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Global Health Economics and
            Sustainability
                                                                 Sustainable procurement in healthcare to address value chain


              Clause 7 (Figure  4) focuses on enhancing the    2. Methods
            existing procurement process by developing a strategy
            for sustainable procurement, integrating requirements   2.1. Research design
            into  the  specifications,  and  selecting  suppliers  based  on   This  study focused on understanding sustainable
            their ability to meet these sustainability requirements as   procurement through the international framework of
            defined in their respective contracts. The framework also   ISO 20400 and utilized a masterclass to disseminate this
            emphasizes the importance of periodically reviewing these   knowledge. The analysis was conducted using quantitative
            contracts to assess performance and identify opportunities   research, designed to evaluate the effectiveness of the
            for improvement.                                   masterclass, which delivered sustainable procurement
                                                               training as one of its topics.
              This study aimed to equip healthcare professionals
                                                                 The primary aim of this study, which holds significant
            with a systematic knowledge of ISO 20400 through the   implications for the healthcare industry, was to assess the
            masterclass, guiding them on the journey of establishing a   change in awareness and understanding of sustainable
            system-wide approach to sustainable procurement. Central   procurement practices among healthcare professionals
            to this effort is the CAHO masterclass program, designed   following the training session.
            to raise awareness and promote sustainable practices.
            The study facilitated an understanding of the  practical   2.2. Participants
            application of the ISO 20400 framework in establishing   A total of 47 participants attended the CAHO masterclass
            sustainable  procurement  systems  and  testing  their   program on sustainable procurement. The attendees
            knowledge through a carefully crafted questionnaire that   represented diverse functions across the healthcare
            covers crucial areas. Thus, this study contributes valuable   sector in India, including administrators, doctors, quality
            perspectives and expertise to the ongoing conversation on   professionals, consultants, management, procurement,
            sustainable procurement within the healthcare industry.  facility management, professors, and students, ensuring
                                                               comprehensive industry representation (Figure 5).
                                                                 The training session was part of a 12-week masterclass,
                                                               with 2-h weekly virtual sessions covering various topics
                                                               on sustainability, including sustainable procurement.
                                                               Participants were categorized by influence levels on
                                                               sustainable procurement (Figure  6). Administrators,
                                                               management, and consultants had high influence, while
                                                               quality professionals, facility managers, professors, and
                                                               doctors played a key role in decision-making.
                                                               2.3. Study protocol

            Figure 2. Clause 5 of the ISO 20400 framework: Integrating sustainability   This study involved a comprehensive analysis of the
            into the organization’s procurement policy and strategy  participants’ demography and their responses to a





















                          Figure 3. Clause 6 of the ISO 20400 framework: Organizing the procurement function towards sustainability



            Volume 3 Issue 3 (2025)                        153                       https://doi.org/10.36922/ghes.5663
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