Cold chain integration

Dan Brigden

This page provides supply chain managers with a list of key resources when planning to integrate temperature-sensitive health products into the vaccine cold chain. Resources are grouped as follows:

In addition to the resources listed below, WHO provides a selection of tools for optimizing the performance of immunization supply chains, including the Immunization Supply Chain Sizing Tool. This planning tool can be used by national programme managers to estimate the size of the required supply chain infrastructure for vaccine and other health product storage and transportation at each level and facility. A full list of WHO tools can be found here.

WHO-UNICEF Joint Statements on cold chain integration

TitleAuthorYearTypeLanguage
Temperature-sensitive health products in the expanded programme on immunization cold chain (19 November 2020)UNICEF, World Health Organization (WHO)2020GuidanceEnglish
Temperature-sensitive health products in the expanded programme on immunization cold chain (05 May 2015)UNICEF, World Health Organization (WHO)2015GuidanceEnglish

Guidance on cold chain integration

TitleAuthorYearTypeLanguage
Integration of vaccine supply chains with other health commodity supply chains: A framework for decision makingPrashant Yadav, Patrick Lydon, Julianna Oswald, Modibo Dicko, Michel Zaffran2014Journal articleEnglish
Integrating the Supply Chains of Vaccines and Other Health CommoditiesPATH, World Health Organization (WHO)2013Case studyEnglish, French
Managing change: Integrating vaccine and medicine supply chainsVillageReach2020Case studyEnglish
Route Optimization Tool (RoOT) for distribution of vaccines and health productsVillageReach, Zelda B. Zabinsky, Mariam Zameer, Larissa P. G. Petroianu, Mamiza M. Muteia, Aida L. Coelho2021ToolEnglish
Supply chain integration - TechNet Conference 2023Joe Little, Jaclyn Delarosa, Roshini George, Raj Sachdev, Kim Couri2023PresentationEnglish
Solutions to address primary health care cold chain and integration bottlenecksPATH2022GuidanceEnglish
Integration of Vaccine Supply Chains With Other Health Commodity Supply Chains: A Framework for Decision-MakingWorld Health Organization (WHO), PATH2013GuidanceEnglish
Immunization Supply Chain Interventions to Enable Coverage and Equity in Urban Poor, Remote Rural and Conflict SettingsUNICEF2020GuidanceEnglish
Working together: An integration resource guide for planning and strengthening immunization services throughout the life courseWorld Health Organization (WHO)2018Case studyEnglish, French

Integration case studies

TitleAuthorYearTypeLanguage
Summary of Routine Immunization System Integration Enablers and Obstacles in NigeriaJSI Research & Training Institute, Inc2025Poster/infographicEnglish
Outsourcing Transport to Improve Health at the Last Mile: A Case StudyVillageReach2016Case studyEnglish

Integrating oxytocin

TitleAuthorYearTypeLanguage
Integrating Oxytocin into the Vaccine Cold Chain to Improve Management of Post-Partum Haemorrhage in UgandaAndualem Oumer, Jane Briggs, Eric Jemera2020ReportEnglish
Overcoming barriers to integrating oxytocin into the immunization cold chain at health facilities - Practical Guidance for PolicymakersJSI2020GuidanceEnglish
Appropriate storage and management of oxytocin – a key commodity for maternal healthWorld Health Organization (WHO), UNICEF, United Nations Population Fund (UNPF)2019GuidanceEnglish
Final Report: Integrating Oxytocin Into the EPI Cold ChainJane Briggs2020ReportEnglish
Integrating oxytocin delivery through the vaccine cold chain system within the expanded programme of immunisation in Ethiopia: a case of evidence-informed decision-makingAbdulhalik Workicho, Tsinuel Girma, Bereket Yakob, Zemzem Mohammed, Melkamu Ayalew, Mariamawit Asfaw, Mirkuzie Woldie2026Journal articleEnglish

Guidance on private sector engagement

TitleAuthorYearTypeLanguage
Outsourcing Vaccine Supply Chain and Logistics to the Private SectorPATH, World Health Organization (WHO)2012Case studyEnglish, French
Increasing Local Private Sector Engagement in LMIC Public Health SystemsVillageReach2024GuidanceEnglish

Journal articles on cold chain integration

TitleAuthorYearTypeLanguage
The origins of the vaccine cold chain and a glimpse of the futureJohn Lloyd, James Cheyne2017Journal articleEnglish