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Global Health Economics and
                                                                                        Sustainability





                                        ORIGINAL RESEARCH ARTICLE
                                        Sustainable procurement in healthcare based on

                                        the ISO 20400 framework and its environmental,
                                        social, and governance effects



                                        Keerthi D Souza 1,2,3,4 * , Nitin Labhasetwar 5  , Lallu Joseph 3,6,7  ,
                                        Karan Thakur 3,8  , and Vijay Agarwal 7
                                        1 Indian Academy of Scientific and Innovative Research, Ghaziabad, India
                                        2 CSIR-National Environmental Engineering Research Institute, Nagpur, India
                                        3 Sustainability Forum, Consortium of Accredited Healthcare Organizations, Noida, Uttar Pradesh, India
                                        4 Life Giver Professional Services, LLP, Chennai, India
                                        5 Department of Energy and Resource Management, CSIR-National Environmental Engineering
                                        Research Institute, Nagpur, India
                                        6 Department of Quality Management, Christian Medical College, Vellore, Tamil Nadu, India
                                        7 Consortium of Accredited Healthcare Organizations, Noida, Uttar Pradesh, India
                                        8 Corporate Affairs and Sustainability, Apollo Hospitals Group, New Delhi, India


            Academic editor:
            Mihajlo Jakovljevic M.D. Ph.D. MAE  Abstract
            *Corresponding author:      Sustainable procurement in the health sector is vital for integrating sustainability into
            Keerthi D Souza
            (keerthi.dsouza@lgpsllp.com)  the value chain, decreasing environmental impact, and ensuring socially beneficial
                                        practices. This study attempted to analyze the importance of sustainable procurement
            Citation: Souza, K.D., Labhasetwar,   in hospitals, the applicability of the International Organization for Standardization
            N., Joseph, L., Thakur, K., &
            Agarwal, V. (2025). Sustainable   (ISO) 20400 framework in healthcare, and the effect of the Consortium of Accredited
            procurement in healthcare based   Healthcare Organizations (CAHO) masterclass on professionals’ understanding of
            on the ISO 20400 framework and   sustainable procurement. To understand sustainable procurement and its correlation
            its environmental, social, and
            governance effects. Global Health   to ISO 20400, a literature review was conducted. Statistical evaluation was employed
            Econ Sustain, 3(3):150-161.   to evaluate the impact of the CAHO’s masterclass on professionals’ awareness,
            https://doi.org/10.36922/ghes.5663  intention to adopt, and perceived value of sustainable procurement through dialog
            Received: October 29, 2024  and feedback from questionnaires. Data were kept confidential and anonymous.
                                        Leading organizations,  such as the United  Nations Development  Program,  World
            1st revised: January 18, 2025
                                        Health Organization, and ISO, are advocating for sustainable procurement. The ISO
            2nd revised: March 12, 2025  20400 framework offers valuable guidance for sustainability in procurement and has
            Accepted: March 13, 2025    many benefits if implemented in the healthcare sector. The masterclass significantly
                                        increased awareness, with 93% of participants agreeing on the benefits. Major
            Published online: April 2, 2025
                                        strategies, challenges, and a mix of contributions by sustainable procurement toward
            Copyright: © 2025 Author(s).   efficiency and social responsibility were discussed throughout the sessions. The results
            This is an Open-Access article   indicate that training schemes are necessary for sustainable procurement globally.
            distributed under the terms of the
            Creative Commons Attribution   CAHO initiatives play a crucial role in raising awareness for global procurement,
            License, permitting distribution,   helping healthcare institutions enhance cost efficiency, minimize risks, and promote
            and reproduction in any medium,   sustainability by enhancing economic, environmental, and social performance.
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience   Keywords: Sustainable procurement; Supply chain; Environmental, social, and
            Publishing remains neutral with   governance in healthcare; Reduced energy consumption; Social impact; Economic
            regard to jurisdictional claims in
            published maps and institutional   impact; Governance
            affiliations.


            Volume 3 Issue 3 (2025)                        150                       https://doi.org/10.36922/ghes.5663
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