TY - JOUR AB - PharmacoEconomics & Outcomes News 678 - 18 May 2013 Streamlining vaccine supply chain reduces costs in Niger Removing the regional level from the national vaccine supply chain in Niger may improve supply chain performance and reduce costs if there are accompanying appropriate changes in shipping policies. This is the main finding of a study conducted by a vaccine logistics modelling team in collaboration with the WHO and Niger partners. The study examined whether the removal of the regional level from the national vaccine supply chain improves operational efficiency. A discrete-event simulation model was used to compare the current four-tier structure (with central, regional, district and integrated health centre levels) with a modified three-tier structure (after removal of the regional level). The model showed that removing the regional level from the vaccine supply chain may improve vaccine availability from 70% to up to 100% if a shipping policy with monthly, bi-weekly or weekly collection-based shipments from district stores is implemented. Introducing a shipping policy with monthly delivery- based shipments from the central store increased vaccine availability from 70% to 87%. Removing the regional level with implementation of a collection-based shipping policy from district stores reduced the cost per dose administered TI - Streamlining vaccine supply chain reduces costs in Niger JF - PharmacoEconomics & Outcomes News DO - 10.1007/s40274-013-0401-y DA - 2013-05-18 UR - https://www.deepdyve.com/lp/springer-journals/streamlining-vaccine-supply-chain-reduces-costs-in-niger-2k0WfdHY0T SP - 8 EP - 8 VL - 678 IS - 1 DP - DeepDyve ER -