Date post: | 11-Jan-2017 |
Category: |
Health & Medicine |
Upload: | sustainable-procurement-in-the-health-sector-sphs |
View: | 137 times |
Download: | 3 times |
Towards Environmentally
Sustainable Health Systems in
the European Region
Gerardo Sanchez
WHO Regional Office for Europe
CleanMed Europe, Copenhagen, October 2016
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
From the perspective of WHO EURO:
1. Why do we care about it?
2. What is our mandate?
3. What have we done so far?
4. Where are we going from here?
Key questions on the environmental sustainability of health systems (ESHS)
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
• Health systems are major consumers of energy and resources, producers of emissions and waste streams
• Environmental sustainability actions can provide multiple opportunities and benefits:
for patients,
providers and the health workforce,
health systems’ core functions,
decreasing environmental health risks, EBD
Why care about ESHS?
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Globally:
• SDGs
• World Health Assembly resolutions
European Region (53 MS):
• Health2020, Tallinn Charter
• Parma declaration
• EU regulations (part of EURO)
Our mandate (why are we working on this? )
Chemicals mgmt.
Waste mgmt.
WASH
Mercury - Minamata
SAICM in HS
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
• Compile and evaluate evidence
• Create partnerships
• Strategic approach toward ESHS
• Mainstreaming ESHS into policy process
What have we done so far?
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Environmental impacts
• Greenhouse gas emissions, largely embedded
• Water use and wastewater generation
• Waste production (general and hazardous)
• Chemicals and others
Opportunities from ESHS
• Reduced environmental burden of disease
• Financial savings, efficiency gains
• Increased physical activity effects on NCDs
• HS Resilience, reduced need for travel, others
The evidence on ESHS
Continuous evidence compilation
Case studies
Governmental reports
Scientific literature
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Partnerships
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Experts
Meetings, knowledge exchange
Member states
Stakeholders
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Vision:
“… improve, maintain or restore health, while minimizing negative impacts on the environment and leveraging opportunities to restore and improve the environment to the benefit of the health and well-being of current and future generations”
A strategic approach towards ESHS
CHANGE MANAGEMENT
A
B
C
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Just finished – stakeholder consultation … which areas of action do you consider the most relevant?
Yes 97%
No Answer 3%
Do you support the adoption of the vision statement put forth in the document?
• Diversity of member states: “non-green” economies, federal vs national structures
• Emphasis on healthcare workforce education
Promoting inter-
sectorial action
20%
Innovative models
of care
3% Increasing
community
resilience
6%
Engaging health
workforce
7%
Strengthening PHS
7%
Creating incentives
for change
7%
Sustainable
procurement
5%
Promoting access /
mgmt. resources
6%
Managing waste and
chemicals
20%
Reducing emissions
and increase
resilence
19%
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Expert, stakeholders, MS meetings
EHTF meetings, other policy channels
European Environment and Health Ministerial Conference
(summer 2017)
Mainstreaming ESHS into policy processes
SDG agenda implementation
WHO EURO support • Evidence, best practice
• Technical “Know-how”
• Policy promotion, advocacy
• Facilitator, convener
Division of Policy and Governance for Health and Wellbeing
WHO Regional Office for Europe
Thanks
Write to us at:
Visit us at:
http://www.euro.who.int/climatechange