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Transforming cold chain performance and management in lower-income countries
Open accessAbstract
In many countries, one of the common factors limiting full and equitable access to effective immunization is the existence of gaps in cold chain and logistics (CCL) systems. This article focuses on the critical contribution that better management of CCL performance can make in addressing these barriers, as well as some essential practices needed to achieve and sustain these gains. These include (i) an emphasis on continuous improvement in CCL performance indicators, (ii) strong coordination and accountability across multiple stakeholders, and (iii) making the most of limited financial resources. This article is informed by the Clinton Health Access Initiative's (CHAI's) experience working with National Immunization Programs (NIPs) and immunization partners to improve the effectiveness and efficiency of CCL systems (including CCE deployment and maintenance, temperature monitoring and control, stock management and distribution) across ten Gavi-supported "focus" countries.
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“The data provided by these devices have also been used to document staff member training and financial resource needs (eg, cold-chain equipment fuel, repairs, or replacements) and to advocate for those needs. 18”
From Demonstration of the Use of Remote Temperature Monitoring Devices in Vaccine Refrigerators in Haiti (2018) · cites this paper as [18]
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Research works printed but not linked: 2
- Ozawa, 2016, Return on investment from childhood immunization in low- and middle-income countries, 2011–20, Health Aff (Project Hope), 35, 199, 10.1377/hlthaff.2015.1086 · DOI
- Zaffran, 2013, The imperative for stronger vaccine supply and logistics systems, Vaccine, 31
Cited by
Demonstration of the Use of Remote Temperature Monitoring Devices in Vaccine Refrigerators in Haiti
Cavallaro, K. F., Francois, J., Jacques, R., Mentor, D., Yalcouye, I., Wilkins, K., Mueller, N., Turner, R., Wallace, A., & Tohme, R. A. (2018) · Public Health Reports · doi:10.1177/0033354917742119 · Cited by 13
Metadata
- Authors
- Brison, M., & LeTallec, Y.
- Affiliations
- Clinton Health Access Initiative (US)
- Corresponding author
- Brison, Mike
- Venue
- Vaccine
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 35
- Issue
- 17
- Pages
- 2107-2109
- ISSN
- 0264-410X (ISSN-L)
- OpenAlex
- W2603705632
- Cited by
- 44
- References
- 0
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 2
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Vaccine (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pharmaceutical Quality and Counterfeiting
- Health Sciences › Health Professions › Medical Laboratory Technology › Quality and Safety in Healthcare
- Keywords
- cold chain, vaccine storage and transport, vaccine stock management, temperature monitoring, immunization programs, stakeholder coordination, accountability, resource efficiency, low-income countries
- MeSH terms
- Developing Countries, Humans, Organization and Administration, Refrigeration, Vaccines, Immunization Programs
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- Brison, M., & LeTallec, Y. (2017). Transforming cold chain performance and management in lower-income countries. Vaccine. https://doi.org/10.1016/j.vaccine.2016.11.067
