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. 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. 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. UNDP GF Grants in ECIS Region
Belarus
Bosnia & Herzegovina
Kyrgyzstan
Montenegro
Tajikistan
Turkmenistan
Uzbekistan
HIV





TB






Malaria


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Total signed and committed grant volume about US $ 480,000,000

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. 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. Example: Carbon Footprint Across Value Chain
Tajikistan GF HIV/AIDS grant R8P2

8. Example:
Carbon Footprint by Service Delivery Area
Tajikistan GF HIV/AIDS grant R8P2

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

11. 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

12. Informal UN Interagency Task Team on
Green Procurement in the Health Sector
(iIATT – SPHS)

13. 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: volker.welter@undp.org

14. Thank You!
christoph.hamelmann@undp.org
Twitter: @cahamelmann
http://www.scribd.com/collections/4298632/HI
V-Health-Development
http://www.slideshare.net/undpeuropeandcis/g
reening-the-health-sector-pharmaceuticalsand-climate-change