Effective Vaccine Management (EVM): why is progress so slow?

After presenting a summary of the results of the EVM evaluations conducted between 2009 and 2019, and noting the profile between mountains (high scores of investment criteria) and depressions/precipices (low scores of process criteria), sociological and managerial explanations of this situation will be explored before proposing possible solutions and recommendations to managers of EPI programs and logisticians.