ArticleVaccine2016
Re-designing the Mozambique vaccine supply chain to improve access to vaccines.
Article in Vaccine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-Effectiveness Analyses of Digital Health Technology for Improving the Uptake of Vaccination Programs: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Expanding modeling boundaries to design more resilient vaccine supply networks.Health care management science · 2025Article
- Developing an intuitive decision support system for equitable vaccine distribution during pandemics.Scientific reports · 2025Article
- Lessons learnt in the response to COVID-19 in Mozambique: enabling readiness for the next pandemic.Frontiers in health services · 2025Article
- Transforming Supply Logistics for Health Commodity Security in Africa.Global health, science and practice · 2024Article
- Strategic Planning of a Joint SARS-CoV-2 and Influenza Vaccination Campaign in the UK.Vaccines · 2024Article
- Perceptions of and Practical Experience with the National Surveillance Centre in Managing Medicines Availability Amongst Users within Public Healthcare Facilities in South Africa: Findings and Implications.Healthcare (Basel, Switzerland) · 2023Article
- When increasing vegetable production may worsen food availability gaps: A simulation model in India.Food policy · 2023Article
- Designing an optimization model for the vaccine supply chain during the COVID-19 pandemic.Expert systems with applications · 2023Article
- Improving the availability of vaccines in primary healthcare facilities in South Africa: is the time right for a system redesign process?Human vaccines & immunotherapeutics · 2022Article
- Modeling a sustainable vaccine supply chain for a healthcare system.Journal of cleaner production · 2022Article
- A two-stage decision-support approach for improving sustainable last-mile cold chain logistics operations of COVID-19 vaccines.Annals of operations research · 2022Article
- COVID-19 vaccine distribution planning using a congested queuing system-A real case from Australia.Transportation research. Part E, Logistics and transportation review · 2022Article
- Review
- A systems map of the economic considerations for vaccination: Application to hard-to-reach populations.Vaccine · 2021Article
- Article
- Designing supply chains to meet the growing need of vaccines: evidence from four countries.Journal of pharmaceutical policy and practice · 2021Article
- A light-touch routing optimization tool (RoOT) for vaccine and medical supply distribution in Mozambique.International transactions in operational research : a journal of The International Federation of Operational Research Societies · 2021Article
- A simulation-based analysis for effective distribution of COVID-19 vaccines: A case study in Norway.Transportation research interdisciplinary perspectives · 2021Article
- Optimal planning of the COVID-19 vaccine supply chain.Vaccine · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
introductionPopulations and routine childhood vaccine regimens have changed substantially since supply chains were designed in the 1980s, and introducing new vaccines during the "Decade of Vaccine" may exacerbate existing bottlenecks, further inhibiting the flow of all vaccines.
methodsWorking with the Mozambique Ministry of Health, our team implemented a new process that integrated HERMES computational simulation modeling and on-the-ground implementers to evaluate and improve the Mozambique vaccine supply chain using a system-re-design that integrated new supply chain structures, information technology, equipment, personnel, and policies.
resultsThe alternative system design raised vaccine availability (from 66% to 93% in Gaza; from 76% to 84% in Cabo Delgado) and reduced the logistics cost per dose administered (from $0.53 to $0.32 in Gaza; from $0.38 to $0.24 in Cabo Delgado) as compared to the multi-tiered system under the current EPI. The alternative system also produced higher availability at lower costs after new vaccine introductions. Since reviewing scenarios modeling deliveries every two months in the north of Gaza, the provincial directorate has decided to pilot this approach diverging from decades of policies dictating monthly deliveries. DISCUSSION: Re-design improved not only supply chain efficacy but also efficiency, important since resources to deliver vaccines are limited. The Mozambique experience and process can serve as a model for other countries during the Decade of Vaccines. For the Decade of Vaccines, getting vaccines at affordable prices to the market is not enough. Vaccines must reach the population to be successful.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.