A Sustainable Public-Private Partnership Framework for Strengthening Last-Mile Vaccine Delivery in Resource- Constrained Settings
Abstract:
This study presents a Sustainable
Public-Private Partnership (PPP) Framework aimed at strengthening last-mile
vaccine delivery in resource-constrained settings. Health systems in such
settings face numerous challenges, including inadequate infrastructure,
governance issues, and heavy reliance on donor funding, which undermine
equitable access to vaccines. The proposed framework integrates pooled funding
from the public and private sectors, leverages digital technologies such as IoT
and GPS for real-time logistics optimization, and incorporates strategies to
generate long-term financial sustainability. Using a mixed-methods design, the
research combines a stakeholder perception survey (n = 128) and qualitative
focus group discussions (FGDs) to assess stakeholder readiness for PPP
implementation, identify barriers, and evaluate the framework's potential to
improve vaccine access and reduce donor dependency. Results show strong support
for PPPs across stakeholders, with technology universally regarded as essential
for logistics efficiency. Key enablers for a successful framework include clear
governance, robust cold chain infrastructure, and strong inter-sector
collaboration. The study concludes that the proposed Sustainable PPP Framework
offers a scalable, context-sensitive approach for enhancing last-mile delivery
systems in health, promoting equity, operational efficiency, and financial
sustainability. Although the framework is based on Nigeria’s vaccine delivery
system, it is designed to be scalable and applicable to other low-resource
settings facing similar logistical and financial sustainability challenges.
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