Countries: Guinea, Kenya, Pakistan
Client(s): Gavi, the Vaccine Alliance
Service: Monitoring, Evaluation, and Research
Technical Expertise: Research, Monitoring, and Evaluation
With one in five children still not immunized and therefore at risk of preventable life-threatening diseases in low and middle-income countries (LMICs), immunization programs are under pressure to improve performance and efficiency, increase coverage, and reach the fifth child. At the same time, new vaccines are being introduced, and immunization supply chain management (iSCM) systems are being stretched to accommodate ever-increasing volumes and varieties of vaccines and presentations.
To address these issues, Gavi’s Supply Chain Strategy has placed attention on an efficient and effective iSCM to ensure the potency of vaccines and increased availability in order to improve coverage and equity. One fundamental of the strategy, cold chain equipment, is addressed by Gavi’s establishment of the Cold Chain Equipment Optimization Platform (CCEOP).
To make the CCEOP most effective at both global and country levels, Gavi must now understand how the design of the platform is shaping the market for optimal cold chain equipment and how countries are responding to and implementing CCEOP grants. Gavi seeks to assess the relevance, effectiveness, efficiency, outcomes, and sustainability of the CCEOP investment.
This evaluation will assess the progress of the CCEOP against its original objectives. Results will improve the design of the platform with both market shaping and country-level implementation in mind. This evaluation will assess the relevance, effectiveness, efficiency, and sustainability of its Cold Chain Equipment Optimization Platform (CCEOP) in three countries: Guinea, Kenya, and Pakistan.
In collaboration with local research partners, JSI will conduct baseline, endline, and periodic assessments of health facilities and interviews of key stakeholders. The study will triangulate information from multiple sources to inform better planning, scale-up, roll-out and implementation of the CCEOP in other countries as Gavi expands its approach. In addition to country-level assessments, data will be collected and triangulated to report on CCEOP market shaping intervention outcomes. The outcomes of the evaluation will contribute to helping the Alliance improve the design of the platform, including Gavi’s cold chain equipment (CCE) market shaping strategies, and to help countries implementing the platform.