Wright Martin, Forster Gary, Beale John
(a)Transaid, 137 Euston Road, London NW1 2AA, United Kingdom.
VillageReach, 2900 Eastlake Ave. E., Suite 230, Seattle WA 98102, USA.
Vaccine. 2017 Apr 19;35(17):2195-2197. doi: 10.1016/j.vaccine.2016.11.108.
Development partners and donors have encouraged and incentivized governments in developing countries to explore ways of working with third-party service suppliers to reduce costs and increase service delivery capacity. The distribution of vaccines and medicines has for a long time shown demand for outsourcing but public health systems have struggled to develop the expertise and capital assets necessary to manage such ventures. Existing transport and logistics capacity within public health systems, in particular, is well documented as being insufficient to support existing, let alone future immunization needs. Today, a number of countries are contracting party logistics providers (3PLs) to supplement the in-house distribution operations of public health systems. This commentary reflects on recent, leading examples of outsourcing initiatives to address critical gaps in transport and logistics.
发展伙伴和捐助方鼓励并激励发展中国家政府探索与第三方服务供应商合作的方式，以降低成本并提高服务提供能力。长期以来，疫苗和药品的分发显示出对外包的需求，但公共卫生系统一直在努力发展管理此类业务所需的专业知识和资本资产。特别是，公共卫生系统现有的运输和物流能力，已被充分证明不足以支持现有的免疫需求，更不用说未来的免疫需求了。如今，一些国家正在与第三方物流供应商（3PL）签约，以补充公共卫生系统的内部配送业务。本评论反思了近期旨在解决运输和物流关键差距的外包举措的主要实例。
