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Outsourcing vaccine logistics to the private sector: The evidence and lessons learned from the Western Cape Province in South-Africa
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Re-posting this useful link on a previous case study on the comparative evaluation of both public health supply chain distribution performance versus private sector distribution approach, done and published 10 years ago, by some of the most incredible colleagues in the immunization supply chains.

It is notable that the results showed that <<outsourced logistics service provider outperformed the government run supply chain system
on all relevant EVM dimensions>>. Something that could be tested in other segments of the immunization supply chain and serve as proposal and additional action lever or in combination to EPIs capacities, where stagnation or regression is being felt over the years.

http://www.sciencedirect.com/science/article/pii/S0264410X15003503

iSC experts, what are your thoughts on that ??

BR,
Modeste Tezembong

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  1. 1 year ago
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Wow! That's a blast from the past. Being part of the government and setting that up at the time as a PPP to warehouse and distribute vaccines, it was effective as this study reflected, however context is important. The Western Cape or South Africa for that matter has a strong private sector with a number of pharmaceutical wholesalers that have backward-integrated logistics into their operations. Not every country has this market, with good regulation, fair competition and infrastructure to support this. In conflict affected countries or where regulation and the market is weak, governments have a key role and responsibility in providing this infrastructure and service to the EPI programme to ensure that quality vaccines reach all populations requiring them. Its not an either or, but probably a combination, or a progression to an outsourced model.
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