Publications by authors named "Melanie Avella"

While scientific studies can show the need for vaccine policy or operations changes, translating scientific findings to action is a complex process that needs to be executed appropriately for change to occur. Our Benin experience provided key steps and lessons learned to help computational modeling inform and lead to major policy change. The key steps are: engagement of Ministry of Health, identifying in-country "champions," directed and efficient data collection, defining a finite set of realistic scenarios, making the study methodology transparent, presenting the results in a clear manner, and facilitating decision-making and advocacy.

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Background: While the size and type of a vaccine container (i.e., primary container) can have many implications on the safety and convenience of a vaccination session, another important but potentially overlooked consideration is how the design of the primary container may affect the distribution of the vaccine, its resulting cost, and whether the vial is ultimately opened.

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Article Synopsis
  • New vaccine introductions have strained global vaccine supply chains, prompting the Republic of Benin's Ministry of Health to seek improvements in their system due to suboptimal coverage.
  • A computational model, HERMES, was used to evaluate three options for enhancing the vaccine supply chain, focusing on consolidating or removing the Commune level and analyzing shipping loops.
  • The most effective solution combined redesigning the supply chain to a Health Zone level with the addition of shipping loops, resulting in significant cost savings and increased vaccine availability.
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