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Professional changes induced by a redesigned immunization supply chain in the Comé Health Zone, Benin

Tuesday, 4th of April 2017 Print

Abstract below; full text is at http://www.sciencedirect.com/science/article/pii/S0264410X17300567


Volume 35, Issue 17, 19 April 2017, Pages 2189–2194

Professional changes induced by a redesigned immunization supply chain in the Comé Health Zone, Benin 

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• Workers in the health facilities value a supportive supervision highly.

• Multiple skills and supervisors are required to monitor the logisticians work.


At the end of 2013, the Government of Benin and Agence de Médecine Préventive (AMP) launched a demonstration project in Comé Health Zone (HZ) to optimize the vaccine supply chain. A key part of the demonstration project was the creation of an “informed push model” of vaccine distribution supported by a new logistician position at the health zone (district) level. At the conclusion of the demonstration project in 2015, the authors conducted an anthropological study consisting of semi-structured interviews with 62 participants to assess how the new model changed the professional identities, roles, responsibilities, and practices of personnel involved in vaccine management during and just after the demonstration project end in Comé HZ. The study found that health workers considered the logistician as a key player in enabling them to perform their public health mission, notably by improving knowledge and practices in vaccine management, providing supportive supervision, and improving the availability of vaccines and other supplies so that immunization sessions could occur more reliably and professionally within the communities they served. The demonstration project was widely accepted among study participants. The study was approved by the Cotonou Ethics Committee (CER-ISBA No. 56 dated 09/04/2015).

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