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 advantages:
Delivery circuits to multiple stores are planned to be the most efficient use of vehicle time and distance at least cost per dose;
By merging the estimation of vaccine needs with the issue of new vaccine supplies in the presence of supervision, orders are less bureaucratic and more accurate;
Including Supportive Supervision with the delivery of vaccine assures regular checks on remaining physical stock and oversight of quantities supplied in relation to consumption;
Timely execution of scheduled deliveries of vaccine reduce stock-outs substantially and protect the availability of shared vehicles for distribution;
Offers the opportunity to include collection of used syringe safety boxes for disposal at the supplying store or hospital;
Centralised management of the cold chain during distribution achieves a higher level of compliance with vaccine handling procedures;
Budgeting for distribution is more predictable when costs are centrally managed, without the need for reimbursements associated with collection.