可持续和低碳卫生系统：卫生保健气候行动高级别原则#2（英）

NO. 109June 2025 ASIAN DEVELOPMENT BANKASIAN DEVELOPMENT BANKADB Sustainable Development Working Paper SeriesSustainable and Low-Carbon Health Systems:Health Care Climate Action High-Level Principle #2Eduardo Banzon, Dinesh Arora, Brian Riley,Ben Coghlan, Diana Picon Manyari,Upasona Ghosh, Carolina Mauri, andAndrea Hurtado EpsteinNo. 109 | June 2025TheADB Sustainable Development WorkingPaper Seriespresents data from ongoingresearch to encourage exchange of ideasand elicit comment and feedback aboutdevelopment issues in Asia and the Pacific.The views expressed are those of the authorsand do not necessarily reflect the views andpolicies of ADB or its Board of Governorsor the governments they represent.Eduardo Banzon, director, Human and SocialDevelopment team, Asian Development Bank (ADB)Dinesh Arora, principal health specialist, ADBBrian Riley, health specialist, ADBBen Coghlan, consultant, ADBDiana Picon Manyari, International Climate Director,Health Care Without HarmUpasona Ghosh, Indian Institute for Public Health,Bhubaneswar, Public Health Foundation of IndiaCarolina Mauri, climate-resilient health systemstechnical consultant, Health Care Without HarmAndrea Hurtado Epstein, Climate Manager Latin America,Health Care Without Harm Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO)© 2025 Asian Development Bank6 ADB Avenue, Mandaluyong City, 1550 Metro Manila, PhilippinesTel +63 2 8632 4444; Fax +63 2 8636 2444Some rights reserved. Published in 2025.ISSN 2789-0619 (print), 2789-0627 (PDF)Publication Stock No. WPS250168-2DOI: http://dx.doi.org/10.22617/WPS250168-2The views expressed in this publication are those of the authors and do not necessarily reflect the views and policiesof the Asian Development Bank (ADB) or its Board of Governors or the governments they represent.ADB does not guarantee the accuracy of the data included in this publication and accepts no responsibility for anyconsequence of their use. The mention of specific companies or products of manufacturers does not imply that theyare endorsed or recommended by ADB in preference to others of a similar nature that are not mentioned.By making any designation of or reference to a particular territory or geographic area in this document, ADB does notintend to make any judgments as to the legal or other status of any territory or area.This publication is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO)https://creativecommons.org/licenses/by/3.0/igo/. By using the content of this publication, you agree to be boundby the terms of this license. For attribution, translations, adaptations, and permissions, please read the provisionsand terms of use at https://www.adb.org/terms-use#openaccess.This CC license does not apply to non-ADB copyright materials in this publication. If the material is attributedto another source, please contact the copyright owner or publisher of that source for permission to reproduce it.ADB cannot be held liable for any claims that arise as a result of your use of the material.Please contact pubsmarketing@adb.org if you have questions or comments with respect to content, or if you wishto obtain copyright permission for your intended use that does not fall within these terms, or for permission to useTheADB Sustainable Development Working Paper Seriespresents data, information, and/or findings from ongoingresearch and studies to encourage exchange of ideas and elicit comment and feedback about development issuesin Asia and the Pacific. Since papers in this series are intended for quick and easy dissemination, the content may ormay not be fully edited and may later be modified for final publication.Corrigenda to ADB publications may be found at http://www.adb.org/publications/corrigenda.Suggested citation: Josh Karliner, Dinesh Arora, Andrea Hurtado Epstein, Maria Sol Aliano, Ben Ashby, ChandanKhanna, Carolina Mauri, Diana Picon Manyari, Ruth Stringer, Brian Riley, Ben Coghlan, Naomi Beyeler, Eduardo Banzon.Health Care Climate Action Principles. High-Level Principle 2: Sustainable and Low-Carbon Health Systems thatDeliver High Quality Health Care. Asian Development Bank. 2025.In this publication, “$” refers to United States dollars and “£” refers to pounds sterling. www.adb.orgthe ADB logo.Note: CONTENTSPRINCIPLES FOR HEALTH CARE CLIMATE ACTIONI.INTRODUCTION AND BACKGROUNDA.Health Care’s Climate Footprint in ADB Developing Member CountriesII.POLICY RECOMMENDATIONS: OPPORTUNITIES FOR NATIONAL ACTIONIII.OPERATIONAL RECOMMENDATIONS:OPPORTUNITIES FOR FACILITY AND SYSTEM-WIDE ACTION TABLE, BOXES, AND FIGUREivvACKNOWLEDGMENTSvii12310IV.EQUITY CONSIDERATIONS16V.FINANCE CONSIDERATIONS17VI.PRIVATE SECTOR19VII.CIVIL SOCIETY20VIII.CASE STUDIES20REFERENCES22 TABLE, BOXES, AND FIGUREHealth Care’s Climate Emissions in 15 ADB Members1Climate-Resilient Health Systems can Jointly Address Mitigation and Adaptation2National Health Care Decarbonization Strategies and Road Maps3Establishing a Baseline Clim