Hi Norbert,
I'm not sure what level of delivery you are considering. However we have had some experience in Papua New Guinea of successfully improving medical supplies deliveries to the most remote communities through a multi-component program that included:
- issuing all transport contractors with a GPS locator digital camera and only paying for a delivery on the basis of a digital photo of health worker with supplies with GPS and time proof or receipt plus a signed receipt from health worker
- contracting a range of different transport companies (rather than one national contract) to allow tailoring to local context;
- defining 'hard-to-reach' delivery locations and including stipulations in the contracts that 'hard-to-reach' sites must have same coverage as other sites, plus withholding payment if hard-to-reach deliveries were falling behind by more than an acceptable proportion
- focusing on a regular push system to supplement the usual facility ordering
We saw a rapid jump in availability of essential commodities with this program. This was funded by the Australian government, but some elements, including the photos were considered favourably by the PNG government for their own use. Our evaluation should be accessible at:
https://dfat.gov.au/about-us/publications/Documents/png-burnet-institute-medical-supply-evaluation.pdf
cheers
Chris Morgan