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This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.
  1. Anup Akkihal
  2. Supply chain and logistics
  3. Tuesday, 19 April 2011

Are dairy chains and routine vaccine chains complementary? In Karnataka (South India) milk unions pick-up milk from even remote villages with amazing regularity/predictability (without special technology to speak of). Vehicles with "chillers" travel empty, and return with milk to the semi-urban processing plant. Could the empty "front-haul" be utilized for routine immunization activities? Is this an experiment worth trying? Would love to hear your thoughts.

Moderator Accepted Answer
Admin
Thank you Anup. But do share the outcome of your 'off-line' efforts with the forum as and when there is something forum-worthy.
  1. more than a month ago
  2. Supply chain and logistics
  3. # 1
Anup Akkihal Accepted Answer
All the specific and useful feedback is appreciated! Based on everyone's comments, it appears to warrant deeper investigation, with special consideration given to: Training Hygiene Temperature conditions Equipment & maintenance Government regulations and the obvious effort to integrate business and operational models There is a particularly innovative and thoughtful initiative here in India wherein rural dairy supply chains are being enhanced and streamlined. If there is sufficient interest from them, and also within this expert immunization community, perhaps we can arrange a brainstorm to tease-out the incentives needed to try such an experiment? I'll follow up offline. Thanks, Anup
  1. more than a month ago
  2. Supply chain and logistics
  3. # 2
James Cheyne Accepted Answer
Hello, I think this sort of integration is a great idea and should be investigated. No solution is perfect - but ideas like this can often produce a procedure that works well in some places. Is anyone interested in trying it out with their local milk delivery company? Also, if you start working on collaborating with the private sector all sorts of new ideas can emerge. Some years ago, while working with UNICEF, I was involved with a company in Karachi to deliver vaccines in the same refrigerated van they used for delivering ice cream. We worked on how to make a 2-8 degree compartment inside their freezer van but the scheme finally fell apart when we discovered that there was a law in Pakistan at the time that said that food and biologicals couldn't be transported together in the same vehicle. During the work with the ice cream company, however, we came to learn that they had about 1,000 retail outlets where they leased ice cream freezers to the shop owners (the Ministry of Health had about the same number of health centres to be supplied with vaccines). The ice cream company were able to repair or replace a broken freezer within 24 hour anywhere in the country so we ended up with a project where the ice cream company would train the ministry maintenance department staff on the company's system for repair and replacement of freezers that might be adopted, with some adaptation, for the ministry. We started to look for a technical solution to the supply chain and we ended up with a management solution to different challenge. Does any else have any other suggestions like Anup's?
  1. more than a month ago
  2. Supply chain and logistics
  3. # 3
prabirkc Accepted Answer
Depends on the temperatures that the milk chiller vans work at. Also sterile precautions or at least basic hygiene needs to be maintained. There is also a system that supplies liquid nitrogen cooled material for AI to rural veterinary assistants. however this temperature is far too cold for vaccines.
  1. more than a month ago
  2. Supply chain and logistics
  3. # 4


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