Professional Documents
Culture Documents
Reducing costs
Increasing customer satisfaction
Increasing speed of service
Improving supply chain management
Reducing staff headcount
Globalizing the supply chain
Increasing efforts on core competence
Lack of in-house skills
Critical factors in choosing between different
providers
Service
Quality of people
Cost
Countrywide capability
National transport capability
Sector experience
Dedicated service capability
Size
Shared-user capability
Key steps of the contractor selection process
3PLs vs. 4PLs
3PLs- first used in early 1970s to identify intermodal marketing companies
(IMC) in transportation contracts (involving only two parties).
When IMCs entered the pictureas intermediaries that accepted
shipments from the shippers and tendered them to the rail carriersthey
became the third party to the contract, the 3PL.
3PL is a person who solely receives, holds, or otherwise transports a pdt in
the ordinary course of business but who does not take title to the pdt.
Third-party logistics providers are:
Freight forwarders
Courier companies
Other companies integrating & offering subcontracted logistics and
transportation services
Third and Fourth Party Logistics
Providers
Contd
3PL
4PL
Modes
Manufacturers
Parts and Raw
Consumers
Materials
3PL
Retailers
Distribution Centers
3PL
3PL
Management
11
Why 3PL
Providing better quality service
Limiting investment opportunities
Cost reduction > Control
Political considerations
Focus on core competences
Customers demand order accuracy , excellent
service and time compression
Outsourcing - Industry Trends
Findings of a Survey : Why company's Outsource
Cut Costs
Improve Service
Lack of Scale
Acquire Talent
15
Cold Chain
Introduction
There is a growing international demand for increasingly
expensive pharma and biopharma products
Life-saving products like vaccines are often temperature-
sensitive, requiring temperature-controlled shipping from
manufacturer to user
WHO reports show that recently, nearly half of all vaccines
were ruined in transit due to poor cold chain services=>
billions dollar worth products wasted with a significant
impact on world health
Effective cold chain shipping is, therefore, critical
particularly as pharma and biopharma cold chain
shipments in established and emerging market grow
dramatically in the coming years
Contd
The temperature-sensitive product market has grown by more than
50 percent since 2004, and that trend looks to continue in the years
ahead.
Not only is product innovation driving the distribution of
temperature-controlled clinical trial products to remote locations
with hot climates, but the development and production of new
biologics also creates the need for temperature-controlled storage
and transport.
Product trends drive distribution trends. As new therapies and
vaccines emerge, manufacturers must take an early look at both
their goals and best practices for distributing temperature-
controlled drugs. And with advances in research and development
processes reducing time to market for these drugs, the window for
planning is shrinking. The time to evaluate logistics, costs and
potential partners is now.
Contd
SCM is to produce and distribute merchandise in
right quantities, to right locations, and at the
right time, through integrating suppliers,
manufacturers, warehouses, and stores in
efficient approaches.
Lambert (2004) defines SCM as an integration of
key processes from end consumer through
original suppliers, which provide adding value
products, services, and information for customers
and other stakeholders.
Contd
All vaccines are sensitive biological substances that
progressively lose their potency. This loss of potency is much
faster when the vaccine is exposed to temperatures outside
the recommended storage range. Once vaccine potency has
been lost, returning the vaccine to correct storage condition
cannot restore it. Any loss of potency is permanent and
irreversible. It will affect the efficacy and effectiveness of the
vaccine. Thus, storage of vaccines at the correct
recommended temperature conditions is vitally important in
order that full vaccine potency is retained up to the moment
of administration.
Cold Chain
The cold chain is the name given to a system of people and
equipment which ensures that the correct quantity of potent
vaccine reaches the recipients who need it from the point of
production.
The system used for keeping and distributing vaccines in good
condition
It consists of a series of storage and transport links, all
designed to keep vaccine within an acceptable range until it
reaches the user
This is because vaccines are sensitive to heat and freezing and
must be kept at the correct temperature from the time they
are manufactured until they are used
Contd
A cold chain is a monitored temperature-controlled supply
chain. The goal of the cold chain is to keep a sample or
material within a certain temperature range during all stages
of delivery, processing and storage. Cold chains are widely
used to ensure the viability of products in the pharmaceutical
and agricultural sectors, and are critical components of
vaccination programs and bio-medical surveillance activities.
Many biological samples deteriorate when exposed to heat,
sunlight, or fluorescent light. When transporting and storing
such biological substances, it is imperative that field and
laboratory teams control environmental conditions, ensuring
that exposure to potentially damaging environmental factors
is minimized.
Contd
The cold chain refers to the transportation of temperature
sensitive products along a supply chain through thermal and
refrigerated packaging methods and the logistical planning
to protect the integrity of these shipments.
Pharma Logistics
Deals with the handling, movement and storage of pharma
products from supplier to consumer
Involves transportation, packaging, inventory, warehousing,
service/support/maintenance, materials handling, disposal,
orders, site, forecasting
Biopharma prods are temperature sensitive
Short time frame to realise profits
Cost reduction (inventory)
Global supply chain (manufacture site packaging site
market)
Expansion to new markets
Weakest Links in the CC
Contd
The cold chain system comprises three major
elements:
Personnel, who use and maintain the equipment and
provide the health service;
Equipment for safe storage and transportation of
vaccines; and
Procedures to manage the program and control
distribution and use of the vaccines.
Even the most expensive and sophisticated
equipment will not ensure an effective cold chain
if not correctly used and managed by trained
health personnel.
Key Elements of CC
Product -A product is characterized by physical attributes
requiring specific temperature and humidity conditions (e.g.
perishability, fragility)
Origin / Destination -The respective locations where a
temperature-sensitive product is produced and consumed. It
is indicative of the potential difficulty of making a product
available at a market.
Distribution -The methods and infrastructures available to
transport a product in a temperature-controlled environment.
Contd
The Basic cold chain equipments are
For vaccine storage : Refrigerators, Freezers and
Cold-rooms
For vaccine transport: Cold boxes, Vaccine carriers,
Day carriers and thermos flasks
For cold chain monitoring : Thermometers, Cold
chain Monitors, Vaccine vial Monitors and Freeze
watch monitors, Electronic temperature
monitoring devices.
Vehicles
Contd
Vaccine handling occurs mainly at National,
District and institutional levels and at each
level different members of the health team
are responsible for the maintenance of cold
chain.
Contd
Vaccine Stock Management
Having too much vaccine for too long in one level of the cold
chain increases the risk of some vaccine reaching its
expiration date and having to be wasted. In contrast, when
too little vaccine is available, not all the recipients in the
target population can be vaccinated.
Contd
To be sure that the appropriate amount of vaccine is available,
vaccine stocks must be checked continuously, and records
kept of all movements of stocks in and out of storage.
Accurate vaccine forecasting and ordering depends on
knowing the quantity of vaccines in stock at all times.
Whenever vaccines and diluents enter or leave a storage, they
should be counted. Ordering should be based on a physical
count of vaccine stocks rather than on stock records alone.
Contd
Vaccine storage
Cold Chain equipment designed for vaccine storage has to
meet two major requirements:
It must ensure optimum temperature conditions for vaccine storage at
all the time.
It must be large enough to hold the maximum vaccine stock to be
stored at the level of the cold chain where it will be used.
Refrigerators and deep-freezers are used for storage of
vaccines in MOH offices. These refrigerators and deep
freezers should be identified only for vaccine storage.
Contd
A refrigerator at a national level should be
able to hold
A one month supply of vaccines and diluents
A one month stock of vaccines and diluents as
buffer stocks
Diluents next to the vaccines with which they
were supplied
Frozen ice packs in the deep freezers or bottles of
water in the bottom of the refrigerator to keep it
cool during power failures.
Contd
Vaccine transport
Transport of vaccines is done under cold chain conditions
using cold boxes and vaccine carriers. Cold boxes are normally
used to transport vaccine from the central level to districts,
and sometimes from districts to the central level. Vaccine
carriers, which are more portable, are commonly used to
transport vaccine from central to smaller health facilities and
to outreach immunization clinics. Vaccine carriers also can be
used to carry vaccine from institutional vaccine refrigerator to
the institutional immunization clinics and wards.
Achieve Temperature Controlled Environments