Inspired by the successful introduction of outsourced direct-to-health facilities delivery in Tete Province from 2015, VillageReach supported MISAU and USAID in implementing outsourcing across the country while integrating the distribution of medicines and vaccines into a single supply chain under the management of Central Medicine Stores (CMAM). The Last Mile Supply Chain (LMSC) program proved, through deployments in 10 of 11 provinces, that integrated outsourced distribution of all lifesaving products directly to health facilities can work at scale.