Transportation and Supply Chain

cStock is a supply chain strengthening approach for community health programs. The approach uses a combination of simple mobile technology that support demand-based resupply procedures and connect community health workers (CHWs) to their resupply facility, user-friendly dashboards to allow better visibility, accountability and transparency and IMPACT teams to strengthen data use and local problem solving to supply chain challenges.

Daniel Pepper of Vayu in the U.S. will assess the value of using unmanned aerial vehicles integrated with existing healthcare supply chains to transport healthcare products and diagnostic samples in Senegal. Healthcare supply chains are critical for saving lives but are restricted by poor road infrastructure in developing countries. Unmanned aerial vehicles can overcome these restrictions and ensure rapid transport in temperature-controlled conditions.

Bulara Mpiti of the Clinton Health Access Initiative (CHAI) in the U.S. will use the clinical sample transportation network in Lesotho to increase the efficiency of delivering viable vaccines to local health facilities. Most health facilities in Lesotho experience stock-outs of essential vaccines, which are caused by weak supply chains from the stores at district offices.

JÛnas Oddur J¥0nasson of MIT Sloan School of Management in the U.S. and collaborators will develop a more cost-effective method for transporting clinical samples between health centers and diagnostic laboratories in low-resource settings. In most countries in Southern Africa, sample transport is uncoordinated and leads to regular unnecessary trips, resulting in higher costs and long delays in disease diagnosis.

Ephrance Nuwamanya of Bushenyi Integrated Rural Development (BIRD) in Uganda will improve routine immunization coverage in Uganda by developing a digital system for health centers to record births and vaccinations, send automated reminders and education messages to families via SMS, and monitor vaccine orders and supplies. Vaccinations can prevent many potentially deadly diseases. However, few children are properly vaccinated across many sub-Saharan African countries, and there is no effective way to monitor vaccinations and educate families.

Ruth Betchel of VillageReach in the U.S. will create a hub to coordinate and track the transport of clinical samples from health facilities to laboratories for diagnosis in Mozambique so that diseases such as HIV and tuberculosis can be identified and treated earlier. Timely diagnosis of disease is also critical for preventing spread. In Mozambique, the existing transport system for patient samples relies on outside providers and is largely uncoordinated, unreliable, and inefficient.

Roice Fulton of the Denominator Group in Switzerland will test the value of blockchain, which is a decentralized secure database, for stakeholders such as distributors and health workers to record and monitor the movement of a vaccine along a supply chain, to ensure the availability of sufficient levels of working vaccines. Following the route of a vaccine from the producer to the patient would ensure its safety and allow for better monitoring of stock and supply chain performance, which would improve vaccine availability and help identify ways to increase efficiency and lower costs.