALTH Today, one of the challenges remains to provide policy makers and public procurers with innovative tools that guarantee the effective implementation of green procurement criteria and allow the measurement of the progress and positive impact made by public procurement organizations. In addition, the great variety of standards, labels and methodologies for the environmental assessment of products makes the process of developing harmonized approaches very complex. Focus and activities may differ from one organization to another and lack coordination, generating variation in the approaches and complicating the collaboration and information sharing between partners. These are the key challenges, which the work on the GPIH addresses.

The GPIH project represents the joint collaboration of UNDP and several SPHS members, to improve the transparency and accountability of procurement in the health sector with regards to their environmental impact, and encourage UN agencies and their suppliers and manufacturers to produce, procure and supply in a more environmentally friendly manner. Following the development of the GPIH Roadmap in 2014, UNDP has focused in 2015 on the following key components from the Roadmap Phase 1: • •

SEE THE GPIH REPORT (PHASE 1) http://bit.ly/22sh7x2

•

• • •

2012 © UNICEF/Olivier Asselin

Development of a Supplier and Manufacturer Engagement Strategy on Green Health Procurement Development of an Online Engagement Platform on Green Health Procurement (www.savinglivesustainably.org - p. 44) Engagement with key stakeholders from the global health aid market (particularly with suppliers and manufacturers) on green health procurement, through various national, regional and international events (p. 38) Organisation of Environmental Capacity Development Sessions on Greening Supply Chains (see p. 32) Standardization and harmonization of environmental questionnaire for suppliers and manufacturers (p. 15) Development of a pilot guide on Monitoring Health Procurement Compliance with International Environmental Conventions on Chemicals (p. 22)

FOLLOW US ON TWITTER @UN_SPHS

THE GREEN PROCUREMENT INDEX HEALTH ROADMAP

2015 annual report

23

A STORY OF SUCCESS INNOVATIVE TOOL UNDP: MONITORING HEALTHCARE PROCUREMENT COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS

•

M 1.1 The product is free or does not generate any Persistent Organic Pollutants (POPs) included in any of the Annexes (A, B or C) of the Stockholm Convention

•

As UN and multilateral global health financing agencies, all members of the SPHS have a particular responsibility to ensure that their procurements in the health sector are compliant with international conventions and principles. This can also be regarded as a critical component for the GPIH. In 2015, UNDP has developed a pilot guide for monitoring and evaluating the compliance of health procurement with International environmental Conventions on chemicals. This novel and unique tool has the following components: •

•

brief introductions to all Conventions listed above and highlights key aspects to be considered from a procurement perspective a practical checklist, indicators and guidance

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.

In the pilot, the tool has been proven to be easy to use for procurers, to serve as benchmarking of important components of green procurement practices and to trigger targeted action for further improvements.

24

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

Stockholm Convention on Persistent Organic Pollutants (POPs)

Minamata Convention on Mercury

M 2.1 The product is free of mercury

•

Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances That Deplete the Ozone Layer M 3.1 The product is free of any substances that deplete the ozone layer included in the Annexes of the Vienna Convention

•

Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their Disposal M 4.1 The supplier has proven that disposal and treatment of hazardous waste is done by an approved site or facility

•

Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade M 5.1 The product is free of any banned or severely restricted chemicals or severely hazardous pesticides formulations included in the Annex III of the Rotterdam Convention

AUTOMATED REPORT DASHBOARD % of procurements

% of procurement volume

12%

21%

7%

Yes Annex A

11%

63%

5%

Yes

9%

Annex A

Annex B

72%

Annex C

Annex C

% of procurement volume

% of procurements 13%

Annex B

21% Yes

Yes

No

No

79%

87%

% of procurement volume

% of procurements 20% Yes

Yes

45%

55%

No

No

80%

% of procurement volume

% of procurements 30%

39%

61%

Yes

Yes

No

No

70%

% of procurement volume

% of procurements 5%

9%

91%

Yes

Yes

No

No

95%

The statistics provided on this dashboard are a sample model, and do not represent UNDP’s compliance with International Conventions.

2015 annual report

25

AQUESTIONNAIRE STORY OF SUCCESS UNDP STANDARDIZATION AND HARMONIZATION OF SUPPLIER ENVIRONMENTAL QUESTIONNAIRE UNDP has researched international standards, Global Compact principles, Global Reporting indicators and existing environmental scorecards and questionnaires from other public and private organizations, to develop a standard questionnaire that is applicable to UNDP healthcare procured commodities, and on a broader level to any public procurer in the health sector.

The development and review of the questionnaire have count with the participation SPHS members, suppliers and manufacturers and other key relevant stakeholders. This

process has ensured the harmonization, acceptance and recognition of the questionnaire as a key data collection tool.

The supplier environmental questionnaire is critical milestone for the development of the Green Procurement Index Health. Through the collection of data from suppliers on their environmental practices, baseline will be defined and a set of realistic environmental criteria to be included in UN tenders and used by public procurers during the evaluation of suppliers. It will also be useful to identify best practices and areas where support and capacity building can be provided.

Environmental Profile of Supplier A Environmental sustainability best practices Packaging

Scores:

26

Waste

Water and wastewater

10 - 7

6

GHG emissions

4

3- 0

Chemicals and hazardous substances

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

Energy

A STORY OF SUCCESS PUBLICATION THE ELLEN MACARTHUR FOUNDATION: “DELIVERING THE CIRCULAR ECONOMY, A TOOLKIT FOR POLICYMAKERS” In June 2015, the Ellen MacArthur Foundation launched the results of its latest research which provides, for the first time, an actionable toolkit for policymakers who wish to embark on a circular economy transition. The SPHS Secretariat contributed to this research by providing input on sustainable procurement policies and practices.

DRAFT VERSION (June 12, 2015) • CONFIDENTIAL • PLEASE DO NOT DISTRIBUTE DELIVERING THE CIRCULAR ECONOMY

V1.1

A toolkit for policymakers

DELIVERING THE CIRCULAR ECONOMY A TOOLKIT FOR POLICYMAKERS

“2015 was a great year for sustainability in the UNDP supply chain. Several highly innovative sustainable procurement projects were launched, including in-depth monitoring of the UNDP supply chain, inclusion of mandatory sustainability weightings in procurement decisions and preparations of new methodologies for tracking environmental impact.

Mainstreaming these achievements in collaboration with the SPHS Task Team and its global network, opens many opportunities for UNDP. As a host agency to the SPHS, UNDP stays committed to further strengthening its partnerships with with suppliers and manufacturers, seeking innovative ecosolutions to efficiently support its programmes.

Dominic Grace

FIND OUT MORE

Director, Procurement Support Office | UNDP January 2016

http://bit.ly/1Nct0xV

10

2015 annual report | SPHS

2014 @ UNDP/Vladimer Valishvili

7.3.

Provision of environmental capacity building for key health actors

2015 Š UNDP/Wilfred Gachau

A STORY OF SUCCESS INITIATIVE

A STORY OF SUCCESS INITIATIVE

UNEP SUN AND UNOPS: LINKING SUSTAINABLE PROCUREMENT TO OFFICIAL UN STRUCTURES

UNEP SUN: GREENING THE BLUE WEBSITE

During 2015, UNEP SUN, in partnership with UNOPS, cochaired the Sustainable Procurement Working Group under the High Level Committee on Management’s Procurement Network. It also raised awareness and offered technical assistance on sustainable procurement to UN organizations, by facilitating implementation and capacity building activities such as workshops for facility managers, and workshops on how to incorporate sustainability considerations into requisitions.

In 2015, UNEP continued its work on the Greening the Blue UN’s contribution to internal sustainability. Launched by SecretaryGeneral Ban Ki-moon on World Environment Day (5th June 2010), the campaign is designed to engage staff at all levels across the UN in efforts to measure, reduce and offset the UN’s greenhouse gas emissions in a coordinated way. The website includes information on the greenhouse gas emissions of 55 UN agencies and efforts to reduce them, as well as over 300 news stories and case studies on greening efforts from across the UN family. Greening the Blue has a dedicated section to Sustainable Procurement, outlining and making available to UN procurers and the public the resources that have been developed by UN organizations. Through the section’s “Best Practice” feature, UN organizations can also showcase their SP success stories and share their lessons-learnt.

Building on the success of past initiatives, and leveraging its partnerships with UNOPS, UNEP and ITC/ILO, UNEP SUN also updated and harmonized the sustainable procurement training package, which has been delivered to more than 300 people since 2010.

FIND OUT MORE www.greeningtheblue.org Thousands of UN staff are involved in Greening the Blue on a daily basis, through following tips and advice via Facebook and Twitter updates, organizing events of their own or by undertaking the online tutorial available via the website.

To know more about the tutorial, visit: www.greeningtheblue.org/sustainability-tutorial

2015 annual report

29

A STORY OFBUILDING CAPACITY SUCCESS CAPACITY BUILDING WORKSHOP ON GREENING SUPPLY CHAINS WITH SUPPLIERS AND MANUFACTURERS 26 NOVEMBER 2015 UN CITY, COPENHAGEN, DENMARK WHO, UNICEF and UNFPA traditionally organize annual meetings with suppliers and manufacturers of medical products, known as the UN Global Supplier Meeting. In collaboration with UNEP, UNFPA and the SPHS Secretariat, UNDP organized two capacity building sessions on water and energy at the 2015 annual meeting which gathered over 400 companies from around the world.

Suppliers and manufacturers shared their opinion about what are the key challenges and opportunities related to greening their supply chains. Putting the focus on energy and water, they discussed with keynote speakers and organizers, which are the benefits of green production and green products, and concrete steps of implementation.

KEY BENEFITS OF GREENING SUPPLY CHAINS through the lenses of UN suppliers: • • • • • •

Reduction in the level of environmental pollution Reduction in cost of production Compliance with environmental requirements Increased productivity More competitive positioning on the market Better place to live in, with the improvement of environmental health

KEY PARTNERSHIPS to foster green procurement practices • • •

The SPHS Task Team on eco-innovative business cases Suppliers’ base and potential customers Other businesses to collectively invest in greener supply chains

B2B BUSINESS CASE for eco-innovation:

2015 © UNDP/Wilfred Gachau

30

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

Based on the initial interest and positive feedback from the UN suppliers and manufacturers and technical experts, UNDP in collaboration with the SPHS Secretariat will develop business to business (B2B) service offerings for product and process innovation, leading to greening health procurement of UN entities and businesses.

Renewable energy supply chains and energy efficiency The capacity building session on renewable energy and energy efficiency focused on the benefits resulting from switching to renewable energy supply chains. The keynote speeches and panel discussion concentrated on how to reduce the dependency on fossil fuels, by increasing renewable energy sources and improving energy efficiency in the production process.

Many cases and best practices were presented, such a as UNEP’s business case for eco-innovation. Success stories on energy efficiency were delivered by representatives of Energimidt, the Danish multi-utility energy company, and Kenergy, the Danish energy efficiency consulting and engineering company (see link to the presentations on p. 42).

A high number of participants engaged with the panel, proposing potential ideas for implementation at a country level, as well discussing barriers and opportunities of switching to renewable energy sources.

Photo credits: 2015 © UNDP/Wilfred Gachau

“SDG 12.7 explicitly calls for sustainable public procurement and UNFPA wants to take a leading role in achieving this critical goal. Reducing the environmental impact in the supply chain is not a one-man’s job. It requires partnering with other UN agencies, working collaboratively with suppliers and being part of a broader stakeholder network.

We are committed to work on all these fronts through the SPHS initiative.”

Eric Dupont

Chief of Procurement | UNFPA December 2015 © UN PHOTO/Logan Abassi 11 2015 annual report | SPHS

Wastewater treatments: focus on hazardous substances Given the importance of wastewater treatment, including the potential savings from an efficient use of water, experts on hazardous substances in the environment shared experiences about dealing with wastewater management in the health sector. Presenting practical cases, participants were shown how to measure and verify removal of hazardous substances from their production process and the available technology. Estimates of data and calculations on treatment costs were discussed, offering participants practical guidance on how to treat wastewater and additionally save resources through an efficient treatment and use of water.

“With its combined purchasing power as well as normative and standard-setting role, the UN has the leverage to promote sustainable procurement practices and influence the manufacturing practices and performance of suppliers and manufacturers of health sector products. UNEP has always been a strong supporter of sustainable procurement initiatives across the UN. In this regard, we welcome the work that the SPHS has been doing in an effort to enhance sustainable practices in the health sector and we look forward to continuing our engagement with this interagency network.�

Isabella Marras

Coordinator, Sustainable UN Facility | UNEP December 2015

Nicolai Schaaf, Programme Officer at SIWI, delivered a presentation on re-vectoring and recovering high value water at the water-energy-chemicals nexus, and explained SIWI’s approach to wastewater and pharmaceuticals in the water.

Lessons learnt in these sessions further strengthened the foundation for the development of a business to business (B2B) approach on energy and water. This approach will have direct positive implications in introducing green procurement across the UN-system. Through the SPHS facilitation of collaboration between the technical experts and suppliers and manufacturers, supply chains of medical products will be more environmentally friendly and ensure greening of the UN procurement practices as well.

A STORY OF SUCCESS INITIATIVE UNDP: B2B SERVICE OFFERINGS FOR PRODUCT AND PROCESS ECO-INNOVATION Current and future UN suppliers and manufacturers of medical products made it known to UNDP and the SPHS Secretariat that they are ready to become involved in pilot projects on eco-innovation, to prove their level of commitment towards saving lives sustainably. Such pilot projects will ultimately support the development of environmental aspects in UN tender processes to come.

FURTHER INFO ignacio.sanchez.diaz@undp.org

In 2015, UNDP has set the foundation to empower suppliers and manufacturers to practice green production processes.

The first step to be developed is business to business (B2B) support to promote and facilitate collaboration between technical experts in the SPHS network and suppliers and manufacturers. This shall include mapping of technical experts in the health sector that can provide services such as the scanning of current products and production processes for sustainability, the technical and financial appraisal of green opportunities and the implementation of eco-innovative systems. It will also take into consideration the supplier and manufacturers’ range of desired engagement and available resources for investment into projects.

Conversations with Environmental Protection Encouragement Agency, Stockholm International Water Institute, and The United Nations Global Compact have been initiated and represent promising paths towards the next steps of the realization of this B2B modality. B2B UNDP service offerings are expected to be developed in 2016.

2015 Š UNDP/Wilfred Gachau

2015 annual report

33

A STORY OF SUCCESS WORKSHOP UNFPA: 20 BY 20, SECOND WORKSHOP 19-23 OCTOBER 2015 WINDHOEK, NAMIBIA The second chapter of the 20by20 initiative (20 billion condoms in low and middle-income countries by 2020), follows the initial workshop held in Thailand in January 2015, which focused on Sub-Saharan Africa, where the deficit of condoms is most acute and the need for interventions most urgent.

In the first occasion, more than 70 condom manufacturers, public sector donors, and representatives from NGOs, governments and multilateral organizations, discussed ways to increase private sector engagement in African condom markets, identified existing challenges and barriers to market entry, and explored innovative approaches and opportunities to build more vigorous, equitable, and sustainable male and female condom markets in Africa.

The main outcomes of the Namibia meeting were two action plans - one drafted by the private sector and one by the public sector - to create an enabling environment for condom markets to grow. Action items include harmonizing regional regulatory requirements, reducing import taxes, developing a regional quality mark for condoms, commissioning market studies, and creating national and regional portals on the regulation of medical devices, including condoms.

34

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

The aim of this second workshop was to identify potential partners, gauge the potential size of the condom market in Sub-Saharan Africa, select countries that would be most appropriate for the 20by20 initiative, and set targets and timelines for future work. Most importantly, a green manufacturing and procurement session focused on the importance of including environmental sustainability when upscaling the condom market.

Over the next year, the 20by20 Steering Committee will provide support to these efforts and stay up-to-date on activities in Africa and within the newly formed trade association of condom manufacturers, which will be advocating with national governments. The selected 20by20 target countries are: Namibia, Kenya, Zambia, Zimbabwe, Botswana and South Africa. UNFPA continues to support the integration of green procurement and sustainable production aspects into this initiative.

A STORY OF SUCCESS WORKSHOP UNOPS: SUSTAINABLE PROCUREMENT TRAINING FACE TO FACE WORKSHOPS In 2015, UNOPS continued with training procurement professionals on how to embed sustainability in procurement processes through comprehensive workshops developed in partnership with the UNEP and the International Training Center of the ILO. The two-day workshops were designed to help participants develop a thorough understanding of sustainable procurement and provide sound approaches for implementing and managing sustainable procurement in the UN context. This included concrete guidance on tools, techniques and best practices. The workshops included best practices for embedding sustainability into procurement processes through presentations, real-life case studies and practical participatory activities.

By the end of the training, participants were able to: • Grasp the complexity of sustainable procurement concepts, giving due consideration to risk mitigation, organizational priorities and the local context; • Design a balanced, step-by-step sustainable procurement approach, in full compliance with UN procurement regulations.

“Procurement at UNOPS is intrinsically linked to the concept of sustainable development. Through our continued focus on improving the environmental, social and economic impacts of our purchases, we will continue to be a transformational influence for our partners and clients, and create lasting positive change for years to come.”

Patricia Moser

FURTHER INFO

Director, Procurement Group | UNOPS December 2015

sustainable.procurement@unops.org

© The Global Fund / John Rae

7.4.

Strengthening of multi-stakeholder engagement with key health actors

2014 Š 3GF

A STORY OUR PRESENCE OF SUCCESS IN 2015

SPHS MEMBERS

(INVOLVED ON AN INFORMAL BASIS)

UNDP UNEP UNFPA UNHCR UNICEF

UNOPS WHO GAVI GLOBAL FUND UNITAID

MEMBERS LOCATION BUDAPEST, HUNGARY BONN, GERMANY COPENHAGEN, DENMARK GENEVA, SWITZERLAND

ISTANBUL, TURKEY NEW YORK, USA WASHINGTON, USA

VENUES OF ENGAGEMENT ANTWERP, BELGIUM BANGKOK, THAILAND BIRMINGHAM, UK

COPENHAGEN, DENMARK DÃœSSELDORF, GERMANY GENEVA, SWITZERLAND

GOA, INDIA ISPRA, ITALY NEW YORK, USA

PARIS, FRANCE WASHINGTON, USA WINDHOEK, NAMIBIA

2015 annual report

37

27 EVENTS

12 COUNTRIES

3,469 CONTACTS

In 2015, the SPHS Task Team and Secretariat focused on the establishment and further strengthening of its global networks and liaison activities.

Stakeholders from the private and public sector, technical experts and global leaders from academic, scientific and third-sector community, were engaged through diverse communications and events.

As a result, the SPHS has increased its outreach and now brings together approximately 3,500 institutions, associations, companies and technical experts, which are interested in establish partnerships with the SPHS, and in introducing cross-cutting sustainable innovations in the global health aid market.

LIST OF THE KEY VENUES OF ENGAGEMENT 20th-23rd January 2015 “20 by 20� Workshop UNFPA Initiative in collaboration with the World Bank, RHSC, USAID & ILO Bangkok, Thailand http://bit.ly/1qrEk1k | http://bit.ly/1nXKBQL

38

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

18th-19th March, 2015 Strategy Development Workshop for Engagement of SPHS Members with Suppliers and Manufacturers on Green Procurement in the Health Sector Copenhagen, Denmark http://bit.ly/2293Wvq 15th April 2015 Presentation on Healthcare Waste Management at The Global Fund Geneva, Switzerland http://bit.ly/229502D | http://bit.ly/1O0hkec 15th April 2015 Presentation on Environmental Safeguarding of Global Health Initiatives at The Global Fund Geneva, Switzerland http://bit.ly/1qrKLSb | http://bit.ly/1O0dVMk 14th-15th September 2015 EU JRC Seminar - Global Sustainable Development in the Healthcare and Pharmaceutical Sector: Towards streamlining and harmonization Ispra, Italy http://bit.ly/1MaV7zz | http://bit.ly/1LL6g2P 28th September 2015 UNEP Webinar: Presenting the United Nations Initiative on Sustainable Procurement in the Health Sector Online http://bit.ly/1q33piw | http://bit.ly/1YERGDh watch: http://bit.ly/21cZjlG

30th September–2nd October 2015 UNDP Workshop on with ARV suppliers and manufacturers Goa, India http://bit.ly/1Tz8Y4h | http://bit.ly/1Q76xPS

9th November 2015 The SPHS Brown-Bag Lunch session New York, USA http://bit.ly/1UFNZ0R | http://bit.ly/1NFEz0P

30th September – 3rd October 2015 FIP World Congress of Pharmacy and Pharmaceutical Sciences Düsseldorf, Germany http://bit.ly/23dgc0D | http://bit.ly/1MTI6qU

23rd-26th November 2015 UN Global Supplier Meeting Copenhagen, Denmark http://bit.ly/1MaVg68 1. “Capacity Building Sessions”: http://bit.ly/1lLnzLN 2. “Energy Session” : http://bit.ly/1OfvcBj 3. “Water and Pharmaceuticals”: http://bit.ly/1M0xoe5

19th-23rd October 2015 “20 by 20” Workshop, UNFPA Initiative in collaboration with the World Bank, RHSC, USAID & ILO Windhoek, Namibia http://bit.ly/1RLmk90 | http://bit.ly/1Ti13oG 20th-21st October, 2015 3GF Pre-Meeting 2015 Public Procurement and Eco-Innovation in the Global Health Aid Market Copenhagen, Denmark http://bit.ly/1RLmMnF | http://bit.ly/1Rjc8qY 28th-30th October 2015 G7 Alliance on Resource Efficiency, International G7 Workshop on Industrial Symbiosis Birmingham, UK http://bit.ly/1oydAL0

3rd December 2015 Health Care Climate Leadership Roundtable Paris, France http://bit.ly/1N6rs5o 4th December 2015 Paris Conference on Climate Change and Health Care Paris, France http://bit.ly/1MaUUMX 10th-11th December 2015 IPC (The Interagency Pharmaceutical Coordination group) Meeting WHO HQ, Geneva, Switzerland http://bit.ly/1SNcDZV | http://bit.ly/23WITQs

2015 annual report

39

7.5.

Importance of effective communications

2015 annual report | SPHS 2005 © UNICEF/Pirozzi

11

Welcome to savinglivesustainably.org We’ve designed our web experience with you in mind.

SUBSCRIBE to our NewsFlash! Get unlimited access to stories on how we work to change the global health aid market.

Join us today at http://eepurl.com/bq8Lez

2015 annual report

41

A STORYPLATFORM ONLINE OF SUCCESS BUILDING AN ONLINE ENGAGEMENT PLATFORM ON SUSTAINABLE PROCUREMENT IN THE HEALTH SECTOR UNDP’s ability to introduce green health procurement is linked to engaging with the key stakeholders from the global health aid market. Through a multi-stakeholder approach and in line with the GPIH Roadmap, UNDP has initiated the development of an online engagement platform, engaging the SPHS members, global leaders and top experts.

SPHS - a must-know abbreviation in the global health aid market If you are eager to learn more, share your knowledge and engage on greening the global health sector - you have already heard of us. You can now easily find key facts about us, our mission,

“In line with UNHCR strategic objectives on sustainable procurement we must consider the economic, social and environmental factors in the goods and services we procure.

Our aim is to have a supply chain policy that takes account of these important factors for the medical sphere. Therefore, UNHCR, in collaboration with the SPHS Task Team, is fully committed to building a knowledge base of the best sustainable procurement practices.”

Stephen Ingles

Head of Procurement | UNHCR January 2016

objectives, and partners we bring together on who we are page.

Saving Lives Sustainably. Wondering how?

UN agencies and multilateral health financing institutions are working together to lower the environmental burden of their procurement practices. We share best knowledge and practiceexamples, implement projects, organize trainings, and much more. All of these are now waiting for you at what we do page.

Best practice examples on greening the health sector - in one place Let your interests be your guide. On our knowledge & practice page you will find key focus areas, and many examples of best knowledge and practice which are shared by us, by our suppliers and manufacturers, and by our global network of experts. Share your story today.

46 2015 © UNHCR

2015 annual report | SPHS

our website attracts more than 100,000 views annually Interested in getting engaged? See where/how Through an interactive world map, we are bringing to you ours and our partners’ key projects and events around the world.

Learning and working together have never been easier. Explore what you can do page and act to change the global health sector with us.

Networking has never been easier We provide you with a list of worldwide events, throughout the year. With an easy overview of key events related to greening the global health sector, you can now meet, network and start exciting projects, with experts from diverse fields. Find out more on our event calendar page.

Global leaders’ perspectives are just one click away Would you like to read front-runners’ views on sustainability, health and environment? We’ve created news & stories page.

Navigating between stories and interviews is easy and finding more content that appeals to you is just a click, swipe or tap away.

Contact us to learn more Get in touch with us and explore different opportunities on how we can collaborate to foster the introduction of eco-innovative products and processes in the global health sector. The future starts now and you should be a part of it.

“The value of the work we do to enable and optimise the global health response should not be compromised by inaction to reduce the environmental footprints of our collective endeavours. UNITAID therefore applauds the SPHS, which helps to maximise the value for money of UNITAID’s investments in new, faster and cheaper ways to prevent, treat and diagnose HIV/AIDS, tuberculosis and malaria.”

Robert Matiru

Director of Operations | UNITAID January 2016 2014 © UNDP

HOW WE COMMUNICATE OUR SLIDES ON SLIDESHARE

The SPHS Secretariat uploads all its presentations on Slideshare, providing the SPHS network with the relevant content on sustainable procurement in the health sector.

7,470 views annually SEE OUR PRESENTATIONS: http://bit.ly/1KeiEi0

OUR NEWSFLASH

Through the NewsFlash updates, the SPHS Secretariat raises awareness about the SPHS Task Team’s, Secretariat’s and network’s work, generating momentum for positive action.

3,500 recipients | over 6,800 views of top stories shared Freepik.com

SUBSCRIBE NOW: http://eepurl.com/bq8Lez

As a valuable member of the United Nations initiative on Sustainable Procurement in the Health Sector (SPHS) network, we are inviting you to update your preferences and share in which particular areas of our work, you would be interested to learn more and further engage. In case you would have any questions or queries, please do not hesitate to contact us. Your feedback is important to us.

Update

OUR PHOTOS ON FLICKR

The SPHS Secretariat has created an archive of photographs to showcase progress of its work and the engagement with key stakeholders in the occasion of various meetings, trainings, workshops, conferences and congresses.

Copyright © 2015 SPHS Secretariat, All rights reserved.

You are receiving this as part of the Newsletter Subscribers or as the UN initiative on Sustainable Procurement in the Health Sector (SPHS) Contact Focal Points. Unsubscribe is possible via the "unsubscribe" link.

Our mailing address is: SPHS Secretariat UNDP Istanbul Regional Hub Key Plaza, Abide-i Hürriyet Cd. stiklal Sk. No/11, i li, 34381, Istanbul, Turkey If this email has been forwarded to you and you wish to subscribe to our newsletter, click here: to subscribe. unsubscribe from this list - update subscription preferences

SUBSCRIBE SEE OUR PHOTOS: NOW: http://eepurl.com/bq8Lez www.flickr.com/photos/un_sphs

44

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

savinglivesustainably.org

2012 © UNDP South Sudan/Brian Sokol

SEE OUR POSTCARDS: http://bit.ly/23H4qf3

2011 ©UNICEF/UNI122548/Brian Sokol

As part of a new visual identity that provides recognizability, including a set of guidelines, layouts, and advocacy/visibility products, the SPHS Secretariat has developed the first of a series of postcards aimed at awareness raising.

2013 © GAVI/Romana Manpreet

OUR SERIES OF POSTCARDS

savinglivesustainably.org

savinglivesustainably.org

OUR WORK ON ISSUU The SPHS Secretariat uploads the publications related to the SPHS work on sustainable procurement on issuu.com, a publication platform supporting the flipping mode reading. over 48,000 views annually SUBSCRIBE SEE: https://issuu.com/informal_int_task_team_sphs NOW: http://eepurl.com/bq8Lez

#act4health on TWITTER

The SPHS Secretariat marks through the #act4health all developments, initiatives, projects, capacity development sessions on sustainable procurement practices.

7 million users | over 10,8 million impressions annually SUBSCRIBEON TWEETING NOW: THEhttp://eepurl.com/bq8Lez SPHS: #act4health

2015 annual report

45

7.6.

Success stories of our work

2012 Š World Bank/Boris Balabanov

A STORY OF SUCCESS UNDP: REDUCING CARBON FOOTPRINT OF THE SUPPLY CHAIN OF HIV ANTIRETROVIRAL MEDICINES Throughout 2015, a total of 41 shipments of antiretroviral medicines have been made through the long-term agreement established by the UNDP Global Fund Programme PSM team. The PSM team has supported to UNDP country offices (CO) and a close collaboration was established with the LTA holders, freight forwarders and other stakeholders.

Due to an extensive procurement planning exercise, from the total number of shipments, only five have been air freight to avoid stock out, whilst the remaining have all been sea freight.

For all shipments made under the LTA framework, only full container loads have been shipped and space optimized.

Furthermore, discussions were held with the LTA holders on how to improve and streamline packaging, and maximize container space for the second year of the LTA. To create an estimation on the amount of CO2 saved by shipping through sea freight instead of air, a comparison was made for the trade lane Mumbai-Harare, since the trade lane was used for the majority of shipments. If we estimate that per container around 80,000 ARV units are delivered, in

terms of CO2 emissions, 0.21 Kg of CO2/unit was saved through using sea freight over air freight. Furthermore, approximately US$0.26/unit was saved in freight cost for the same route by sea instead of air. In conclusion, this data emphasizes the difference that can be achieved through planning of sea freight in lowering CO2 emissions and saving on freight cost.

41 SHIPMENTS OF HIV ANTIRETROVIRAL MEDICINES

TOTAL CO2 emissions: 343,897 kg 36 shipments: sea freight

79.4% of the total CO2 emission

5 shipments: air freight 20.6% of the total CO2 emission 17,480 Kg of CO2 emission

$ 21,000 in freight cost

are saved through using SEA FREIGHT

2015 annual report

47

A STORY OF SUCCESS UNFPA GREEN PROCUREMENT

“Sustainability is an area filled with hard working people with a lot of ideas and good intentions, but it can be challenging to find the right way forward, often due to a lack of funding and competing priorities. This is why we have made it a priority to do all that we can, even if it’s little by little,” highlighted UNFPA Procurement Services Branch Deputy Chief Morten Sorensen.

UNFPA is proud of the progress made. Since the launch of the strategy, carbon dioxide emissions have been reduced by over 7,700 metric tons, 11.8 million kg per month of solid waste has been saved, and over half of our shipping boxes and materials are now made from recycled products. UNFPA suppliers have also seen significant cost savings, proving that going green is not only possible but that it is also incredibly beneficial to an organization’s bottom line.

48

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

UNFPA

Green Procurement

Reducing Environmental Impact

Est. 2013

Becoming more sustainable or “going green” is a priority at UNFPA. With its significant purchasing power and a large number of partners, the organization is committed to integrating environmental sustainability into its procurement practices. In 2013, UNFPA launched its Green Procurement Strategy. The main objective is to reduce the environmental impact of the UNFPA supply chain through more collaboration with their suppliers. Seven focus areas were identified: energy consumption, water management, waste management, recycling, materials/resources, transportation, and chemical substitution.

Since UNFPA launched its Green Procurement Strategy in 2013, one of the first objectives was to collaborate with our suppliers to reduce the environmental impact of the UNFPA supply chain.

Resource depletion has been one of the pillars of this collaboration.

Two years later, UNFPA suppliers have proven that going green is both possible and beneficial

Co2 Reduction of

7.793 metric Tons FIND OUT saved per month

11.8M

MORE

Kg of solid waste per month.

https://www.myaccessrh.org/unfpagreen-procurement

11,301,554kwh electricity saved per month

Per Month

Two years later, UNFPA suppliers have proven that going green is both possible and beneficial

Co2

A STORY OF SUCCESS

Reduction of

11.8M

7.793 metric Tons saved per month

Kg of solid waste per month.

11,301,554kwh electricity saved per month

Per Month

& 587,598 m3

995,397 m3

Water saved

Water treated

200,415 Kg FSC certified cardboard boxes used per month

Recycled/post consumer materials

55.6% in outer boxes and shipping materials.

*FSC certified or equivalent More information http://www.unfpa.org/resources/green-procurement-strategy http://www.greeningtheblue.org/what-the-un-isdoing/united-nations-population-fund-unfpa

UNFPA INTRODUCTION TO SUSTAINABILITY In 2014, UNFPA started a pilot programme called “Introduction to Sustainability”. 12 male condom manufacturers signed up voluntarily and three teams were formed. Periodical online conferences were organized with the teams throughout the year, in order to identify actions and best practices that could help to reduce the environmental impact of male condom production. Additional research related to condom pack sizes and shelf life is ongoing, and an idea catalogue for eco-friendly packaging alternatives will be published in 2016. In addition, UNFPA has conducted four capacity building sessions with manufacturers on this regard (please also see the 20 by 20 workshop, on p. 36).

A good example of a real win-win “Initially manufacturers were against eliminating plastic foil on the inner packs (so-called gross pack of condoms). We discussed it and introduced it in 2014 as a pilot. UNFPA got mixed results, but generally good reviews from testing labs and end-consumers. We discussed going back to the old packs, but manufacturers had really adapted well to the new packs and were certainly not interested in returning. This is a good example of a real win-win: manufacturers’ save lots of money and time, the environment save plastic garbage, the cardboard boxes can be recycled and less plastic to be transported around the world on container ships” said UNFPA Procurement Services Branch Deputy Chief Morten Sorensen.

2015 annual report

49

A STORY OF SUCCESS SAICM EMERGING POLICY ISSUE: ENVIRONMENTALLY PERSISTENT PHARMACEUTICAL POLLUTANTS (EPPPs) GENEVA, SWITZERLAND In October 2015, during the fourth session of the International Conference on Chemicals Management (ICCM4), stakeholders adopted environmentally persistent pharmaceutical pollutants as an emerging policy issue in the Strategic Approach to International Chemicals Management (SAICM) context, while recognizing that pharmaceuticals have major benefits for human health and animal welfare.

The contribution of the SAICM to implement and achieve the SDGs was discussed, along with the sound management of chemicals and waste beyond 2030, and proposals on EPPPs and highly hazardous pesticides (HHPs). SPHS members (UNDP, UNEP, WHO) had strong inputs in the consultation, and with the adoption of the EPPP resolution, pharmaceuticals in the environment have become an official political agenda.

The SPHS was identified as a key player in moving this agenda forward. Key SPHS assets highlighted were the leverage of its normative, operational and financial strengths to introduce sustainable procurement practices in the global health aid market, across the UN system and the SPHS global network.

50

A STORY OF SUCCESS UNOPS ACHIEVES TOP-LEVEL AWARD FOR SUSTAINABLE PROCUREMENT In 2015, UNOPS became the first United Nations organization and the fourth organization in the world to achieve the gold level certificate in the Sustainable Procurement Review by the Chartered Institute of Procurement and Supply (CIPS).

The Institute is the world’s largest procurement and supply professional organisation, and the worldwide centre of excellence on procurement and supply management issues, with a global community of over 110,000 in 150 different countries, including senior business people, high-ranking civil servants and leading academics.

The gold level certificate follows a bronze level in 2011 and a silver level that UNOPS has received in 2013, and is the latest of a number of internationally recognized certifications that UNOPS has been awarded.

The organization buys around $700 million worth of goods and services for partners every year, in support of peacebuilding, humanitarian and development projects worldwide. The gold level certificate award positions UNOPS as a world leader in sustainable procurement practices, thanks to its work to embed sustainability within their strategic and operational processes.

FIND OUT MORE

FIND OUT MORE

http://bit.ly/1NpkOre

http://bit.ly/1KIwNUS

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

ANNEXES A STORY SPHS ROADMAP OF SUCCESS Vision

UN becomes a global leader in sustainable procurement

All agencies understand their individual role 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

Measures of Success

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

Our global health donors are integrated with our sustainable procurement practices

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

Getting there

Embed/Integrate Sustainable Procurement into all levels of working

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 procurement and 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

2015 annual report

51

A STORY SPHS TASK OFTEAM SUCCESS MEMBERS GAVI: ANDREW MENDS, Director of Operations AURELIA NGUYEN, Director, Policy & Market Shaping DEEPALI PATEL, Senior Program Officer, Policy

UNHCR: STEPHEN INGLES, Head, Procurement Management and Contracting Service ROGER LLEVAT, Supply Officer OMKAR SIVAKUMAR, Senior Procurement Assistant

THE GLOBAL FUND:

UNICEF:

CHRISTOPHER GAME, Chief Procurement Officer ASHLEY JACKSON, Sourcing Ethics, Compliance, and Sustainability Consultant

FRANCISCO BLANCO, Chief, Medicines and Nutrition Centre HELENE MOLLER, Chief, Health Technology Centre, UNICEF Supply Division DAVID MUHIA, Manager, Essential Medicines Unit, Medicines and Nutrition Centre, UNICEF Supply Division

UNDP: ALFONSO BUXENS, Procurement Adviser, PSM Team CAMILLA BRÜCKNER, Director, Nordic Representation Office DOMINIC GRACE, Director, Procurement Support Office Dr. CHRISTOPH HAMELMANN, Former SPHS Coordinator STINE KIRSTEN JUNGE, Private Sector Officer, Nordic Representation Office MARC LUNDWALL, Programme Analyst Dr. ROSEMARY KUMWENDA, Senior Advisor Health and HIV Sustainable Responses, SPHS Coordinator JOHN MACAULEY, Regional Programme Specialist, HIV, Health and Development MIRJANA MILIĆ, SPHS Associate Coordinator IGNACIO SANCHEZ DIAZ, Greening Health Systems Specialist GREGORY SONEFF, Team Leader, Global Procurement Unit, Procurement Support Office VOLKER WELTER, Chief, Procurement Support Office UNEP: DESPOINA KOURIA, Sustainable Procurement Consultant JACOB KURIAN, Programme Officer, Sustainable UN (SUN) ISABELLA MARRAS, SUN Facility Coordinator DESIREE MONTECILLO NARVAEZ, Programme Officer, UNEP Chemicals Branch Division of Technology, Industry and Economics UNFPA: AMELIE MAHLER, Procurement Assistant MORTEN SØRENSEN, Deputy Chief, Procurement Services Branch

52

informal Interagency Task Team on Sustainable Procurement in the Health Sector | SPHS

UNITAID: PHILIPPE DUNETON, Deputy Executive Director ROBERT MATIRU, Director of Operations LORENZO WITHERSPOON, Supply Advisor UNOPS: PATRICIA MOSER, Director JAMIESON SAAB, Team Manager, Sustainability Team WHO: CARLOS DORA, Coordinator, Interventions for Healthy Environments (IHE) BETTINA MENNE, Programme Manager, Climate Change, Sustainable Environment, Green Health MICHAELA PFEIFFER, Technical Officer, Department of Public Health, Environmental and Social Determinants of Health 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 WHO PAHO: JORDI BALLESTE, Unit Chief GENEVIEVE GRABMAN, Policy and Compliance Specialist

Flickr: http://www.flickr.com/photos/un_sphs Slideshare: http://www.slideshare.net/UNSustainableProcurementHealthSector Issuu: https://issuu.com/informal_int_task_team_sphs Twitter: #act4health YouTube: https://www.youtube.com/channel/UCX2UQcpPViZVot-0wfBIU-Q LinkedIn: https://www.linkedin.com/groups/8530342 NewsFlash: http://eepurl.com/bq8Lez

SPHS Secretariat info@savinglivesustainably.org www.savinglivesustainably.org

2012 Š South Sudan/Brian Sokol

For further information, please contact: