PMID- 31143319
OWN - NLM
STAT- MEDLINE
DCOM- 20190607
LR  - 20200225
IS  - 1937-8688 (Electronic)
VI  - 32
DP  - 2019
TI  - Interventions to increase the distribution of vaccines in Sub-Saharan Africa: a 
      scoping review.
PG  - 14
LID - 10.11604/pamj.2019.32.14.17225 [doi]
LID - 14
AB  - Achieving universal access to immunization, as envisioned in the global vaccine 
      action plan continues to be a challenge for many countries in Sub-Saharan Africa. 
      Weak immunization supply chain (iSC) has widely been recognized as a key barrier, 
      hindering progress towards vaccination targets in this region. These iSCs, which 
      were designed in the 1980s, have become increasing fragile and are now considered 
      outdated. The objective of this review was to assess the effectiveness of system 
      redesign and outsourcing to improve outdated iSC systems in sub-Saharan Africa. 
      We searched the following electronic databases from January 2007 to December 
      2017: Medline, EMBASE (Excerpta Medica Database), the Cochrane Library, Google 
      Scholar, CINAHL (Cumulative Index to Nursing and Allied Health Literature), 
      WHOLIS (World Health Organization Library Database), LILACS (Latin American and 
      Caribbean Literature on Health Sciences) and contacted experts in the field. Our 
      search strategy yielded 80 records and after assessment for eligibility, seven 
      papers met the inclusion criteria. Five studies evaluated the experiences of 
      system redesign in three countries (Nigeria, Benin and Mozambique), two assessed 
      outsourcing vaccine logistics to the private sector in Nigeria and South Africa. 
      According to these studies, system redesign improved vaccine availability at 
      service delivery points and reduce the cost of distributing vaccines. Similarly, 
      outsourcing vaccine logistics to the private sector reduced the cost of vaccines 
      distribution and improve vaccine availability at service delivery points.
FAU - Vouking, Marius Zambou
AU  - Vouking MZ
AD  - Center for the Development of Best Practices in Health, Yaounde Central Hospital, 
      Henri-Dunant Avenue, Messa, Yaounde, Cameroon.
AD  - Central Technical Group of the Expanded Program on Immunization, Yaounde, 
      Cameroon.
FAU - Mengue, Christelle Monique Angoula
AU  - Mengue CMA
AD  - University of Dschang, Department of Biomedical Sciences, Dschang, Cameroon.
FAU - Yauba, Saidu
AU  - Yauba S
AD  - Clinton Health Access Initiative, Country Office, Cameroon.
FAU - Edengue, Jean Marie
AU  - Edengue JM
AD  - Ministry of Public Health, Yaounde, Cameroon.
FAU - Dicko, Modibo
AU  - Dicko M
AD  - Health Supply & Solar Systems (H3S), Systemes Solaires & Logistique de Sante, 
      Cite El Farako, Bamako, Mali.
FAU - Dicko, Hamadou Modibo
AU  - Dicko HM
AD  - Global Alliance for Vaccines and Immunization (GAVI), Geneva, Switzerland.
FAU - Wiysonge, Charles Shey
AU  - Wiysonge CS
AD  - Cochrane South Africa, South African Medical Research Council, Tygerberg, South 
      Africa.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20190109
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - 0 (Vaccines)
SB  - IM
MH  - Africa South of the Sahara
MH  - *Health Services Accessibility
MH  - Humans
MH  - Private Sector
MH  - Vaccination/*statistics & numerical data
MH  - Vaccines/administration & dosage/*supply & distribution
PMC - PMC6522164
OTO - NOTNLM
OT  - Africa
OT  - Increase
OT  - distribution
OT  - vaccines
COIS- The authors declare no competing interests.
EDAT- 2019/05/31 06:00
MHDA- 2019/06/08 06:00
PMCR- 2019/01/09
CRDT- 2019/05/31 06:00
PHST- 2018/09/28 00:00 [received]
PHST- 2019/01/05 00:00 [accepted]
PHST- 2019/05/31 06:00 [entrez]
PHST- 2019/05/31 06:00 [pubmed]
PHST- 2019/06/08 06:00 [medline]
PHST- 2019/01/09 00:00 [pmc-release]
AID - PAMJ-32-14 [pii]
AID - 10.11604/pamj.2019.32.14.17225 [doi]
PST - epublish
SO  - Pan Afr Med J. 2019 Jan 9;32:14. doi: 10.11604/pamj.2019.32.14.17225. eCollection 
      2019.