1. Advancing environmental sustainability in WHO/PAHO and in the health sector

2. Advancing environmental sustainability in the health sector | 2 |2 | Contents 1.Rationale for advancing environmental sustainability at WHO and PAHO 2.Brief overview of WHO and PAHO’s environmental management activities At the programme and project level Focused on facilities and operations With special attention on procurement

3. Advancing environmental sustainability in the health sector | 3 |3 | UN Consultative Process on Advancing Environmental and Social Sustainability in the UN Development of a framework for advancing sustainability in the UN Focused on three main entry points: –Policies and strategies –Programmes and projects –Facilities and operations Now initiating pilots to further test feasibility of adoption at individual agency level

4. Why do anything at all to “green” the WHO?

5. Advancing environmental sustainability in the health sector | 5 |5 | Part of WHO's mandate to do this Environmental management is important for global public health –13 million deaths each year due to environmental factors Environmental responsibility is key part of "do no harm" – one of medicine's core values Action on environmental root causes of disease is a Leadership priority in WHO's 12 th Global Programme of Work

6. Advancing environmental sustainability in the health sector | 6 |6 | Important opportunity for WHO Major opportunity to influence good practice –Benefit health systems in countries in which we operate –Influence policies and practices of health development partners and vendors Approach was developed especially for WHO –Based on international good practice and standards in environmental assessment –To be implemented via policy applicable to all Regional Offices

7. What are we doing at the programme and project level?

8. Advancing environmental sustainability in the health sector | 8 |8 | WHO's environmental safeguard system Aims to help us: –Anticipate potential environmental and human health risks associated with public health activities –Address those risk before they are generated –Monitor and measure the environmental performance of WHO projects

9. Advancing environmental sustainability in the health sector | 9 |9 | Steps in the environmental procedure 2) Planning of environmental mitigation measures Environmental screening 4) Environmental performance evaluation 3) Environmental monitoring and reporting 1) Environmental screening

10. Advancing environmental sustainability in the health sector | 10 | WHO activities aimed at "greening" the health sector Looking at: –Green house gases and other pollutants –Sustainable access to and use of resources (energy, water) –Health and safety Action across several pillars: –Water, sanitation, and waste –Hazardous materials (e.g. mercury, chemicals) –Transport –Energy

11. What are we doing at the WHO and PAHO facility and operations level?

12. Advancing environmental sustainability in the health sector | 12 | Greening WHO facilities and operations WHO conducted its first GHG inventory in 2008 and then again in 2012. PAHO is currently conducting this inventory. WHO and PAHO are currently considering policies (including targets) for reducing air travel. Renovations, which are estimated to reduce by up to 80% of WHO HQ current level of CO2 with respect to power generation and electricity consumption, are under way.

13. Advancing environmental sustainability in the health sector | 13 | UN Interagency Joint Initiative on Green Procurement in the Health Sector Overall objective: –Health sector procurement contributes to the promotion and protection of health and does not adversely impact on the environment Outputs/expected results: 1.Evidence based standards established, and activities to address research gaps are initiated, 2.UN procurement officers, suppliers, and health actors are capacitated so as to be able to operationalize green procurement practices in the health sector; 3.Key stakeholders are aware of, engaged in and supportive of the overall initiative.

14. Advancing environmental sustainability in the health sector | 14 | PAHO Policy on Sustainable (Corporate) Procurement Requires PAHO to use environmentally-responsible suppliers and to consider the environment in procurement planning, requirement definition, solicitation development, bid evaluation, and contract management: –Specs must provide for the expanded use of environmentally- preferred products –Solicitations will include information about PAHO’s environmental sustainability expectations –Evaluation criteria related to environmental sustainability will be included in the technical evaluation and/or considered in the cost analysis of all quotations, bids, and proposals. –Environmental sustainability evaluation criteria will also be used in service level agreements

15. How will WHO and PAHO really cause positive change for the environment?

16. Advancing environmental sustainability in the health sector | 16 | Revolving Fund for Vaccines Strategic Fund for Medicines Founded: 19771999 Mission: Improve access to quality vaccines and related products at the lowest possible price Improve access to and availability of strategic public health supplies Participants: 41 countries and territories24 countries Catelog: 75 products130 products Purchases (2014): US$ 603 MUS$ 69 M Capitalization: (31/12/2014) US$132 MUS$ 7 M Affect PAHO’s Pooled Procurement Mechanisms

17. Advancing environmental sustainability in the health sector | 17 | DEMAND PLANNING SUPPLIER REGISTRATION and WHO PREQUAL SOLICITATION AWARDS CONTRACT ADMIN PAHO RF/SF PROCUREMENT PROCESS

18. Advancing environmental sustainability in the health sector | 18 | GREENING PAHO RF/SF PROCUREMENT DEMAND PLANNING Implement Minamata Convention and reduce demand for mercury- containing products SUPPLIER REGIS. Require compliance with the UN Supplier Code of Conduct **Require WHO pre- qualification** WHO PREQUAL. Include sustainability requirements (like mercury- free vaccines) in WHO pre- qualification decisions SOLICITATION State environmental requirements and criteria in requests. AWARDS Use sustainability criteria to evaluate bids (e.g., limited packing material) Assign points to bidders with greater environmental compliance – even if higher financial bid CONTRACT ADMIN Assist countries with waste management and incineration Monitor suppliers’ ongoing UNSCC compliance Obtain Member States’ agreement to spend more to obtain more sustainable goods

19. Advancing environmental sustainability in the health sector | 19 | THANK YOU! Michaela Pfeiffer Technical Officer World Health Organization (WHO) Av Appia 20 CH-1211 Geneva 27 Switzerland +41 22 791 2379 pfeifferm@who.int pfeifferm@who.int Genevieve Grabman Policy Specialist Pan American Health Organization (PAHO) 525 Twenty-third Street, NW Washington, DC 20037 USA 202-974-3138 grabmang@paho.org