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Text Content

 * Home
 * About Us
   * Strategy
   * Capacity development role
   * Partners
   * UNDP-Global Fund partnership
     * Capacity development with the global fund
     * Snapshot of country engagements
 * Capacity Development Process
   * Overview
   * Capacity development of key partners
     * Implementing partners
     * National AIDS coordinating bodies
     * Civil society groups
   * The capacity development plan
     * Overview
     * Scoping and design
     * Conducting the capacity assessment
     * Drafting the plan
     * Review and launch plan
     * Implementation monitoring
     * Evaluation
   * Transitioning programmes to government
     * Overview
     * Transition planning process
     * Social contracting
     * Sustainable finance
 * Health system components
   * Overview
   * Health information systems
     * Overview
     * Data collection and use
     * Case studies
   * Procurement and supply chain management
     * Overview
     * Selection
     * Quantification
     * Procurement
     * Storage
     * Distribution
       * LMIS
     * Use of health products
     * Quality assurance
     * Regulatory environment
     * Case study
   * Financial management
     * Overview
     * Planning
     * Budgeting
     * Revenue generation
     * Expenditure
     * Monitoring
     * Reporting
     * Audit
     * Case studies
   * Human resources
   * Community systems strengthening
     * Overview
     * Key interventions
   * Anti-corruption for health
     * Overview
     * Corruption risk methodology
   * Environmental sustainability
     * Overview
     * Sustainable procurement
     * Health care waste management
     * Solar for Health
   * Innovation
   * Digital and Data solutions for Health
     * Overview
     * Digitalizing supply chains
     * Real-time data solutions
     * Smart Facilities for Health
   * Multisectoral action
 * Human Rights & Legal Environment
   * Removing human rights barriers
   * Enabling laws and policy
 * Key Populations & Gender
   * Key populations
   * Gender







SUSTAINABLE

 1. Home
 2. /
 3. Sustainable



UNDP’S APPROACH TO SUSTAINABLE PROCUREMENT FOR HEALTH PRODUCTS

In close collaboration with governments, United Nations agencies, international
organizations, manufacturers, freight forwarders and partners, UNDP is adopting
incremental measures and models in its health procurement practices to minimize
environmental impact and to incorporate economic and social sustainability. Key
partnerships and priority programme areas are outlined below.

Selection
Quanti
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Procure
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Storage
Distribu
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Sustainability

UNDP SUSTAINABLE PROCUREMENT IN THE HEALTH SECTOR PROGRAMME

> UNDP hosts the secretariat and participates in the United Nations Informal
> Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS).
> The taskforce brings together seven United Nations agencies (UNDP, United
> Nations Environment Programme – UNEP, United Nations Children’s Fund – UNICEF,
> United Nations Population Fund – UNFPA, United Nations High Commissioner for
> Refugees – UNHCR, United Nations Office for Project Services – UNOPS, World
> Health Organization – WHO) and three multilateral health financing
> institutions (Gavi, the Vaccine Alliance – Gavi, Global Fund to Fight AIDS,
> Tuberculosis and Malaria – Global Fund, Unitaid). The annual cumulative
> purchasing power of the taskforce for health products is around $5 billion,
> which gives opportunities to influence and pilot business models for improving
> environmental, social and economic sustainability. With increased health
> spending during the pandemic, this figure has risen two-fold in the last 2
> years.



UNDP’s Sustainable Health Procurement programme strives to promote sustainable
production and consumption practices by ensuring products and services purchased
have the lowest environmental impact and contribute towards positive social
results. The UNDP approach to sustainable health procurement also leads towards
considerable cost benefits and resource efficiencies in health procurement.

UNDP is committed to sustainable procurement as a gradual approach through
working in partnership with manufacturers and other partners and by
strategically leveraging the health procurement architecture as a market
mechanism for change. This will foster a market transition towards more
sustainable production, procurement and consumption practices for health
products. Among many others, UNDP has organized five Global manufacturers fora
in five different regions (Philippines 2018, Tanzania 2019, Saud Arabia 2020,
Colombia 2021 and United Kingdom 2022). The Global manufacturers forum has
become a popular event for policy makers, manufacturers, academia, CSOs and
suppliers of health commodities and equipment to gather and share expectations,
lessons and feedback.

In 2020, UNDP launched the  Sustainable Health Procurement Guidance Note, as
part of the Sustainable Health in Procurement Project, and has been developing
different approaches to include sustainability in its health procurement
practices. The main strategy comprise: optimizing medicines packaging; reducing
CO2 emissions by optimizing health product procurement transport scenarios; and
influencing suppliers in long-term agreements with UNDP to introduce
sustainability in their business models through the monitoring and review of
sustainability criteria. These sustainability approaches to procurement are
carried out closely with national counterparts; the work at the country level
serves as a basis for countries to start embedding sustainable practices in
their own procurement activities.

Additionally, UNDP worked with Healthcare Without Harm to develop and launch the
chemicals of concern to health and environment guidance document. This document
includes a list of chemicals of concern to human health and the environment. The
list is based on systematic evidence reviews from authoritative sources, which
identify chemical and material hazards of concern that are carcinogenic,
mutagenic, endocrine disrupting and reproductive hazards (health hazards) and
bio- accumulative and persistent to the environment and/or listed in
International Environ­mental instruments (Conventions)

PHARMACEUTICAL PACKAGING OPTIMIZATION

> Rethinking the necessities of packaging helps to reduce waste, optimize
> shipments and save costs which can be reinvested in health activities and in
> strengthening national supply chains.

UNDP is engaged in packaging optimization of health products and further
investigating areas for innovation of product  waste management. The packaging
reduction project is conducted in partnership with manufacturers and freight
forwarders to identify areas of opportunity, redesign packaging specifications
and to calculate metrics to measure the impacts through capacity enhancement,
reduced emissions and cost savings achieved.

UNDP has worked extensively with antiretroviral manufacturers and national
regulatory authorities on packaging optimization to reduce product waste and
increase cost-effectiveness. In 2016-2017, it piloted a Reduced Packaging
Initiative piloted in Zimbabwe, South Sudan, and Equatorial Guinea. The new
packaging resulted in a 55 per cent increase in shipping capacity per container
and an additional reduction of 57 per cent of CO2 per unit for the Zimbabwe
trade lane. Up to US$1.20 million in savings have been generated for 2.5 million
packs delivered under the UNDP Reduced Packaging Initiative. Work is ongoing to
extend this approach to other countries and to a wider range of antiretrovirals
procured through UNDP. This entails substantive work with national regulatory
authorities to ensure compliance with labelling requirements.

With increased experience and lessons learned on medicines packaging
optimization, UNDP’s approach can be adapted and replicated by national
procurement systems and by other players involved in health procurement.

CO2 EMISSIONS REPORTING AND REDUCTION

> Monitoring, measuring, reporting health product transport’s CO2 footprints and
> rethinking procurement planning and transport help reduce environmental impact
> and gain cost efficiencies.

UNDP is committed to reducing its CO2  footprint, including the CO2 footprint of
health procurement to reduce the impact of climate change. Since 2015, UNDP has
been collecting CO2 data as part of long-term agreements with specified
antiretrovirals first line suppliers to measure, monitor and reduce CO2 impacts
in partnership with freight forwarders. All collected data is captured as
business intelligence analytics and visualized through a dashboard that is
monitored on a quarterly basis. The UNDP procurement planning capacity
engagement and data provided by UNDP country offices is also used to switch to
more efficient freight options that provide reduced emissions per shipment,
resulting in significant CO2 reductions and freight cost savings.



ENVIRONMENTAL AND SOCIAL SUSTAINABILITY SCORECARD INITIATIVE AND CALL-OFF
CRITERIA FOR TENDERING

> Leveraging its global health procurement architecture, UNDP’s environmental
> and social sustainability initiative incrementally builds a dialogue and a
> demand for sustainable pharmaceutical production and procurement.

UNDP is committed to working in partnership with manufacturers to meet demand
for better social and environmental due diligence in pharmaceutical
manufacturing and procurement. The UNDP environmental and social sustainability
scorecard initiative leverages the UNDP health procurement architecture within
its signed long-term agreements and contract management process. By
strategically selecting health products of high volumes, this approach
encourages manufacturers to follow sustainability manufacturing criteria under
the UNDP Sustainable Health Procurement Programme, as part of the ongoing
procurement contracts.

UNDP has designed an environmental and social sustainability scorecard 
initiative, which, as specified within the suppliers’ contract, requires
manufacturers to provide comprehensive information, data and supporting
documentation about manufacturing facilities.

The information is compiled in a UNDP sustainability scorecard and is regularly
reviewed to identify opportunities to include environmental sustainability
within pharmaceutical manufacturing facilities and processes. Through the
collection of relevant data on suppliers’ environmental practices, it is
possible to establish and monitor the baseline of adopted environmental
criteria. A continuous two-way dialogue is opened with manufacturers to discuss
challenges and potential for improvements in pharmaceuticals manufacturing,
therefore setting incremental industry best practices.

SUSTAINABLE HEALTH IN PROCUREMENT PROJECT (SHIPP)



UNDP together with Health Care Without Harm (HCWH) implemented the Sustainable
Health in Procurement Project (SHiPP). The first phase of the project addressed
the intersection between health, human rights and the environment in 10
countries (Argentina, Brazil, China, India, Moldova, South Africa, Tanzania,
Ukraine, Vietnam and Zambia). SHiPP was designed to promote procurement
practices that consider environmental and social impacts, as well as
cost-efficiency and affordability when defining how processes can be
sustainable, and to mainstream gender and human rights including
anti-corruption, transparency and accountability.

Through the SHiPP, countries have adopted new standards and guidelines to
promote sustainability in the health sector. For instance, Brazil has developed
a plan to ban mercury medical devices; India has established guidelines and
criteria for Bio-Medical Waste and Infection Control Management; and South
Africa approved an acquisition plan for biogases and air quality monitoring.

IMPACT STORIES THAT INSPIRE

SHiPP amplifies the voices of incredible and extraordinary women and men
passionate about introducing health sector practices that improve their working
conditions, the lives of their communities and help protect the environment.

Nearly 60 million health workers worldwide deliver care and services to patients
either directly as doctors and nurses or indirectly as aides, helpers,
laboratory technicians and medical waste handlers. These individuals are our
most valuable resource for health, and many of them are now leading the way to a
more sustainable future by taking care of people in their communities and the
environment.

In this unique collection of stories, you will hear directly from inspiring
individuals who work in the eld and push the limits of their societies and
systems to move health care to a more sustainable development trajectory.

You will read a story about two Zambian women who challenged societal
stereotypes and prejudices by training to become autoclave operators. These
women contribute to safer waste management practices in a job traditionally
perceived as a male domain.

You will hear from a nurse in Brazil whose charisma and leadership were
catalytic to the adoption of new, environmentally friendly cleaning products.
Initially reluctant to make those changes, the Minas Gerais state has found that
the introduction of more sustainable products has dramatically improved their
citizens’ health.

You also will read about an Indonesian team that cultivated a small-scale
organic farm during the COVID-19 together with the support of rehabilitating
mental health patients and the local community.

Impact Stories that Inspire features voices from all over the world. Stories
show that no matter our role in society, we all have a vital part in creating a
better, safer, and more resilient world.

KEY RESOURCES

Environmental Questionnaire for UNDP Suppliers and Manufacturers of Healthcare
Products
United Nations Development Programme, Health Care Without Harm, Green
Procurement Index Health
As part of the engagement on sustainable health procurement, UNDP has developed
a questionnaire on environmental practices of suppliers. The questionnaires help
to collect data to be used to define baselines of suppliers’ environmental
practices, but also to define realistic criteria for environmental practices
that can be included in tenders to promote the selection of suppliers with
sustainable environmental practices. The questionnaire is meant to inform and
support capacity-building to transition to an environmentally respectful
manufacturing.
Website

Healthcare Procurement and the Compliance with International Environmental
Conventions on Chemicals: A UNDP Guide for Procurement Practitioners

United Nations Development Programme, Green Procurement Index Health 
UNDP has developed a guide for procurement practitioners to monitor and evaluate
compliance with international conventions for environmental safeguarding.
Website

Innovation and Evolution: Responsible Procurement at the Global Fund
The Global Fund
PDF

For additional information on SPHS and UNDP work on sustainable procurement, the
following reading is proposed:

Sustainable Health in Procurement Project (SHiPP)
Website

SHiPP Annual Report 2021
Health Care Without Harm, UNDP
PDF

Sustainable Procurement in the Health Sector (SPHS) Annual Report 2021
Website

Report: Third Saving Lives Sustainably: Sustainable Production in the Health
Sector
Global Forum, , Health Care Without Harm, United Nations Development Programme
PDF

Global Road Map for Health Care Decarbonization
Health Care Without Harm
This is the second in a series of research and policy papers that Health Care
Without Harm and Arup have produced together to identify a set of actions the
health sector can take to align itself with the ambition of the Paris Agreement
while simultaneously achieving global health goals.
PDF





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 * UNDP
 * The Global Fund


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