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Abstract below; full text is at http://www.sciencedirect.com/science/article/pii/S0264410X17301214
Volume 35, Issue 17, 19 April 2017, Pages 2195–2197
Available online 30 March 2017
http://dx.doi.org/10.1016/j.vaccine.2016.11.108
Under a Creative Commons license
Open Access
• Trends driving outsourcing in sub-Saharan Africa.
• Opportunities for engaging the private sector in health.
• Key considerations for outsourcing: benefits and risks.
• Optimal private sector conditions to engage with the public sector.
Development partners and donors have encouraged and incentivized governments in developing countries to explore ways of working with third-party service suppliers to reduce costs and increase service delivery capacity. The distribution of vaccines and medicines has for a long time shown demand for outsourcing but public health systems have struggled to develop the expertise and capital assets necessary to manage such ventures.
Existing transport and logistics capacity within public health systems, in particular, is well documented as being insufficient to support existing, let alone future immunization needs. Today, a number of countries are contracting party logistics providers (3PLs) to supplement the in-house distribution operations of public health systems. This commentary reflects on recent, leading examples of outsourcing initiatives to address critical gaps in transport and logistics.
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