COVID-19 vaccine delivery has begun in many low- and middle- income countries (LMICs) and many countries will be looking to scale as more vaccines arrive. The distribution of COVID-19 vaccines is...
A tool to guide the process of planning the cold chain capacity. It aims to estimate the required cold chain capacity at each level and facility, while planning for or expecting significant changes...
The site contains a range of tools and guidelines that include the following: Setting a standard for the vaccine supply chain, EVM background and training resources, EVM Standard Operating...
During the session, we will not only learn about how UPS is currently contributing to making the global, regional and local supply chains capable and ready to deliver future Covid19 vaccines, but...
Overview of guide to promote equitable health product access through supply chain design for under-served populations: urban poor, remote or rural communities, migrants, and people in conflict or...
Ensuring that health products are available and accessible for everyone is a critical part of primary health care, and essential to achieving universal health coverage. With new disease outbreaks,...
Well-performing supply chains play a fundamental role in improving access to lifesaving products for all, and are a critical part of the COVID-19 response. However, supply chains can be a weak point...
This case study describes the impact of changing to 5-dose measles containing vaccine in Zambia with improved coverage, lower wastage rate and no cold chain constraints.
This case study describes the process of integrating vaccines into the Ethiopia Pharmaceuticals Supply Agency and lessons learned through this process.
This webinar focused on building an LMIS for vaccine supply in Nigeria with an aim to acquiring a simple but impactful system. The speakers shared the stepwise approach they undertook and how they...
Resilient, high-performing immunization supply chains (iSCs) are the basis for strong primary health care systems and the foundation for reaching global immunization coverage and equity targets. Yet...
VillageReach documents how supply chain design increased access to vaccines in Equateur province, DRC. An independent study conducted by Acasus in July 2018 verified that average monthly consumption...
This is a global standards document for immunisation supply chain (iSC) information systems. The objectives of this Target Software Standards (TSS) are to ensure countries have access to:
1....
Due to inefficient distribution practices, the MoH conducted a network optimization analysis and identified the lowest-cost supply chain network for distribution from regional hubs to districts...
BACKGROUND: Immunizations are considered the most successful and cost-effective public health interventions employed today. While immunization coverage in India has improved dramatically in the last...
Due to their thermosensitivity, most vaccines must be kept refrigerated from production to use. To successfully carry out global immunization programs, ensuring the stability of vaccines is crucial....
Vaccination is one of the most effective ways to prevent and/or control the outbreak of infectious diseases. This medical intervention also brings about many logistical questions. In the past years,...
Over the past decade, several countries across all regions, income groups and procurement methods have been unable to secure sufficient BCG vaccine supply. While the frequency of stock-outs has...
Key Points:
CDC recommends that practices maintain a calibrated, temperature monitoring device (data logger) and manually record temperatures in each unit containing Vaccines For Children (VFC)...
Vaccines are biological products and their efficacy is affected by storage conditions. They are vital in promoting public health. Failures in immunization programmes often times are blamed on...
Although effective rabies virus vaccines have been existing for decades, each year, rabies virus infections still cause around 50.000 fatalities worldwide. Most of these cases occur in developing...
This document summarises the current state of the country’s immunisation supply chain and how additional value and efficiency can be achieved. It specifically examines overall costs, health worker...
Persistent gaps in the availability of essential medicines have slowed the achievement of global health targets. Despite the supply chain knowledge and expertise that ministries of health might glean...
The medicines refrigerator is a common piece of equipment found in clinical areas. It is used to ensure specific medicines are safely stored within a narrow temperature range in line with...
Cool water packs are a useful alternative to ice packs for preventing unintentional freezing of vaccines during outreach in some situations. Current guidelines recommend the use of a separate...
INTRODUCTION: The quality of vaccines is critical for good immunization outcomes. It is dependent on the effectiveness of technical and logistics management system put in place. This study aimed to...
While the focus of many in the vaccine world has been on developing new vaccines and measuring their effects on humans, failure to understand and properly address vaccine supply chain issues can...
INTRODUCTION: In recent years, demand to improve child immunization coverage globally, and the development of the latest vaccines and technology has made the vaccine market very complex. The rise in...
BACKGROUND AND AIM OF THE STUDY: The principles of „cold chain” have been developed for the safe transport and storage of vaccines because of their sensitivity to temperature and are guidelines...
Previous research has integrated multi-echelon inventory management into the design of a responsive supply chain by the use of the guaranteed service approach. We build further upon this work by...
Monovalent Hepatitis B vaccine (HepB) is heat stable, making it suitable for storage outside cold chain (OCC) at 37 °C for 1 month. We conducted an OCC project in the Solomon Islands to determine...
OBJECTIVE: To prevent perinatal transmission of hepatitis B virus (HBV), WHO recommends that the first dose of hepatitis B (HepB) vaccine be given within 24 hours after birth. This presents a...
The World Health Organization (WHO) document, Guidelines on the international packaging and shipping of vaccines, has been one of the most widely used manuals in the field of immunization. It is...
Immunization programs require, among other components, a dependable and efficient supply chain system to deliver vaccines and related supplies. An indispensable part of this system is sufficient...
Oral polio vaccine (OPV) and Inactivated Polio Vaccine (IPV) have distinct advantages and limitations. IPV does not provide mucosal immunity and introduction of IPV to mitigate consequences of...
Background: We assessed programmatic adaptations and infants\' uptake of inactivated poliovirus vaccine (IPV) after its introduction into the routine immunization schedule in Bangladesh. Methods:...
Background: Introduction of inactivated polio vaccine creates
challenges in maintaining the cold chain for vaccine storage and
distribution. Methods. We evaluated the cold chain in 23...
The number of vaccines available to low-income countries has increased dramatically over the last decade. Overall infant immunization coverage in the WHO African region has stagnated in the past few...
As of May 2017, two medical laboratory scientists employed by the Sokoto State Government, jointly trained by the University of Nebraska Medical Centre and eHA are operating the lab. During the 2017...
India’s full immunisation coverage for infants is 61%. The availability of quality vaccines at session sites is a contributor to low coverage. Weaknesses in the current supply chain include lack of...
As countries expand immunisation programmes to include new vaccines and ensure increased coverage and equity, existing and potential constraints exist within the supply chain systems to manage an...
Background: Since 2010, numerous new technologies have entered the immunization cold chain equipment market. The World Health Organization (WHO) Immunization Devices Programme—Performance, Quality...
A high level of concern is placed on the storage, handling, transportation, and distribution of vaccines and other pharmaceutical products, particularly those that are time and temperature sensitive....
Background: Gavi recommends solar refrigerators for vaccine storage in areas with less than eight hours of electricity per day, and WHO guidelines are more conservative. The question remains: Can...
Andrew N. Brown, Wendy Prosser, Dominique Zwinkels
This commentary presents a number of the current projects and initiatives seeking to develop the next generation of health supply chain professionals and calls for increased engagement with country...
One way to strengthen immunization supply chains is to expand the use of vaccines in a controlled temperature chain (CTC). A method for increasing vaccine access and coverage, especially among...
Before 2013, Senegal public health supply system was pull-based and fully public-run. Lengthy and recurrent stockouts of essential health products (incl. contraceptives) were the rule, not the...
Recent manufacturing problems resulted in a shortage of the only U.S.-licensed yellow fever vaccine. This shortage is expected to lead to a complete depletion of yellow fever vaccine available for...
Vaccine cold chain equipment (CCE) in developing countries is often exposed to harsh environmental conditions, such as extreme temperatures and humidity, and is subject to many additional challenges,...
Immunization supply chains in low resource settings do not always reach children with necessary vaccines. Digital information systems can enable real time visibility of inventory and improve vaccine...
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...
At the end of 2013, the Government of Benin and Agence de Médecine Préventive (AMP) launched a demonstration project in Comé Health Zone (HZ) to optimize the vaccine supply chain. A key part of...
Objective: As part of its vaccine supply chain redesign efforts, Kano state now pushes vaccines directly from 6 state stores to primary health centers equipped with solar refrigerators. Our objective...
Objective: At the end of 2013, a pilot experiment was carried out in Comé health zone (HZ) in an attempt to optimize the vaccine supply chain. Four commune vaccine storage facilities were replaced...
Nigeria is the most populous country in Africa and in 2012 was suffering some of the lowest vaccination rates in the World. A combination of factors had resulted in a dysfunctional immunization cold...
Introduction: 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...
Vaccination rates have improved in many countries, yet immunization inequities persist within countries and the poorest communities often bear the largest burden of vaccine preventable disease....
Presentations from the American Immunization Registry Association (AIRA) 2017 National Meeting. Topics include: Usability, Theory to Implementation: A Case Study Improving Vaccine Ordering; Everybody...
ackground
While our previous work has shown that replacing existing vaccines with thermostable vaccines can relieve bottlenecks in vaccine supply chains and thus increase vaccine availability, the...
Human resources is the backbone of any system and the key enabler for all other functions to effectively perform. This is no different with the Immunization Supply Chain, more so in todays’ complex...
As countries rise to the challenge of implementing the priorities of this “Decade of Vaccine” and their commitments delineated in the Global Vaccine Action Plan (GVAP), many continue to face...
International efforts to eradicate smallpox in the 1960s and 1970s provided the foundation for efforts to expand immunization programmes, including work to develop immunization supply chains. The...
As immunization programs around the world undergo rapid change and expansion, supply chain and logistics systems have become strained, making it increasingly challenging for national public health...
Gavi, the Vaccine Alliance is a global public-private partnership with the goal of supporting the national governments of low-income countries in their efforts to increase equal access to vaccines....
In many countries, one of the common factors limiting full and equitable access to effective immunization is the existence of gaps in cold chain and logistics (CCL) systems. This article focuses on...
Immunization supply chains—the network of staff, equipment, vehicles, and data needed to get vaccines safely from the manufacturer to the people who need them—were first developed in the late...
Felix Kabange Mukwapa Numbi & Blanchard Mukengeshayi Kupa
The Democratic Republic of Congo (the DRC) has rapidly improved the quality of social services and infrastructure in general, and the health sector in particular in recent years. It is not always...
Members of Gavi, the Vaccine Alliance, have articulated the complex, interdependencies inherent to supply chain systems and identified five fundamental areas that must be improved as we develop the...
When selecting phase-change materials (PCMs), it is important to understand the interactions of the PCMs with the materials with which they may come into contact. PCMs may change the mechanical...
Amber Hsiao, Sachin N Desai, Vittal Mogasale, Jean-Louis Excler, Laura Digilio
Improving water and sanitation is the preferred choice for cholera control in the long-term. Nevertheless, vaccination is an available too l that has been shown to be a cost‒effective option for...
Responsibility for immunisation in Nigeria is decentralised to sub-national governments. So far, they have failed to achieve optimal coverage for their populations. We evaluated a pilot intervention...
Strong supply chains save lives. Strong supply chains are critical to get health products to clients, wherever and whenever they need them. Supply chain managers have overall responsibility to ensure...
Growing interest in integration of logistics management information system (LMIS) and health management information system (HMIS) data to improve supply chain performance and service delivery led...
The approach to review interagency collaboration in medicines supply chain examined the subject in the context of current literature and evidence in effective collaboration. As such, it did not focus...
At the end of 2015, the provincial government of Tete - with support from VillageReach and Médecins Sans Frontières (MSF) - contracted with a local third-party logistics provider to test a new...
BACKGROUND:
Immunisation is the cornerstone of primary healthcare. Apart from the provision of safe water, immunisation remains the most cost-effective public health intervention currently...
• WHO recommends that JE-endemic countries conduct a one-time JE vaccination campaign in the primary target population and then incorporate JE vaccine into the national immunization program (NIP)...
Lyophilization of vaccines is advantageous for the distribution and storage of thermally labile products, particularly in regions where cold chain management is difficult. To date, current...
This MS Excel workbook accompanies the WHO publication \'Vaccine stock management: Guidelines on stock records for immunization programme and vaccines store managers\'.
This MS Excel workbook accompanies the WHO publication \'Vaccine stock management: Guidelines on stock records for immunization programme and vaccines store managers\'.
This manual is prepared in support of the WHO-UNICEF EVSM initiative to help immunization programme managers and responsible staff at the primary and intermediate storage facilities with standard...
BACKGROUND:
Vaccination is the most effective intervention strategy, and the provision of vaccination at fixed posts and outreach posts is a backbone of a sustainable vaccination system in...
OBJECTIVES:
Cold chain control is one of the most important facts to ensure the effectiveness of vaccines links, which requires specific material and human resources for management. The principal...
This report from VillageReach offers detailed analysis and lessons learned from over a decade of working with the Mozambique Ministry of Health to implement comprehensive iSC changes leading to a...
Background
The Bacillus Calmette-Guérin (BCG) vaccine is provided to over 100 million neonates annually to protect against childhood tuberculosis (TB). Recent BCG manufacturing interruptions...
The Technet meeting was held from 26-27 October 2006 in Mexico city. Over 120 participants attended the conference. This report summarises the discussions.
The Antalya 2004 consultation, organized back-to-back with the Technology and Operations Panel meeting, welcomed a total of 105 participants including 15 participants representing national...
Technet was relaunched at the 2001 conference as Technet21. The New Delhi 2001 meeting, organized back-to-back with SIGN, welcomed a total of 107 participants including 23 participants representing...
The 1998 Technet consultation was held at the WHO Regional Office for Europe, Copenhagen from 16 to 20 March 1998. This consultation gathered a wide range of experts and partners active in...
This report sums up the discussions around EPI, logistics, cold chain and related issues at the Technet Conference held from 12-16 March 1990 in Nicosia, Cyprus.
Populations and routine childhood vaccine regimens have changed substantially since supply chains were designed in the 1980s, and introducing new vaccines during the “Decade of Vaccine” may...
In Zanzibar, a semi-autonomous government within The United Republic of Tanzania, numerous development partners, including the USAID | DELIVER PROJECT and SCMS, undertook various initiatives toward...
Over the last decade, investments made by the Government of Tanzania (GOT) through the Ministry of Health, Community Development, Gender, Elderly, and Children (MOHCDGEC), United States Agency for...
Complex humanitarian emergencies affect 40–60 million people annually and are a growing public health concern worldwide. Despite efforts to provide medical and public health services to populations...