Sustainable procurement in healthcare based on the ISO 20400 framework and its environmental, social, and governance effects

Keerthi D Souza , Nitin Labhasetwar , Lallu Joseph , Karan Thakur , Vijay Agarwal

Global Health Economics and Sustainability ›› 2025, Vol. 3 ›› Issue (3) : 150 -161.

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Global Health Economics and Sustainability ›› 2025, Vol. 3 ›› Issue (3) :150 -161. DOI: 10.36922/ghes.5663
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Sustainable procurement in healthcare based on the ISO 20400 framework and its environmental, social, and governance effects

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Abstract

Sustainable procurement in the health sector is vital for integrating sustainability into the value chain, decreasing environmental impact, and ensuring socially beneficial practices. This study attempted to analyze the importance of sustainable procurement in hospitals, the applicability of the International Organization for Standardization (ISO) 20400 framework in healthcare, and the effect of the Consortium of Accredited Healthcare Organizations (CAHO) masterclass on professionals’ understanding of sustainable procurement. To understand sustainable procurement and its correlation to ISO 20400, a literature review was conducted. Statistical evaluation was employed to evaluate the impact of the CAHO’s masterclass on professionals’ awareness, intention to adopt, and perceived value of sustainable procurement through dialog and feedback from questionnaires. Data were kept confidential and anonymous. Leading organizations, such as the United Nations Development Program, World Health Organization, and ISO, are advocating for sustainable procurement. The ISO 20400 framework offers valuable guidance for sustainability in procurement and has many benefits if implemented in the healthcare sector. The masterclass significantly increased awareness, with 93% of participants agreeing on the benefits. Major strategies, challenges, and a mix of contributions by sustainable procurement toward efficiency and social responsibility were discussed throughout the sessions. The results indicate that training schemes are necessary for sustainable procurement globally. CAHO initiatives play a crucial role in raising awareness for global procurement, helping healthcare institutions enhance cost efficiency, minimize risks, and promote sustainability by enhancing economic, environmental, and social performance.

Keywords

Sustainable procurement / Supply chain / Environmental, social, and governance in healthcare / Reduced energy consumption / Social impact / Economic impact / Governance

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Keerthi D Souza, Nitin Labhasetwar, Lallu Joseph, Karan Thakur, Vijay Agarwal. Sustainable procurement in healthcare based on the ISO 20400 framework and its environmental, social, and governance effects. Global Health Economics and Sustainability, 2025, 3(3): 150-161 DOI:10.36922/ghes.5663

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The authors declare that they have no competing interests.

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