environmental safeguarding and healthcare waste management in the context of undp work

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1 Ignacio Sanchez Diaz Greening Health Systems Specialist UNDP Istanbul Regional HHD Team UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (iIATT-SPHS) Obsolete Pharmaceuticals: Impact on the Environment Minsk, April 27, 2016 Explore. Learn. Engage. 'Saving Lives Sustainably' #act4env Environmental Safeguarding and Healthcare Waste Management in the Context of UNDP Work

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Page 1: Environmental safeguarding and healthcare waste management in the context of undp work

1

Ignacio Sanchez DiazGreening Health Systems SpecialistUNDP Istanbul Regional HHD Team UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (iIATT-SPHS)Obsolete Pharmaceuticals: Impact on the EnvironmentMinsk, April 27, 2016

Explore. Learn. Engage.

'Saving Lives Sustainably'

#act4env

Environmental Safeguarding and Healthcare Waste Management in the Context of UNDP Work

Page 2: Environmental safeguarding and healthcare waste management in the context of undp work

Pharmaceuticals in the Environment

White-rumped Vulture, © J C Eames

Veterinary use of the drug diclofenac

Hyderabad, India 2013

Pauline Göthberg. “Swedish healthcare causing environmental problems in other countries”. April 2016. PowerPoint Presentation

Page 3: Environmental safeguarding and healthcare waste management in the context of undp work

Pathways of Environmental Footprint Related to Healthcare Waste in Global Health Initiatives

Page 4: Environmental safeguarding and healthcare waste management in the context of undp work

Healthcare Waste Management Toolkit

Taking Responsibility:

UNDP is developing a practical toolkit for healthcare waste management

Page 5: Environmental safeguarding and healthcare waste management in the context of undp work

Assessing the Impact of Global Fund Grants

To assess the possible environmental impact of GF grants, rapid assessments on healthcare waste were carried out

Page 6: Environmental safeguarding and healthcare waste management in the context of undp work

Recommendations generally applicable to all GF-financed health programmes:

a) Provision of HBV vaccination to social workers and outreach staff and access to post exposure prophylaxis

b) Strengthen the disposal systems for waste from IDU

c) Include sharps containers and safety boxes in the supply plan for syringe exchange actions

d) Include a budget for the safe disposal of unusable pharmaceuticals

e) Review of the system for the selection of syringe sizes for PWID

f) Organize a workshop on the management of waste generated during GF grant activities

Assessing the Impact of Global Fund Grants: Belarus

Page 7: Environmental safeguarding and healthcare waste management in the context of undp work

Context specific recommendations for the GF programme in Belarus:

a) Review of the existing regulations on healthcare waste management

b) Review of the existing regulations on pharmaceutical waste management

c) Support the development of a national healthcare waste management strategy and development plan

d) Strengthening the usage of existing, advanced treatment options

e) Review and simplify the current standards for sharps waste management

f) Include a sufficient supply of sharps containers for TB activities

Assessing the Impact of Global Fund Grants: Belarus

Page 8: Environmental safeguarding and healthcare waste management in the context of undp work

INTRODUCTION

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.

INTRO with UNDP LOGO7 UN agencies and 3 multilateral health financing institutions

SPHS Task Team

Page 9: Environmental safeguarding and healthcare waste management in the context of undp work

Engagement with the key stakeholders from the global health aid marketCTION

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.

3,500 institutions/experts in our global network and 92 countries

SPHS Task Team

Page 10: Environmental safeguarding and healthcare waste management in the context of undp work

INTRODUCTION

Key objectives

Page 11: Environmental safeguarding and healthcare waste management in the context of undp work

INTRODUCTIONINTRO with UNDP LOGO

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

Sustainable Development Goals

Page 12: Environmental safeguarding and healthcare waste management in the context of undp work

INTRODUCTIONINTRO with UNDP LOGO

CHEMICALS ENERGY MEDICAL PRODUCTS PACKAGING PROCUREMENT

RESOURCE EFFICIENCY

TRANSPORTATION

WASTE MANAGEMENT

WATER

SPHS Environmental Sustainability Focus Areas

Page 13: Environmental safeguarding and healthcare waste management in the context of undp work

Funding partners:

Green Procurement Index Health (GPIH)

Page 14: Environmental safeguarding and healthcare waste management in the context of undp work

International Environmental Conventions on Chemicals

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

Page 15: Environmental safeguarding and healthcare waste management in the context of undp work

INTRODUCTION

Checklist, Indicators and Guidance

Page 16: Environmental safeguarding and healthcare waste management in the context of undp work

Automated Report Dashboard

Page 17: Environmental safeguarding and healthcare waste management in the context of undp work

Environmental Questionnaire for Suppliers and Manufacturers

• 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 GPIH

Page 18: Environmental safeguarding and healthcare waste management in the context of undp work

Environmental Questionnaire for Suppliers and Manufacturers

Page 19: Environmental safeguarding and healthcare waste management in the context of undp work

• Guidance and targets to substitute hazardous products purchased by the UN for its health programs

• List of key products based on procurement volume and environmental impact: Antiretrovirals, Rapid Diagnostic Test Kits, Medical devices (syringes, thermometers, gloves, blood pressure measuring device and catheters), TB drugs, male condoms, hormonal implants and healthcare waste technologies

Project partners:

Funding partners:

Sustainable Procurement Practices in the Global Health Aid Market

Page 20: Environmental safeguarding and healthcare waste management in the context of undp work

INTRODUCTIONObjectives

• Developing and implementing a 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

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 multi-stakeholder engagement process

Sustainable Procurement Practices in the Global Health Aid Market

Page 22: Environmental safeguarding and healthcare waste management in the context of undp work

THANK YOU FOR YOUR ATTENTION.

IGNACIO SANCHEZ DIAZGreening Health Systems SpecialistUNDP Istanbul Regional HHD TeamUN informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS)[email protected] Twitter: @SanchezDIgnacio

MIRJANA MILICSPHS Associate CoordinatorUN informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS)[email protected] Twitter: @milic_mirjana

JOIN THE CONVERSATION AND FOLLOW US

ON:

#act4env