This report presents the case that GHG accounting and the implementation of emission reduction strategies is feasible for global health initiatives. Furthermore, it demonstrates the viability of these strategies not only for Europe and Central Asia, but also Africa, and not only for HIV/AIDS and TB, but also for large-scale malaria programmes and health system strengthening components.

In outcome, it has established a methodology and supporting set of tools for both existing and emerging GFATM grant making mechanisms (including the New Funding Model / NFM). This enables UNDP-GF programme planers and practitioners to measure GHG emissions in a standardised way and for the rapid and efficient management of emission liabilities by informing actions to reduce emissions.

To bolster these efforts the work also reports on five separate but linked focus areas, each showcasing the opportunity for GHG emissions mitigation. These cover fleet vehicles, renewable energy for primary health facilities, monitoring and evaluation mechanisms, waste management, and supply chains. These studies highlight the case for GHG emissions reduction and the value of adopting action within mainstream objectives for provision of healthcare.