Greening the Health Sector- Global Health Initiatives and Climate Change


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Greening the Health Sector- Global Health Initiatives and Climate Change

  1. 1. Greening the Health Sector c Global Health Initiatives and Climate Change c Dr. Christoph Hamelmann Regional Practice Leader HIV, Health and Development UNDP Europe and Central Asia 2nd Meeting Working Group Climate Change and Health European Environment and Health Task Force Bonn, 9 Dec 2013
  2. 2. Health Sector in the ECIS Region • Accounts for 7.5 % of GDP • Technology intensive with significant consumption of resources, associated with environmental pollution and degradation • Accounts for an estimated 4.2 % of greenhouse gases (GHG) in the ECIS region • Up to 25 % of these GHG can be reduced within short-term, more through long-term measures • Reductions have also direct positive impact on life-years saved Ministerial European Environment and Health Task Force Meeting, Bled / Slovenia 2011; WHO Europe Study
  3. 3. First Carbon Footprint & MAC Analysis of Global Health Initiatives Why did we do it? • US $ 27 billion annual global health aid market • Over US $ 3 billion annual UN procurement for global health initiatives • UNDP is Principal Recipient of Global Fund in many countries • Lead by example
  4. 4. UNDP GF Grants in ECIS Region Belarus Bosnia & Herzegovina Kyrgyzstan Montenegro Tajikistan Turkmenistan Uzbekistan HIV      TB       Malaria    Total signed and committed grant volume about US $ 480,000,000
  5. 5. Energy Intensity (Energy consumption per unit GDP 2011, ENERDATA) Countries Energy Intensity World Major Country Ranking (highest 4) Uzbekistan 0.633 1 Ukraine 0.436 2 Kazakhstan 0.399 3 Russia 0.346 4
  6. 6. Key Findings (from pilot in Montenegro and Tajikistan) • The grant volume of US$ 85.9 million produced 148,613 tonnes of CO2e • Social costs of carbon at least 6% of grant investment • Over 95% scope 3 emissions, most related to procurements • Patient travel related service utilization added another estimated 18% of carbon emissions *Ref: Stern review, using US $ 30 per ton of CO2e
  7. 7. Example: Carbon Footprint Across Value Chain Tajikistan GF HIV/AIDS grant R8P2
  8. 8. Example: Carbon Footprint by Service Delivery Area Tajikistan GF HIV/AIDS grant R8P2
  9. 9. Emission Reduction Strategies • • • • Vehicle fleet management Training programme management Building energy for health facilities incl. labs Supply chain pharmaceuticals and medical devices • Waste management
  10. 10. Waste Management: The General Concept Malaria Programs Pharmaceutical Waste WASTE A WASTE B Target Waste Stream Sector Concept Planning Guide Operation Guide Impact Analysis & Evaluation Identification of Waste Stream Greening TB Programs Continuous Improvement Procurement HIV Programs General Environmental Safeguard Analysis
  11. 11. Informal UN Interagency Task Team on Green Procurement in the Health Sector (iIATT – SPHS)
  12. 12. UN iIATT-SPHS Joint Programme • Development of green procurement guidelines for products and services in the health sector • Engagement with suppliers and global health funding agencies • Promoting innovations and research for green solutions in the health sector Detailed proposal available through the iIATT-SPHS Secretariat:
  13. 13. Thank You! Twitter: @cahamelmann V-Health-Development reening-the-health-sector-pharmaceuticalsand-climate-change