Optimizing last-mile delivery of essential medicines in Nigeria: Insights from Niger State’s health-care supply chain
Last-mile delivery of health commodities is a critical component of efficient supply chains, and third-party logistics (3PL) providers are pivotal in ensuring cost-effective and reliable product distribution. This study explores the implementation of last-mile delivery outsourcing by government-operated warehouses and drug management agencies (DMAs). This research focuses on the relationship between 3PL utilization and key performance metrics, such as cost reduction, timely delivery, and end-user satisfaction. This study combines a literature review, surveys, and interviews conducted with employees of the DMAs in Minna, Niger State, to establish significant correlations. The findings show that using 3PLs significantly reduced operational costs, improved the frequency of timely deliveries, and enhanced end-user satisfaction. These findings underscore the need for continued engagement with 3PL providers to optimize supply chain performance and improve service delivery outcomes. Managers are recommended to maintain and expand such collaborations to sustain these benefits.
Adebambo, S.O., Omolola, O.M., & Victor, D.A. (2016). Analysis of outsourcing logistics service and customer satisfaction in manufacturing companies in South Western Nigeria. European Journal of Logistics, Purchasing and Supply Chain Management, 4(1):1-10.
Agrawal, P., Barton, I., Dal Bianco, R., Hovig, D., Sarley, D., & Yadav, P. (2016). Moving medicine, moving minds: Helping developing countries overcome barriers to outsourcing health commodity distribution to boost supply chain performance and strengthen health systems. Global Health: Science and Practice, 4(3):359-365. https://doi.org/10.9745/GHSP-D-16-00130
Aigbavboa, S., & Mbohwa, C. (2019). Going the extra mile: Vital third party logistics service providers’ pre-selection activities by pharmaceutical organizations. IOP Conference Series: Materials Science and Engineering, 640(1):012126. https://doi.org/10.1088/1757-899X/640/1/012126
Daff, B.M., Seck, C., Belkhayat, H., & Sutton, P. (2014). Informed push distribution of contraceptives in Senegal reduces stockouts and improves quality of family planning services. Global Health: Science and Practice, 2(2):245-252. https://doi.org/10.9745/GHSP-D-13-00171
Dittmann, J.P. (2015). Best Practices for Managing Cost in the Healthcare Supply Chain. United States: United Parcel Service.
Easterby-Smith, M., Jaspersen, L.J., Thorpe, R., & Valizade, D. (2021). Management and Business Research. United Kingdom: Sage.
Essilfie-Baiden, E. (2020). Using 3PL in Selection of Service Providers for Warehouse Management. African Journal of Procurement, Logistics and Supply Chain Management, 4(4):45-56. https://doi.org/10.15473/AJPLSCM/2020/VOL4/ISS4/ APRIL004
Etokudoh, E.P., Boolaky, M., & Gungaphul, M. (2017). Third party logistics outsourcing: An exploratory study of the oil and gas industry in Nigeria. SAGE Open, 7(4). https://doi.org/10.1177/2158244017735566
Giri, B.C., & Sarker, B.R. (2017). Improving performance by coordinating a supply chain with third party logistics outsourcing under production disruption. Computers and Industrial Engineering, 103:168-177. https://doi.org/10.1016/j.cie.2016.11.022
Gong, F., Kung, D.S., & Zeng, T. (2018). The impact of different contract structures on IT investment in logistics outsourcing. International Journal of Production Economics, 195:158-167. https://doi.org/10.1016/j.ijpe.2017.10.009
Gwala, S.A. (2019). Challenges Experienced when Outsourcing Logistics in South Africa: A Case of Lolli Supermarkets. (Doctoral Dissertation).
Hitt, M.A., Xu, K., & Carnes, C.M. (2015). Resource based theory in operations management research. Journal of Operations Management, 41:77-94. https://doi.org/10.1016/j.jom.2015.11.002
Ibrahim, A.A. (2020). Challenges Experienced when Outsourcing Logistics in South Africa: A Case of Lolli Supermarkets. (Doctoral Dissertation).
Kalinzi, C. (2020). Logistics Outsourcing Practices and Performance of small and Medium Enterprises in Mogadishu, Somalia. (Doctoral Dissertation, University of Nairobi).
Karamaşa, Ç., Demir, E., Memiş, S., & Korucuk, S. (2021). Weighting the factors affecting logistics outsourcing. Decision Making: Applications in Management and Engineering, 4(1):19-32. https://doi.org/10.31181/dmame2104019k
Karimi, A. (2020). Designing Public Health Supply Chains: Towards Improving Health Commodity Availability in Developing Countries. (Doctoral Dissertation, University of Minnesota).
Kazaz, A., Ulubeyli, S., Acikara, T., & Er, B. (2016). Factors affecting labor productivity: Perspectives of craft workers. Procedia Engineering, 164:28-34. https://doi.org/10.1016/j.proeng.2016.11.588
Manotas-Duque, D.F., Osorio-Gómez, J.C., & Rivera, L. (2016). Operational risk management in third party logistics (3PL). In: Handbook of Research on Managerial Strategies for Achieving Optimal Performance in Industrial Processes. United States: IGI Global, p.218-239.
Marchet, G., Melacini, M., Perotti, S., & Sassi, C. (2018). Types of logistics outsourcing and related impact on the 3PL buying process: Empirical evidence. International Journal of Logistics Systems and Management, 30(2):139-161. https://doi.org/10.1504/IJLSM.2018.091959
Muthoni, D.K. (2016). Effect of Supply Chain Processes Outsourcing on the Performance of Manufacturing Firms in Kenya. (Doctoral Dissertation, JKUAT COHRED)
Ogbonna, B.O., & Nwako, C.N. (2016). Essential drugs revolving fund scheme in Nigeria; from the edge of a precipice towards sustainability. Journal of Advances in Medical and Pharmaceutical Sciences, 8(2):1-8. https://doi.org/10.9734/JAMPS/2016/25950
Paulraj, A., & Chen, I.J. (2007). Environmental uncertainty and strategic supply management: A resource dependence perspective and performance implications. Journal of Supply Chain Management, 43(3):29-42. https://doi.org/10.1111/j.1745-493X.2007.00033.x
Premkumar, P., Gopinath, S., & Mateen, A. (2021). Trends in third party logistics-the past, the present & the future. International Journal of Logistics Research and Applications, 24(6):551-580. https://doi.org/10.1080/13675567.2020.1782863
Sahebi, D., & Helo, P. (2021). The Barriers for Iranian Retailers to Outsource Their 3PL Activities. In: Proceedings of the Conference on Production Systems and Logistics. Hannover: CPSL. https://doi.org/10.15488/11233
Simon, A., Scheidl, H., Campos, R.S., & Matana, G. (2020). Performance management in logistics outsourcing: A study on sugar-energy industry. International Journal of Productivity and Performance Management, 70(7):1772- 1729. https://doi.org/10.1108/IJPPM-05-2019-0216
Skjoett‐Larsen, T. (2000). Third party logistics-from an interorganizational point of view. International Journal of Physical Distribution & Logistics Management, 30(2):112-127. https://doi.org/10.1108/09600030010318838
USAID. (2011). The Logistics Handbook a Practical Guide for the Supply Chain Management of Health Commodities. Deliver Project, Task Order, 1,174. USAID. Available from: https:// deliver.jsi.com/dlvr_content/resources/allpubs/guidelines/ logihand.pdf [Last accessed on 2022 Apr 01].
Van Thai, V., Rahman, S., & Tran, D.M. (2021). Revisiting critical factors of logistics outsourcing relationship: A multiple-case study approach. The International Journal of Logistics Management, 33(1):165-189. https://doi.org/10.1108/IJLM-10-2020-0394
Village Reach. (2016). Outsourcing Transport to Improve Health at the Last Mile: A Case Study. Village Reach. Available from: https://www.villagereach.org/resource/outsourcing-transport-improve-health-last-mile-case-study [Last accessed on 2022 Apr 01].
Wan, Q., Yuan, Y., & Lai, F. (2019). Disentangling the driving factors of logistics outsourcing: A configurational perspective. Journal of Enterprise Information Management, 32(6):964-992. https://doi.org/10.1108/jeim-10-2018-0236
World Health Organization. (2019). World Health Organization Model List of Essential Medicines: 21st List 2019 (No. WHO/MVP/EMP/IAU/2019.06). Geneva: World Health Organization.