Where We Work  |  Program

Last Mile Supply Chain (LMSC)

The Government of Mozambique and USAID partnered with VillageReach to design and implement a streamlined, effective and integrated last mile supply chain system. The LMSC program is aligned with long-term national strategies and efforts, while taking short-term steps to address chronic logistics and transport challenges at the sub-national level.




Next Generation Supply Chain


Supply chain




In its efforts to provide quality health services to its citizens, the Government of Mozambique and USAID partnered with VillageReach to design and implement a streamlined, effective and integrated last mile supply chain system. The program began in Zambézia province, covering two districts, in October 2018. By the end of September 2021, LMSC had expanded to support monthly deliveries in all districts of 10 of Mozambique’s 11 provinces, covering a total of 1,500 health facilities.


Report  |  2022

Advancing Health for Women, Children, and Adolescents Amid Overlapping Crises: GFF Partnership Annual Report 2021-2022

Fact Sheet  |  2022

Last Mile Supply Chain Overview 2022

Fact Sheet  |  2020

The Path to an Integrated Public Health Supply Chain in Mozambique

Fact Sheet  |  2020

Cadeia de abastecimento até à Unidade Sanitária

Fact Sheet  |  2020

LMSC: Ensuring the availability of medical supplies at the last mile

Report  |  2019

Improved Last Mile Healthcare Delivery

Fact Sheet  |  2019

Last Mile Supply Chain Overview

Tool  |  2016

Outsourcing Transport to Improve Health at the Last Mile: A Case Study

Tool  |  2016

Lessons Learned in Reaching the Final 20: Building a Next-Generation Immunization Supply Chain in Mozambique

Tool  |  2016

Final 20 Policy Paper 6: Delivering the Money: The Importance of Efficient Financial Flows for Vaccine Distribution

next-generation immunization supply chain: change leadership

Tool  |  2016

Final 20 Policy Paper 5: Change Leadership – The Making or Breaking of an Immunization Supply Chain

Tool  |  2015

Final 20 Policy Paper 4: Data for Management: It’s Not Just Another Report

Press Release  |  2015

Final 20 Expansion Grant

Tool  |  2014

Final 20 Policy Paper 3 – System Design: Repair or Replace?

Tool  |  2014

Final 20 Policy Paper 2: Other Duties as Required

Program Impact

The Last Mile Supply Chain program delivers essential medicines and vaccines to more than 1,200 health centers in the Zambézia.

The primary goal of the LMSC program is to improve the availability of health products where they are needed for testing and treatment. Expected program outcomes include:

  • Supply chain information is used to strengthen accountability and planning between the provincial level and the health facility level.
  • Transportation and logistics execution are improved.
  • Appropriate control mechanisms are in place for distribution of health products throughout the province.
  • Proven transportation and related logistic processes and tools are transferred to government.




  • Mozambique Ministry of Health (MISAU)
  • Centre for Drugs and Medical Supplies (CMAM)
  • Provincial Health Directorate (DPS) and the Provincial Warehouse (DPM)

Technical Partners

  • Project Last Mile
  • Bolloré Transport & Logistics
  • Aeris
  • AEC
  • Agility
  • Nichols Group
  • ThinkWELL



Newsroom & Blog

Jan 31, 2019 | Blog Post

Last Mile Heroes

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