PLUS+ Login


To log into your PLUS+ Account, complete and submit the information below.

Not a PLUS+ subscriber already? Become one now.


For assistance with your PLUS+ subscription, contact customer service.

Premium access to exclusive online content,
companion digital editions, magazine issues and
email newsletters. Subscribe Now.



Become a PLUS+ subscriber and you'll get access to all Supply Chain Management Review premium content including:

  • Full Web Access. All feature articles, bonus reports and industry research through scmr.com.

  • 7 Magazine Issues per year of Supply Chain Management Review magazine.

  • Companion Digital Editions. Searchable replicas of each magazine issue. Read them in any web browser. Delivered by email faster than printed issues.

  • Digital Editions Archives. Every article, every chart and every table as it appeared in the magazine for all archive issues back to 2009.

  • Bonus email newsletters. Add convenient weekly and monthly email newsletters to your subscription to keep your finger on the pulse of the industry.

PLUS+ subscriptions start as low as $109/year*. Begin yours now.
That's less than $0.36 per day for access to information that you can use year-round to better manage your entire global supply chain.

For assistance with your PLUS+ subscription, contact customer service.

* Prices higher for subscriptions outside the USA.

You have been logged out of PLUS+

For assistance with your PLUS+ subscription, contact customer service

Need to access our premium PLUS+ Content?
Upgrade your subscription now.

Our records show that you are currently receiving a free subscription to Supply Chain Management Review magazine, or your subscription has expired. To access our premium content, you need to upgrade your subscription to our PLUS+ status.

To upgrade your subscription account, please contact customer service at:

Email: [email protected] Phone: 1-800-598-6067 (1-508-663-1500 x294 outside USA)

Become a PLUS+ subscriber and you'll get access to all Supply Chain Management Review premium content including:

  • Full Web Access. All feature articles, bonus reports and industry research through scmr.com.

  • 7 Magazine Issues per year of Supply Chain Management Review magazine.

  • Companion Digital Editions. Searchable replicas of each magazine issue. Read them in any web browser. Delivered by email faster than printed issues.

  • Digital Editions Archives. Every article, every chart and every table as it appeared in the magazine for all archive issues back to 2010.

  • Bonus email newsletters. Add convenient weekly and monthly email newsletters to your subscription to keep your finger on the pulse of the industry.

PLUS+ subscriptions start as low as $129/year*. Start yours now.
That's less than $0.36 per day for access to information that you can use year-round to better manage your entire global supply chain.

This content is available for PLUS+ subscribers.


Already a PLUS+ subscriber?
To begin or upgrade your subscription, Become a PLUS+ subscriber now.

For assistance with your PLUS+ subscription, contact customer service.

Sorry, but your login to PLUS+ has failed.


Please recheck your login information and resubmit below.



For assistance with your PLUS+ subscription, contact customer service.

Subscribe to our free, weekly email newsletter!


MIT-USAID Program Releases Supply Chain Evaluation of Malaria Diagnostics

Study of malaria rapid diagnostic tests in Uganda assesses scalability, identifies supply chain challenges
By Lauren McKown
October 14, 2016

Editor’s Note: This article originally appeared in MIT News.

The World Health Organization estimates that nearly half of the world’s population is at risk for malaria, a life-threatening, but ultimately curable and preventable disease spread by mosquitos.

Malaria rapid diagnostic tests are an important part of the fight against the disease, but according to new research from MIT, supply chain challenges keep these tests from making it onto clinic shelves, putting patients at risk of misdiagnosis, which over time can lead to antibiotic resistance. 

MIT researchers have just released a new report evaluating these malaria rapid diagnostic supply chains in Uganda where misdiagnosis is common and where many patients turn to the private sector — local pharmacies, clinics, and drug shops — for malaria treatment and care.

The report, “Evaluating Business Criteria for Scaling Stock of Malaria Rapid Diagnostics,” details the study design and findings of the latest experimental evaluation implemented by the Comprehensive Initiative on Technology Evaluation (CITE), a program supported by the U.S. Agency for International Development (USAID) and led by a multidisciplinary team of faculty, staff, and students at MIT.

Launched at MIT in 2012, CITE is a pioneering program dedicated to developing methods for product evaluation in global development. CITE researchers evaluate products from three perspectives, including suitability—how well a product performs its purpose, scalability—how well the product’s supply chain effectively reaches consumers, and sustainability—how well the product is used correctly, consistently, and continuously by users over time.

Malaria rapid diagnostics are a service, not a product

To conduct this evaluation, MIT researchers worked closely with the Malaria Consortium, a nonprofit organization that specializes in the prevention, control, and treatment of malaria worldwide. In 2014, the Malaria Consortium established a pilot program to increase availability of malaria rapid diagnostics in Uganda’s private sector, where they had observed stocks were limited or non-existent. 

“MIT’s research focused on the private sector’s willingness to stock malaria rapid diagnostics,” said CITE Scalability Lead Jarrod Goentzel. “The availability of diagnostic technologies at the local pharmacy where sick people initially seek care is critical in making sure they receive the right treatment.”

To better understand the challenge, CITE conducted interviews and focus groups with key supply chain actors involved in the Malaria Consortium’s pilot study: both first-line buyers, all three distributors, and 28 retailers.

Through a literature review, interviews, and these focus groups, CITE identified 18 criteria that supply chain actors considered when making decisions about whether or not to stock malaria rapid diagnostic tests. Then, researchers used a management science technique called “multi-criteria decision analysis” to better understand which of the 18 criteria were most important to individual actors’ decision-making.

“One of the primary insights was that retailers were more concerned about their time to make the diagnosis than the cost of the technology,” Goentzel explains. “Their satisfaction with stocking the technology dropped significantly when the ‘time for sale’ went longer than 10 minutes.”

The retailers were involved in four key steps for every malaria rapid diagnostic test they sold. First, the consultative sales transaction, then administration of the test, followed by a waiting period, and finally, interpretation of results.

“This process takes time away from their other business, making them less inclined to stock the product,” Goentzel says. “We recommend that going forward, malaria diagnostics should be framed as a service to be provided rather than a product to be sold.”

Retailers interviewed for the study also valued training on how to administer malaria diagnostics, a fundamental requirement that enables them to offer these diagnostic services in the first place.

Business model alignment across the supply chain

While retailers emphasized the importance of training and time of sale, distributors in the study identified expiration date and sales volume as the most important criteria in their decision to stock malaria diagnostics. The shelf life for malaria rapid diagnostics is measured in months not years, and while retailers are able to place small orders from distributors to avoid expiration risk, distributors are often left with expired product.

“In this malaria rapid diagnostic supply chain, distributors were bearing most of the financial risk,” Goentzel explains. “Additionally, they were asked to provide training to the retailers, which is a major investment of their time.”

These criteria were reflected in the CITE evaluation of four potential business models for selling malaria rapid diagnostic tests, including:
• Selling World Health Organization (WHO)-approved products with no bundled services
• Selling WHO-approved products using Malaria Consortium’s bundled services
• Selling products not approved by the WHO
• Not stocking the products at all

First line buyers and retailers preferred the bundled services option because of the high value they place on training. On the other hand, distributors preferred selling malaria rapid diagnostics outside of the bundled services due to issues highlighted earlier.

The research team recommend devising different business models to share risk and balance responsibility across all actors in the supply chain. “Modifying aspects of the bundled service model might make this option more attractive to the distributors going forward, which would drive sales volumes across the supply chain,” Goentzel added.

CITE’s research is funded by the USAID U.S. Global Development Lab. CITE is led by Principal Investigator Bishwapriya Sanyal of MIT’s Department of Urban Studies and Planning, and supported by MIT faculty and staff from D-Lab, Priscilla King Gray Public Service Center, Sociotechnical Systems Research Center, the Center for Transportation and Logistics, School of Engineering, and Sloan School of Management.

In addition to Goentzel, co-authors on this report include MIT alumna and former CITE Research Assistant Corinne Carland and Gilberto Montibeller, a researcher at Loughborough University in the United Kingdom.


Subscribe to Supply Chain Management Review magazine

Subscribe today. Don't miss out!
Get in-depth coverage from industry experts with proven techniques for
cutting supply chain costs and case studies in supply chain best practices.
Start Your Subscription Today!

Recent Entries

According to a global survey of CIOs by Gartner, Inc., top-performing organizations in the private and public sectors, on average, spend a greater proportion of their IT budgets on digital initiatives (33 percent) than government organizations (21 percent).

The Hackett Group & Symphony Ventures Announce Global Partnership to Enable Enterprise Digital Transformation Via Robotic Process Automation and Intelligent Automation

Having just announced the release of S2K 6.0, the latest version of its flagship ERP enterprise suite, VAI is using the survey as an opportunity to gather and share end-user insight into the industry.

With tax reform proposals coming this week, every manufacturer and supply chain provider should be watching out for a possible Border Adjustment Tax (BAT). And, if we see it we must quickly root against it.

The Manufacturing Institute, Deloitte and APICS recently released a study, “Women in Manufacturing: Stepping up to make an impact that matters.”

Comments

Post a comment
Commenting is not available in this channel entry.


© Copyright 2017 Peerless Media LLC, a division of EH Publishing, Inc • 111 Speen Street, Ste 200, Framingham, MA 01701 USA