TABLE.

Configuration of Multitiered Public-Sector Health Supply Logistics Systems in Selected African Countriesa,b

DesignCountryCentral Medical StoresRegional Medical StoresDistrict Medical Stores
3-tierBeninc1880
Burkina Faso1763
Democratic Republic of the Congo215228
Guinea1838
Madagascar122114
Mali1549
Mozambiqued211148
Niger1872
Nigeriae736774
Senegal11163
2-tierBurundi117
Cameroon110
Chad122
Ghana15
Tanzania18
Republic of the Congo141
Rwanda130
Uganda1112
Zambia172
1-tierKenya1
Moroccof1
  • a Data from: Yadav, et al.,5 Prosser et al.,6 Prosser et al.,7 Sarley et al.,8 Wright et al.,9 Yadav,10 El Mokrini et al.,11 Gavi, the Vaccine Alliance.12

  • b For each country, the number of central medical stores (CMSs), regional medical stores (RMSs), and district medical stores (DMSs) does not include health facilities as a tier or secondary (product-specific) warehouses set up for vertical health programs. The current situation in the countries listed may be different and sometimes, conflicting evidence is reported in the literature.

  • c In Benin, the number of RMSs refers to 7 department stores and 1 “regional” store; the number of DMSs refers to subdistrict (commune) stores.

  • d The description of the situation in Mozambique by Wright et al.9 differs from Prosser et al.,7 who report 1 national warehouse, 9 provincial medical stores, and 128 district stores.

  • e The CMS tier in Nigeria has 1 national store in Abuja and 6 zonal stores, 1 in each of its 6 geopolitical zones.

  • f From El Mokrini et al.,11 it is unclear whether Morocco has 1 CMS plus 3 secondary warehouses or 2 CMSs plus 2 secondary warehouses.