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Expanding safe waste management to public health systems
One month ago, the LANCET (ScienceDirectRef: “Expanding safe waste management to public health systems” https://doi.org/10.1016/S0140-6736(18)32622-9), January 2019, Elsevier Ltd.) published a letter to the editor (see also attached). The letter points to the failure to sustain or expand immunizatio...
A year since TechNet met.. news of 'scale-up' ?
So, where are we now?
More than a year has passed since the last TechNet-21 meeting! We have a year ahead of us before the next meeting!
As time races by, I feel the need to know more about progress that is being made with the many new initiatives that were described by countries and organisations...
‘Freeze-free’ vaccine carriers – Where are they?
Three years after the freeze-free concept was reported at the September 2014 meeting of the WHO PQS Committee, the current expectation of availability remains ‘sometime next year’ and it appears that no product has passed the pre-qualification (E004/VC02-VP.1) testing yet.
The current status of thi...
AWAY WITH THE DOGMA 1 ! Closed Vial Wastage
AWAY WITH THE DOGMA! 1: “Monitoring Closed Vial Wastage”
This is the first Blog in a series to encourage vaccine supply chain planners to consider changes without being constrained by some, dogmatic operational policies of the Expanded Program on Immunization. Taking one issue at a time I shall ...
IAPHL Webinar may focus on integrated distribution of medicines and vaccines
IAPHL are debating the agenda for their next Webinar. Some are suggesting a focus on aspects of logistics integration for CD and NCD programs. For me, this is the 'Elephant-in-the-room' of future distribution strategy for country health pogrammes. Incorporating the distribution of vaccines and the f...
Addressing safety to maintain acceptance (Vaccine Supply Chain Futures 5/6)
This is the fifth and last topic in my six-part Vaccine Supply Chain Futures series focused on the potential to address safety issues related to the management of sharps waste including syringe and needles.
Progress of efforts to achieve safe infectious sharps disposal in many low to middle income ...
Introducing data-driven, remote oversight (Vaccine Supply Chain Futures 4/6)
This is the fourth topic in my six-part Vaccine Supply Chain Futures series (Please see the attached file for the full text) focused on the introduction of a system of remote temperature monitoring integrated with equipment maintenance management.
Remote temperature monitoring systems represent an...
Changes in vaccines and in their delivery systems
This is the third topic in my six-part Vaccine Supply Chain Futures series, and concerns changes in vaccines and the technology of administration of vaccines.
No change in supply chain technologies can impact immunization coverage more than change in the presentation and administration of vaccines ...
Advancing distribution technologies and techniques
This is the second topic in my six-part Vaccine Supply Chain Futures series, and concerns advancing technologies of cooled-distribution. Pleae share your thoughts!
What advances in technology and technique--available now or in the near future--that are likely to be critical success factors for the ...
Vaccine Supply Chain Futures 1/6: Merging vaccine and medicine distribution
Friends and Family of Immunization, I hope you will join me over the next six weeks before the TechNet Conference in Portugal to debate important futures for the vaccine supply chain. Each week, I will start a discussion on a topic and ask for your reactions. If you participate, you will also have t...
Remote temperature monitoring (RTM); Accelerate scale-up !
It's a mystery to me, considering that manual temperature monitoring of vaccine stores using monthly charts and glass thermometers was the first MIS achievement of the EPI in the last 4 years of the 1970s - yet the first Remote Temperature Monitoring (RTM) studies were 10 years ago and only a handfu...
Drone ports to fly vaccine to remote sites
I have struggled unsuccessfully to link this message to a remark made by Soren Spanner a week or two ago asking whether anyone has tried to distribute vaccine to remote sites by drone? I'm surprised that a debate on this subject has not yet reached TECHNET. Luckily the global debate seems healthy! T...
Universal, hybrid refrigerator for vaccines?
Among the TECHNET postings on cold-chain equipment there are embedded remarks pointing towards the need to make vaccine refrigeration simpler and less expensive to procure, more responsive to energy changes and easier to use and maintain. For example, to choose a refrigerator now current WHO, UNICEF...
Equipment choices to cool vaccines during transport by immunization ‘outreach’
Within the next ten years access will be extended to immunization for the families of approximately 20% of the world’s new-borns who have never seen the health service. Some will be located in remote areas that suffer from lack of infrastructure, hostile topography and extreme temperatures. Reachi...
A Supply Chain for outreach immunization?
Immunization outreach services depend on a protective, affordable and efficient supply chain to benefit rather than obstruct outreach operations. Four potential cold-chain solutions are on offer but each has barriers to be negotiated or removed. The options are:
Frozen water packs BUT we should s...
The case for a ‘Common Logistics Operating Platform’
The case for a ‘Common Logistics Operating Platform’ to serve District Management of Supply systems and Service delivery support.
Question: Could an ‘Integrated Public Health Supply Chain Platform’ at district level replace the current, fragmented, inefficient and costly provision of separate s...
Are LMIS applications addressing the right challenges?
“Apps” (computer software applications) are being developed and used as tools to help manage the vaccines and medicines supply chain more and more. But are they directed at challenges that have persisted the longest and would have the greatest impact if resolved? Take, for example, the following two...
Considering a Max/Min range for Vaccine Storage Capacity in refrigerators
The percent difference between the gross refrigerator (ILRs and SDDs) volumes quoted in the PQS Catalogue and the net vaccine storage volume varies from 29.6% to 88.6 %. This is a wide variation for front opening fridges, due to space for air-circulation.
Increasingly, new models of ILR and SDD are...
Field-level vaccine supply chain indicators: Efficiency of distribution (post 4 of 4)
Many country vaccine distribution systems in low to middle income countries feature scheduled deliveries from central to intermediate level stores. But they depend on collection or a mix of collection and delivery at service delivery level of the system. The mode of travel varies as transport becom...
Field-level vaccine supply chain indicators: vaccine utilization efficiency (post 3 of 4)
This posting is one of four, each discussing a different indicator. This post discusses vaccine utilisation efficiency. Another efficiency indicator measures the level of vaccine administered expressed as a percentage of the vaccine consumed (Doses ‘Consumed’ = ‘Doses ‘administered’ to clients + ‘D...
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