Offering a Lifeline: Delivering Critical Supplies to Ebola-Affected Communities in Liberia, 2014-2015

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Abstract 

When an outbreak of Ebola virus disease began to spill over national borders in West Africa in 2014, halting the epidemic depended as much on logistics as on addressing the medical challenge the virus posed. As the rate of infection in Liberia rose in June and July, J. Dorbor Jallah of the government’s Incident Management System knew that without chlorine, protective gear, and other critical items, it would be impossible for doctors and nurses to work safely. But Jallah faced obstacles at every level of the supply chain. Uncertain estimates of need, competing product standards, and limited vendor partnerships initially hampered procurement. Cargo volume strained capacity at ports of entry, and warehouse space was inadequate—or nonexistent. The country’s limited road network hampered the transport of materials to rural areas during the rainy season. At clinics, safe disposal of contaminated items presented additional difficulties. And to make matters worse, responding organizations all had different policies and approaches. After initial disarray, the Liberian government, international organizations, nonprofit groups, and private companies began cooperating to simulate some of the features of a centralized and integrated supply chain. The volume, speed, and responsiveness of delivery increased across Liberia—just as the epidemic began to wane. The experience triggered a search for innovations that could address similar constraints more effectively during any future infectious-disease outbreak whether in Liberia or elsewhere. 

David Paterson, Jennifer Widner, and staff drafted this case study based on interviews conducted in Liberia and other countries from 2015 to August 2016.

Pfizer Inc. supported the research and development of this case, which is part of a series on public management challenges in the West African Ebola outbreak response.

 

Timeline: West African Ebola Outbreak (infographic)

Keywords 
emergency response
disease outbreak
supply chain
epidemiological modeling
pandemics
data management
quarantine
infection control
incidence management system
Focus Area(s): 
Ebola Response
Critical Tasks: 
Accounting systems
Auditing
Donor coordination
Financial controls
Follow-up & monitoring
Goal setting
Inter-ministerial coordination
Monitoring
Organization and staffing
Priority setting
Scenario building
Core Challenge: 
Capacity (capability traps)
Coordination
Credibility (trust)
Country of Reform: 
Liberia
Type: 
Case Studies
Author: 
David Paterson and Jennifer Widner