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Global Health: Science and Practice
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Global Health: Science and Practice

Dedicated to what works in global health programs

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Supply Chain

  • Open Access
    An Oxygen Supply Is Not Enough: A Qualitative Analysis of a Pressure Swing Adsorption Oxygen Plant Program in Ethiopian Hospitals
    Victoria Smith, Alana Changoor, Sarah Rummage, Haileab Fekadu Wolde, Ejigu Gebeye Zeleke, Getahun Mekonnen Belay, David Barash, James Stunkel and Cheri Reynolds
    Global Health: Science and Practice August 2024, 12(4):e2300515; https://doi.org/10.9745/GHSP-D-23-00515

    Pressure swing adsorption (PSA) oxygen systems are more complicated than oxygen concentrators but can generate a much greater volume of medical oxygen and serve a network of hospitals, increasing regional supply. Direct feedback from hospital workers collected during the COVID-19 pandemic provided strong validation and reinforcement of the need for new oxygen supplies to be accompanied by investments in transportation, clinical and technical training, and provision of equipment and supplies.

  • Open Access
    Examining Public Sector Availability and Supply Chain Management Practices for Malaria Commodities: Findings From Northern Nigeria
    Kunle Rotimi, Ademola Joshua Itiola, Babatunde Ariyo Fagbemi, Jimmy Aiden, Taiwo Ibinaiye, Chrysantus Dabes, Andrew Okwulu, Daniel Oguche, Adaeze Aidenagbon, Umar Babuga Abubakar, Rose Tukura, Danladi Chonoko Mohammad, Christopher Bewa, Ahmad Muhammad Danzaki and Olusola Oresanya
    Global Health: Science and Practice June 2024, 12(3):e2200547; https://doi.org/10.9745/GHSP-D-22-00547

    The supply management challenges identified in this study underscore the urgent need to implement effective interventions to address the observed gaps in malaria commodity availability to help reduce malaria morbidity and mortality in Nigeria, especially among children aged younger than 5 years.

  • Open Access
    Transforming Supply Logistics for Health Commodity Security in Africa
    Ebenezer Kwabena Tetteh
    Global Health: Science and Practice February 2024, 12(1):e2300218; https://doi.org/10.9745/GHSP-D-23-00218

    Current efforts to ensure health commodity security in Africa must be extended to include transforming existing public and private logistics infrastructure for inventory management into a state of prudent multiplicity while also considering efforts to improve product selection, demand quantification, procurement, and service delivery.

  • Open Access
    Supporting the Manufacturing of Medical Supplies in Africa: Collaboration Between Africa CDC, Partners, and Member States
    Abdulaziz Mohammed, Hanna Idris-Dantata, Tochi Okwor, Paul Tanui, Elijah Paintsil, Patrick Chanda Kabwe, Yewande Alimi, Raji Tajudeen, Wessam Mankoula, Olayinka Stephen Ilesanmi, Muhammad Shakir Balogun, Chikwe Ihekweazu, Emilio Hornsey and Onyema Ogbuagu
    Global Health: Science and Practice October 2023, 11(5):e2300121; https://doi.org/10.9745/GHSP-D-23-00121

    Inadequate supply of PPE, vaccines, and diagnostics during the COVID-19 pandemic in Africa created an opportunity to promote local manufacturing. Authors describe Africa CDC's contributions and highlight strategies for strengthening the pandemic response.

  • Open Access
    Impact of the COVID-19 Pandemic on Medical Product Procurement, Prices, and Supply Chain in Zimbabwe: Lessons for Supply Chain Resiliency
    Tatenda T. Yemeke, Farouk A. Umaru, Rashida A. Ferrand and Sachiko Ozawa
    Global Health: Science and Practice October 2023, 11(5):e2200424; https://doi.org/10.9745/GHSP-D-22-00424

    The authors document how the COVID-19 pandemic disrupted medical product supply chain and procurement in Zimbabwe, impacting medicine access and prices. Policies and interventions are needed to ensure ongoing supply chain resilience.

  • Open Access
    The Quality Management Improvement Approach: Successes and Lessons Learned From a Workforce Development Intervention in Rwanda’s Health Supply Chain
    Rogers Kigenza, Eliezer Nsengiyumva and Vincent Sabagirirwa
    Global Health: Science and Practice February 2023, 11(1):e2200295; https://doi.org/10.9745/GHSP-D-22-00295

    A workforce development intervention called the Quality Management Improvement Approach has proven to be a successful training and capacity-building platform for supply chain management, improving end-to-end data visibility and communication.

  • Open Access
    A Comprehensive Approach to Medical Oxygen Ecosystem Building: An Implementation Case Study in Kenya, Rwanda, and Ethiopia
    Victoria Smith, Alana Changoor, Chloe McDonald, David Barash, Bernard Olayo, Steve Adudans, Tyler Nelson, Cheri Reynolds, Monica Cainer and James Stunkel
    Global Health: Science and Practice December 2022, 10(6):e2100781; https://doi.org/10.9745/GHSP-D-21-00781

    A social enterprise model was successfully implemented in Kenya, Rwanda, and Ethiopia that centers the production and distribution of medical oxygen at referral hospitals and equips them to act as supply hubs that help meet regional demand for affordable supply.

  • Open Access
    Mapping the Antimicrobial Supply Chain in Bangladesh: A Scoping-Review-Based Ecological Assessment Approach
    E.S.F. Orubu, M.A. Samad, M.T. Rahman, M.H. Zaman and V.J. Wirtz
    Global Health: Science and Practice September 2021, 9(3):532-547; https://doi.org/10.9745/GHSP-D-20-00502

    A standardized method for evaluating antimicrobial supply chains in the context of access and use could be a useful tool in assessing national capacity to implement programs that address antimicrobial resistance. We present both a novel ecological approach comprising mapping and the use of indicators that can be used to characterize national antimicrobial supply chains as well as benchmark countries and, for the first time, a country-level assessment of Bangladesh.

  • Open Access
    A Rapid Cost Modeling Tool for Evaluating and Improving Public Health Supply Chain Designs
    Michael Krautmann, Mariam Zameer, Dorothy Thomas, Nora Phillips-White, Ana Costache and Pascale R. Leroueil
    Global Health: Science and Practice December 2020, 8(4):759-770; https://doi.org/10.9745/GHSP-D-20-00227

    The Rapid Supply Chain Modeling Tool enables health system leaders to quickly estimate and compare the cost impact of potential supply chain design improvements in situations where time and budget do not allow for more in-depth modeling approaches.

  • Open Access
    Associations Between Practices and Behaviors at the Health Facility Level and Supply Chain Management for Antiretrovirals: Evidence from Cameroon, Namibia, and Swaziland
    Diana Bowser, Laura Krech, David Mabirizi, Angela Y. Chang, David Kapaon and Thomas Bossert
    Global Health: Science and Practice June 2019, 7(2):300-316; https://doi.org/10.9745/GHSP-D-19-00063

    Using antiretrovirals (ARVs) as tracer products, we identified the following key practices that may affect supply chain management at the facility level: order verification, actions taken when stock is received, changes in prescription and dispensing due to ARV stock-out, actions to ensure patient adherence, and communication with other affiliated facilities and higher-level supply chain management. We propose a set of indicators to measure these practices.

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