Table 2.
Average transport and storage net capacity utilization following the removal of the regional level from the vaccine supply chain in Niger under varying supply chain structures and shipping policies
| No. of Levels |
Shipping Policy | Average Transport Capacity Utilization and range by Device Type (%)* |
Average Storage Capacity Utilization and range by Level (%)* |
Logistics Cost per Dose Administered (United States dollars) |
Vaccine availability (percent) |
|||||
|---|---|---|---|---|---|---|---|---|---|---|
| Cold trucka | 4×4 truckb | Motorcyclec | Centrald | Regione | Districtf | Integrated Health Centerg |
||||
| 4 | Policy 1: Baseline | 45% (36–55%) | 80% (16–229%) | 209% (82–413%) | 100% | 62% (21–100%) | 74% (5–100%) | 38% (2–99%) | $0.14 | 70% |
| 3 | Policy 2:.Districts collect monthly | Not in use | 74% (7–229%) | 197% (49–413%) | 100% | Not in use | 76% (11–100%) | 40% (5–94%) | $0.14 | 84% |
| 3 | Policy 2: Districts collect bi-weekly | Not in use | 64% (7–206%) | 173% (49–389%) | 100% | Not in use | 78% (11–100%) | 44% (5–95%) | $0.13 | 97% |
| 3 | Policy 2: Districts collect weekly | Not in use | 65% (7–210%) | 172% (49–287%) | 100% | Not in use | 78% (11–100%) | 46% (5–95%) | $0.13 | 100% |
| 3 | Policy 3: Central store delivers monthly: 3 loops | 18% (13–22%) | Not in use | 195% (51–413%) | 100% | Not in use | 77% (10–100%) | 41% (5–94%) | $0.12 | 87% |
| 3 | Policy 3: Central store delivers quarterly: 3 loops | 28% (19–36%) | Not in use | 222% (49–413%) | 100% | Not in use | 95% (30–100%) | 35% (4–93%) | $0.16 | 49% |
| 3 | Policy 4: Central store delivers monthly: 8 loops | 7% (2–11%) | Not in use | 192% (49–413%) | 100% | Not in use | 78% (11–100%) | 41% (5–94%) | $0.12 | 87% |
| 3 | Policy 4: Central store delivers quarterly: 8 loops | 10% (4–19%) | Not in use | 222% (49–413%) | 100% | Not in use | 95% (32–100%) | 35% (4–93%) | $0.16 | 49% |
*
Based on current capacity and current resource availabilities. No additional storage or transport capacity was added following the removal of the regional level, or in anticipation of new vaccine introduction.
a
mean capacity=9,293L
b
mean capacity=173L
c
mean capacity=1.6L
d
mean cold room capacity=45,000L
e
mean cold room and refrigerator capacity=45,139 L, range: 15,110-60,169L
f
mean refrigerator capacity=278L, range 0–717L
g
mean refrigerator capacity=28L, range: 0–224L