首页> 美国卫生研究院文献>Elsevier Sponsored Documents >Outsourcing vaccine logistics to the private sector: The evidence and lessons learned from the Western Cape Province in South-Africa
【2h】

Outsourcing vaccine logistics to the private sector: The evidence and lessons learned from the Western Cape Province in South-Africa

机译:将疫苗物流外包给私营部门:南非西开普省的证据和经验教训

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

With few exceptions, immunization supply chains in developing countries continue to face chronic difficulties in providing uninterrupted availability of potent vaccines up to service delivery levels, and in the most efficient manner possible. As these countries struggle to keep pace with an ever growing number of vaccines, more and more Ministries of Health are considering options of engaging the private sector to manage vaccine storage, handling and distribution on their behalf. Despite this emerging trend, there is limited evidence on the benefits or challenges of this option to improve public supply chain performance for national immunization programmes. To bridge this knowledge gap, this study aims to shed light on the value proposition of outsourcing by documenting the specific experience of the Western Cape Province of South Africa. The methodology for this review rested on conducting two key supply chain assessments which allowed juxtaposing the performance of the government managed segments of the vaccine supply chain against those managed by the private sector. In particular, measures of effective vaccine management best practice and temperature control in the cold chain were analysed. In addition, the costs of engaging the private sector were analysed to get a better understanding of the economics underpinning outsourcing vaccine logistics. The results from this analysis confirmed some of the theoretical benefits of outsourcing to the private sector. Yet, if the experience in the Western Cape can be deemed a successful one, there are several policy and practice implications that developing countries should be mindful of when considering engaging the private sector. While outsourcing can help improve the performance of the vaccine supply chain, it has the potential to do the reverse if done incorrectly. The findings and lessons learnt from the Western Cape experience can serve as a step towards understanding the role of the private sector in immunization supply chain and logistics systems for developing countries.
机译:除少数例外,发展中国家的免疫供应链继续面临长期困难,难以以最有效的方式提供不中断的有效疫苗供应,直至服务提供水平。随着这些国家努力跟上越来越多的疫苗的步伐,越来越多的卫生部正在考虑让私营部门代表他们管理疫苗存储,处理和分配的选择。尽管出现了这种新兴趋势,但关于这种选择为国家免疫计划改善公共供应链绩效的好处或挑战的证据有限。为了弥补这一知识鸿沟,本研究旨在通过记录南非西开普省的具体经验来阐明外包的价值主张。此次审查的方法基于进行两次关键的供应链评估,从而使疫苗供应链中政府管理部门与私营部门管理部门的绩效并列。特别是,分析了冷链中有效疫苗管理最佳实践和温度控制的措施。此外,还分析了与私营部门合作的成本,以更好地理解外包疫苗物流的经济基础。分析的结果证实了外包给私营部门的一些理论收益。但是,如果西开普省的经验可以被认为是成功的经验,那么在考虑与私营部门合作时,发展中国家应牢记一些政策和实践意义。尽管外包可以帮助改善疫苗供应链的绩效,但如果做得不当,它有可能做相反的事情。从西开普省的经验中得出的结论和经验教训可作为迈向了解私营部门在发展中国家免疫接种供应链和后勤系统中的作用的一步。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号