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Innovation and Technologies for Resilient and Sustainable Systems for Health

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Innovation and Technologies for Resilient and Sustainable Systems for Health

There are a number of examples including; i) health worker payments, through mobile payment schemes; ii) new health technologies like medicines, vaccines and diagnostics; iii) digitizing the vaccine supply chain, eVIN in India; iv) real-time public financial management in Zimbabwe; v) collecting and reporting data from district using mobile technologies; vi) developing ‘green health services’ to help governments minimize environmental impact through environmentally-sensitive health procurement; vii) supporting countries to harness the use of solar power including cold chain systems to strengthen the sustainable, climate-resilient delivery of essential services; and viii) developing online support platforms for health programme strengthening that can be accessed by stakeholders globally.

Real-time vaccine logistics data with eVIN to improve immunization coverage

Robust technological solutions are required in low-resource health environments. In 2015, India launched eVIN, or electronic vaccine intelligence network, an easy to use mobile and cloud-based technology that enables efficient management of vaccine supply chain using real-time data until the last-mile.
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The project, run in partnership with the Indian Ministry of Health and Family Welfare, with financial support of Gavi-the Vaccine Alliance, has digitised the supply chain for vaccine distribution across 10,500 vaccine cold chain points, in 12 states of India, meeting the needs of the country immunization programme. It enables cold chain managers to update information on vaccine stocks after every immunization session using mobile technologies. The temperature logger device installed at each vaccine storing refrigerator supports remote temperature monitoring which further helps to ensure safety and potency of vaccines. These updates are stored on a cloud server that provides dashboards for health officials with real-time data of vaccine stocks, consumption, and temperature monitoring.

Go to Focus Area: electronic Vaccine Intelligence Network

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Solar for Health - Saving Lives, the Environment and Money.

A recent review by WHO shows that between a quarter and a third of health facilities lack a reliable supply of power.
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UNDP’s Solar for Health initiative supports governments to increase access to quality health services through the installation of solar energy photo-voltaic systems (PV), ensuring constant and cost-effective access to electricity, while also mitigating the impact of climate change and advancing multiple SDGs.

A recent review by WHO shows that between a quarter and a third of health facilities lack a reliable supply of power. UNDP’s Solar for Health initiative supports governments to increase access to quality health services through the installation of solar energy photo-voltaic systems (PV), ensuring constant and cost-effective access to electricity, while also mitigating the impact of climate change and advancing multiple SDGs.

In the current phase UNDP has supported the installation of solar systems in over 500 health facilities. Solar systems contribute to the sustainability and quality of health services by providing a stable, clean, economic and reliable energy supply, even in the most remote locations. This increases resilience of health systems to shocks and extreme weather events, while at the same time meaning more patients can access the health services they need.

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Levering Procurement Volumes

UNDP’s total health procurement volume in 2017 was $310 million USD. This includes $ 201.5 million spent on medicines, the two biggest categories were NCDs (51%) and HIV (40%).
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For HIV, UNDP has used volume leverage with manufacturers, as well as health procurement architecture as a market mechanism to achieve impact. Price negotiations between UNDP and suppliers have achieved a landmark treatment cost of $75 per patient per year for the for the first line antiretroviral medicines - the fixed-dose combination of Tenofovir, Lamivudine and Efavirenz (TLE).

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Sustainable Procurement for Health

UNDP works in partnership with manufacturers, freight forwarders, other UN agencies and partners towards reducing the impacts of public health and climate change.
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UNDP is adopting incremental measures and models in its health procurement practices to minimize environmental impact and to incorporate economic and social sustainability.

The main strategy adopted by UNDP relates to: 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.

UNDP's Approach to Sustainable Procurement for Health Products

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Financial Management Technologies and Risk Management for Health – Zimbabwe

The Government of Zimbabwe Public Financial Management System (PFMS) had been in limited use by government ministries and did not have the capability for managing donor funding.

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Investment Cases for Non-Communicable Diseases (NCDs)

UNDP is working closely with WHO, NCD Alliance, Ministries of Health and Ministries of Finance and other partners to develop national NCD investment cases, to prioritize action, mobilize resources and develop innovative solutions in different countries.
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This health investment approach is prevention centred, focuses at the population level, engages at all sectors which include multiple SDGs and identifies how economic gains accrue to private and public sectors. Supporting countries to develop ambitious, coordinated multi-stakeholder responses is crucial in preventing and controlling NCDs, and in staving off the harm that NCDs inflict on a countries’ health, wealth and prosperity. The preliminary results from the 14 countries supported so far shows a positive return-on-investment in NCD prevention and control.
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Harmonized Results to Showcase Progress

Through its 15 years of partnering with the Global Fund on HIV, TB and Malaria programmes UNDP has gathered considerable expertise in results measurement and communication.
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The UNDP Global Fund Health team has worked with M&E processes and partnered with the Global Fund to produce global results for these programmes, enabling it to showcase the significant progress achieved in addressing the three diseases. The success of this work is in a large part down to the effective communication of these results. Creating innovative ways to present results is vital in showcasing results and creating traction with key stakeholders.
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Innovative Health Information Systems Technologies – Zimbabwe

UNDP worked with the Ministry of Health and Child Care (MOHCC) to implement a District Health Information System (DHIS) to replace the mainly paper-based, multiple reporting systems previously in use at health facilities.
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The DHIS-2 package, implemented in partnership with PEPFAR and RTI, provided a dramatic improvement in data management and analysis for health programme monitoring and evaluation, leading to more informed decision making.

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UNDP Capacity Development Toolkit an Innovative Web-Based Platform for Health

The UNDP Strengthening Systems for Health Toolkit https://undp-healthsystems.org/ is an online platform and global resource for Capacity Development for Resilient and Sustainable Systems for Health.
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Google analytics has recorded 64,500 page views over a 24 month period from over 150 countries. To respond to this growing demand a new website is being designed utilizing new technologies, based on the structure and content of the UNDP Capacity Development Strategy for Health. The online toolkit https://undp-healthsystems.org/ supports the functional capacities including financial management and procurement and supply chain management, as well as the legal and policy environment. For each topic guidance is provided together with resources, manuals, standard operating procedures (SOPs), tools etc.

The online Toolkit has contributed to capacity development plans for health through a dynamic process of assessment, interventions and monitoring using performance indicators. In 2017 UNDP facilitated capacity development and sustainable transition plans for national health entities including; i) Ministries of Health; ii) National Aids Councils; iii) Civil Society Organizations (CSOs); iv) Health Procurement Bodies; and v) Health Governance Mechanisms. In early 2018 comprehensive capacity development plans were in place in 9 countries, one example is Afghanistan, where plans are in place for both the Ministry of Public Health and different CSOs. 2018 is the beginning of new strategic plans and grant cycles in several countries, new capacity development requests are being responded to including combined Adolescent Girls and Young Women and Key Populations as well as strategic capacities for CSOs working in Health and HIV.

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Case Study Global Health Innovative Technology (GHIT) Fund
The Global Health Innovative Technology (GHIT) Fund is a partnership between the Government of Japan and UNDP that focuses on the promotion of innovation and research for the development of urgently needed new drugs, diagnostics and vaccines for TB, malaria and neglected tropical diseases. The GHIT Fund stimulates research and development of new health technologies through funding research and product development partnerships.
Case Study Competition Law and Policy to increase access to Health Technologies
UNDP supports countries in the use of variety of tools to promote competition to increase access to health technologies, including the development of resources and capacities like a Guidebook on Using Competition Law to Promote Access to Health Technologies For Low and Middle Income Countries.

Resources