Climate Impact Checkup FAQs

Health care’s GHG emissions calculator
March 2023

1. What is Climate Impact Checkup?

Climate Impact Checkup (CIC) tool estimates greenhouse gas (GHG) emissions from health car institutions using data primarily from energy consumption, transport, waste management, expenditures, and other activities relevant to the sector’s climate impact. It calculates the carbon footprint based on national emission factors, when available and applicable. Health care systems and facilities are able to benchmark their footprint against similar facilities in their country, region, and globally.

The calculator is expected to be used by health care facilities globally to set a baseline, identify priorities, develop plans, and promote action for carbon reduction in operations and some procurement procedures.

2. What are the benefits of using Climate Impact Checkup?

In addition to providing carbon footprint data and establishing a mitigation starting point, CIC tool also gives you access to a peer network, where members can share experiences and advice through discussion forums and a global community of practice.

3. What are some of Climate Impact Checkup’s features?

The calculator is aligned with the GHG Protocol, has health care specific emissions such as those produced from using anesthetic gases and inhalers, and contains emission factors per country when available and applicable, to allow for accurate health facilities’ footprint estimation in most countries. For instance, in electricity, CIC uses national and subnational values of more than 200 nations and territories. CIC is available online and can be downloaded as a spreadsheet. It is accompanied by a guide to support users and direct them to resources to reduce their footprint.

4. Who can use the calculator?

CIC is available for all Global Green and Healthy Hospital (GGHH) network and Practice GreenHealth members. Health ministries that are participating in the Alliance for Transformative Action on Climate and Health (ATACH) can access and download a stand-alone, excel only version of CIC, along with an in-depth guide accompanying the tool. Requests and questions can be referred to

Health ministries can also join Health Care Without Harm’s Global Green and Healthy Hospitals Network. Current members include Ministries of Health from Bhutan, Colombia, Ethiopia, Maldives, Peru, Thailand, and Vietnam, as well as several sub-national health authorities.

5. What GHG emission sources does Checkup calculate?

The sources covered in CIC were selected either because of their relevance to global emissions and/or because they were health care sector-specific (such as fugitive emissions from medicinal gases) as well as for the ability to get representative and accurate data. The feedback Health Care Without Harm receives from its users is essential, and the tool is consistently improved and updated. Below are the sources emissions by Scope.

All calculations for Scopes 1, 2, and 3 are based on activity data. Scope 3 extra supply chain calculations are spend-based data and use a different methodology, with emission factors for 43 countries (for the remaining countries, it uses a Rest of the World estimation).

Future developments and improvements

More emissions sources will be added along with more local/specific data. Some sources currently being analyzed for future inclusion are wastewater treatment and electromobility. Users' feedback from all regions provide important information about the priorities and needs at the facility and system levels.

6. What resources does the Checkup provide to GGHH, Practice Greenhealth and Health Ministries members?

CIC online uses Health Care Without Harm’s Hippocrates platform. This platform includes live calculations, graphics, and benchmarking by year. Other resources include:

  • PDF report of annual emissions with graphics and tables
  • Offline (excel) version of the tool for annual calculations
  • Discussion forum and community of practice
  • Workshops to learn how to use the tool and increase the quality of inventories
  • Guidelines to use the tool, set goals and create action plans

Health Care Without Harm is also developing an online course on the CIC tool and the development of carbon management plans. It will be available soon in English and Spanish.

Reports, graphics, and benchmarking

All online version users can generate graphics to visual data per year and compare one metric (CO2eq/patient/year) with other institutions in the same country, or globally of the same level of complexity and more. Users can also see their reports in a map depicting the geographies of where other hospitals are reporting. All reports can be downloadable in PDF and CSV formats.

7. Is Checkup user data and information confidential?

All data is treated with absolute confidentiality. For example, the map only shows the location of the report by state, (not city), level of complexity and number of reports shared by that institution and does not show the name of the institution.

Partial visualization of Checkup’s reports section in Hippocrates platform

checkup emissions

About Health Care Without Harm

Health Care Without Harm works through regional offices in Asia, Europe, and the United States; a regional team in Latin America; and country-level partnerships with national organizations in Australia, Brazil, China, India, Nepal, and South Africa. Our mission is to transform health care worldwide so that it reduces its environmental footprint, becomes a community anchor for sustainability and a leader in the global movement for environmental health and justice.

We have a comprehensive set of partnerships with health organizations, health professionals, international organizations, and government ministries, comprising a global network of more than 1,700 members who represent the interests of more than 70,000 hospitals and health centers in 82 countries worldwide (May 2023 data).

To contact Health Care Without Harm about Climate Impact Checkup, please email: