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Passive-cooled supply chain for outreach immunization
This is the third posting I have made on in-country transport of vaccine. The first two postings opened issues for discussion on vaccine storage temperatures and on optimizing inter-store transfers. This posting focuses on transport for outreach immunization in the context of a passive-cooled supply...
Field-level vaccine supply chain indicators: availability of vaccine (post 2 of 4)
This posting is one of four, each discussing a different indicator. This post discusses the availability of vaccine. Over 40% of countries reporting to the JRF in 2013 reported shortages of one or more vaccines for at least one month at central level. Disruption of supplies of this scale at central...
Medical waste disposal for public health (1)
I hope that you will disagree with me and tell me that medical waste disposal systems in low-to-middle income countries have advanced dramatically in the last ten years. But I have the impression is that the interest that existed in the first five years of the millennium has declined and that the na...
Field-level vaccine supply chain indicators (post 1 of 4)
This is the first of a series of TechNet postings to assess alternative definitions of field-level indicator(s) matching each of the proposed monitoring objectives. For now and based on this posting, please let me know your feedback:
Are any of these objectives NOT needed to monitor distribution?...
Optimize Choices for Vaccine Transport
This post follows another on in-country Vaccine Transport a week ago, inviting discussion of the post and suggesting we discuss a revision of vaccine transport temperatures around a single temperature requirement; +2C to +8C during 48 hours with excursions 100kgs) requires rolling and lifting trolle...
Streamline requirements for vaccine transport?
WHO's “Guidelines on the international packing and shipping of vaccines” clearly defines the temperature conditions for vaccines in three groups of stability up to a maximum travel duration of 48 hours. Guidelines for in-country transport cannot yet be found in a single document but are scattered am...
'Moving Warehouse' streamlines vaccine distribution
The 'Moving Warehouse' (MW) system of vaccine distribution issues vaccine as needed from a mobile stock to a series of stores situated on a pre-planned delivery circuit. MW has proved to be the best of the available choices in countries of three regions, by achieving the following comparative advant...
Transporting Vaccine Between Stores: Changing Choices
With the possible exception of disposal, transport is the most neglected aspect of the vaccine supply chain in spite of its reputation for accidental freezing of vaccines, unreliable availability and high operational costs. So, I hope you will join us in discussing work in progress:
At the vacc...
Ice-lined refrigerators: Time to rethink this product?
Icelined refrigerators have become a dominant standard worldwide for the safe storage of vaccine in areas of unreliable electricity supplies. In the 35 years since the start of the Product Information Sheets not a single upright, domestic compression refrigerator has been posted in the pre-qualified...
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