Getting Products to People: Challenges with Last Mile Supply Chain Financing and Recommendations for Funders and Governments

Health supply chains in low-income countries have improved markedly thanks to major investments in recent years. Yet the failure to finance last-mile delivery too often prevents products from reaching the people for whom they are intended. This paper describes four challenges to last mile supply chain financing and draws from our collective experience supporting last mile supply chains, primarily in sub-Saharan Africa. It offers examples of how governments and donors have addressed these challenges and outlines recommendations for both funders and governments.