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Promoting equity in immunization coverage through supply chain design in Pakistan
Mariam Zameer1, Nora Phillips-White1, Olamide Folorunso2
1VillageReach, Seattle, WA, USA.
Gates Open Research
|March 12, 2021
Summary
Improving immunization equity requires optimizing vaccine supply chains. This study in Pakistan reveals how supply chain design impacts vaccine availability and coverage, identifying gaps to reach unimmunized children.
Area of Science:
- Public Health
- Health Systems Strengthening
- Supply Chain Management
Background:
- Equitable immunization coverage is crucial for global health.
- Current investments often focus on health facilities, neglecting supply chain efficiency.
- Supply chain design significantly impacts vaccine availability and program equity.
Purpose of the Study:
- To assess the impact of supply chain design on immunization equity in Pakistan.
- To identify supply chain gaps contributing to disparities in vaccine coverage.
- To inform future health system investments for equitable immunization delivery.
Main Methods:
- Conducted a district-level supply chain analysis in Pakistan.
- Utilized metrics including cold chain coverage and travel distances.
- Analyzed immunization coverage rates, specifically the third-dose diphtheria-tetanus-pertussis (DTP3) vaccine, and urban-rural disparities.
Main Results:
- Supply chain metrics were triangulated with immunization coverage data.
- Identified specific supply chain gaps affecting vaccine availability at the district level.
- Demonstrated the link between supply chain performance and equitable immunization program outcomes.
Conclusions:
- Supply chain design is a critical determinant of immunization equity.
- Addressing identified supply chain gaps can improve vaccine access for unreached populations.
- Data-driven supply chain analysis informs targeted health system investments for better immunization coverage.
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