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Improving iSC performance through outsourcing – Considerations for using third-party service providers to increase innovation, capacity and efficiency

Development partners and donors have encouraged and incentivized governments in developing countries to explore ways of working with third-party service suppliers to reduce costs and increase service delivery capacity. The distribution of vaccines and medicines has for a long time shown demand for outsourcing but public health systems have struggled to develop the expertise and capital assets necessary to manage such ventures.

Existing transport and logistics capacity within public health systems, in particular, is well documented as being insufficient to support existing, let alone future immunization needs. Today, a number of countries are contracting party logistics providers (3PLs) to supplement the in-house distribution operations of public health systems. This commentary reflects on recent, leading examples of outsourcing initiatives to address critical gaps in transport and logistics.

System redesign of the immunization supply chain: Experiences from Benin and Mozambique

Evidence suggests that immunization supply chains are becoming outdated and unable to deliver needed vaccines due to growing populations and new vaccine introductions. Redesigning a supply chain could result in meeting current demands.
The Ministries of Health in Benin in Mozambique recognized known barriers to the immunization supply chain and undertook a system redesign to address those barriers. Changes were made to introduce an informed push system while consolidating storage points, introducing transport loops, and increasing human resource capacity for distribution. Evaluations were completed in each country.

Evaluation in each country indicated improved performance of the supply chain. The Effective Vaccine Management (EVM) assessment in Benin documented notable improvements in the distribution criteria of the tool, increasing from 40% to 100% at the district level. In Mozambique, results showed reduced stockouts at health facility level from 79% at baseline to less than 1% at endline. Coverage rates of DTP3 also increased from 68.9% to 92.8%.

Benin and Mozambique are undertaking system redesign in order to respond to constraints identified in the vaccine supply chain. Results and learnings show improvements in supply chain performance and make a strong case for system redesign. These countries demonstrate the feasibility of system redesign for other countries considering how to address outdated supply chains.

The potential of next-generation supply chains to ease DRC’s “Casse-tête”

Looking at the challenges of vaccine delivery in the DRC today and why a new or “next-generation” immunization supply chain is needed, what it might look like, and its potential benefits.

News from the Last Mile

February 19, 2018
News from the Last Mile (February 2018)

VillageReach Newsletter from February 2018

CCPF Case study by UNESCO-Pearson Initiative for Literacy

July 31, 2017
CCPF Case study by UNESCO-Pearson Initiative for Literacy

CCPF was a selected case study through the UNESCO-Pearson Initiative for Literacy: Improved Livelihoods in a Digital World. This case study is part of a series highlighting how inclusive digital solutions can help people with low skills or low literacy levels use technology in ways that support skills development and, ultimately, improve livelihoods – in contribution to achieving the Sustainable Development Goal on education. For more information

News from the Last Mile

November 7, 2017
Quarterly VillageReach Newsletter

VillageReach Newsletter from October 2017

Informed Design: How Modeling Can Provide Insights to Improve Vaccines Supply Chains

Modeling contributes to supply chain improvements by helping define the best solutions to critical supply chain barriers. Models must be adapted to a specific context but, done correctly, provide evidence for the feasibility and impact of potential changes to a supply chain.

Nouvelle génération des chaînes d’approvisionnement en RDC : renforcer les chaînes d’approvisionnement au dernier kilomètre

October 11, 2017
Nouvelle génération des chaînes d’approvisionnement en RDC : renforcer les chaînes d’approvisionnement au dernier kilomètre

An Overview of system design work in DRC.

Finding Efficiencies in Zambia's Immunisation Supply Chain

September 1, 2017

Vaccines are at the core of Zambia’s efforts to prevent childhood death and illness and move towards prevention rather than treatment of disease. This piece provides an overview of Zambia’s Immunisation Supply Chain and the results of a recent modelling exercise.

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