Immunization supply chains (iSCs) move vaccines from manufacturer to point of use with the added complexities of requiring cold chain and an increasing need for agility and efficiency to ensure vaccine quality and availability. Underperforming iSCs have been widely acknowledged as a key constraint to achieving high immunization coverage rates in low- and middle-income countries. This paper details the system design approach used to analyze the iSC network in Sierra Leone, Madagascar, Niger, and Guinea and documents six lessons.
Authors: Wendy Prosser, Cary Spisak, Benjamin Hatch, Joseph McCord, Marie Tien & Greg Roche
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