Humanitarian medical supply chain in disaster response

Author(s):  
Irina Dolinskaya ◽  
Maria Besiou ◽  
Sara Guerrero-Garcia

Purpose Following a large-scale disaster, medical assistance is a critical component of the emergency response. The paper aims to discuss this issue. Design/methodology/approach Academic and practitioner literature is used to develop a framework studying the effectiveness of the humanitarian medical supply chain (HMSC). The framework is validated by using the findings of interviews conducted with experts and the case study of a serious humanitarian medical crisis (Ebola outbreak in 2014). Findings The factors affecting the effectiveness of the HMSC are identified. Research limitations/implications To get an expert opinion on the major logistical challenges of the medical assistance in emergencies only 11 interviews with practitioners were conducted. Originality/value While the existing academic literature discusses the distribution of various supplies needed by the affected population, limited research focuses specifically on studying the HMSC aspect of the response. This paper closes this gap by describing the HMSC in the case of disaster response, and identifying the factors affecting its effectiveness, especially focusing on the factors that are unique to the medical aspect of the humanitarian supply chain.

2017 ◽  
Vol 22 (6) ◽  
pp. 486-505 ◽  
Author(s):  
Benjamin Tukamuhabwa ◽  
Mark Stevenson ◽  
Jerry Busby

Purpose In few prior empirical studies on supply chain resilience (SCRES), the focus has been on the developed world. Yet, organisations in developing countries constitute a significant part of global supply chains and have also experienced the disastrous effects of supply chain failures. The purpose of this paper is therefore to empirically investigate SCRES in a developing country context and to show that this also provides theoretical insights into the nature of what is meant by resilience. Design/methodology/approach Using a case study approach, a supply network of 20 manufacturing firms in Uganda is analysed based on a total of 45 interviews. Findings The perceived threats to SCRES in this context are mainly small-scale, chronic disruptive events rather than discrete, large-scale catastrophic events typically emphasised in the literature. The data reveal how threats of disruption, resilience strategies and outcomes are inter-related in complex, coupled and non-linear ways. These interrelationships are explained by the political, cultural and territorial embeddedness of the supply network in a developing country. Further, this embeddedness contributes to the phenomenon of supply chain risk migration, whereby an attempt to mitigate one threat produces another threat and/or shifts the threat to another point in the supply network. Practical implications Managers should be aware, for example, of potential risk migration from one threat to another when crafting strategies to build SCRES. Equally, the potential for risk migration across the supply network means managers should look at the supply chain holistically because actors along the chain are so interconnected. Originality/value The paper goes beyond the extant literature by highlighting how SCRES is not only about responding to specific, isolated threats but about the continuous management of risk migration. It demonstrates that resilience requires both an understanding of the interconnectedness of threats, strategies and outcomes and an understanding of the embeddedness of the supply network. Finally, this study’s focus on the context of a developing country reveals that resilience should be equally concerned both with smaller in scale, chronic disruptions and with occasional, large-scale catastrophic events.


Author(s):  
Ira Haavisto ◽  
Jarrod Goentzel

Purpose – The purpose of the paper is to deepen the understanding of supply chain performance objectives in the humanitarian context by striving to understand the underlying goals and conceptual variables behind the measurement of performance, such as efficiency. Design/methodology/approach – The research is an in-depth case study with one humanitarian organization. The data are gathered with mixed methods over a two-year period. Interviews were conducted in August 2010 and April 2012, and a survey conducted in October 2012. Findings – Misalignments are detected among different groups in humanitarian operations and between their goals and processes. These misalignments could possibly be corrected through long-term thinking in short-term operations by considering sustainability aspects throughout humanitarian assistance, for example. In addition, efficiency was a commonly identified objective in the case organization, although the definition varied widely and extended beyond the traditional definition of productivity to include planning, accountability and quality. Practical implications – Better communication and definition of terms is necessary to align goals and the power hierarchy in humanitarian supply chains, where operations seem to be structured more according to donor requirements then beneficiary needs. Originality/value – This is an in-depth case study, applying goal-setting theory to study supply chain performance. The study further responds to the public “aid efficiency” discussion by striving to recognize how efficiency is understood and how it can be measured in a humanitarian supply chain.


Author(s):  
Ruth Banomyong ◽  
Puthipong Julagasigorn ◽  
Paitoon Varadejsatitwong ◽  
Pairach Piboonrungroj

Purpose An understanding of the “AS-IS” stage of a relief operation is the basis for further action in humanitarian supply chain management. The purpose of this paper is to develop a toolbox called the Humanitarian Supply Chain Assessment Tool (HumSCAT). This toolbox is comprised of a set of basic tools which can be classified into each phase of disaster relief. Design/methodology/approach The HumSCAT is proposed by paralleling frequently used tools in commercial supply chains with the objectives and characteristics of relief phases. A case study was used to validate the HumSCAT along with six tools provided in the preparation phase. Findings The HumSCAT consists of seven tools in the preparation phase, nine tools in the response phase and ten tools in the recovery phase. The case study illustrates how to use the HumSCAT and the six tools. The latter were found to be useful for improving the relief chain. Research limitations/implications The list of tools is not exclusive. Other tools might be applicable as long as they meet the objectives and characteristics of the phase. A tool should be adjusted accordingly to the contexts. Tools in other phases should be validated in future research. Practical implications The HumSCAT may serve as a reference toolbox for practitioners. Its output can be used for further designing of the “TO-BE” status of humanitarian relief chains. Originality/value The HumSCAT is proposed as a toolbox for academics and practitioners involved in humanitarian supply chains.


Author(s):  
Ruth Banomyong ◽  
Puthipong Julagasigorn

Purpose The purpose of this paper is to provide a framework on how strategic philanthropy can be included in humanitarian supply chains delivery. This framework explains the modalities where strategic philanthropy can be successful when collaborating with key humanitarian supply chain actors. Design/methodology/approach A philanthropy delivery framework is developed based on the literature related to strategic philanthropy and humanitarian supply chains. The delivery framework is further validated with the real-life case study of a multinational firm during the 2011 Thai floods. Findings Procter and Gamble (P&G) was involved in the Thailand flood 2011 relief efforts in three phases: preparation, immediate response, and reconstruction phase. The company supported and distributed a water purifier through a non-governmental relief agency, the Princess Pa Foundation, under the Thai Red Cross Society, that enabled P&G to not only gain the trust of the targeted community during all the phases but in the continued usage of their water purifier after the event. Community leaders and P&G’s modern trade retailers played an important role in collaborating in this humanitarian supply chain to enable the successful delivery and usage of the donated water purifier. Research limitations/implications This proposed delivery framework is appropriate for in-kind products and services philanthropy. The case study describes how strategic philanthropy can be implemented in a specific case, i.e. flood disaster. Practical implications Academia, practitioners, and companies who are involved in humanitarian reliefs may adopt and adapt this framework in order to enable a win-win situation for all stakeholders in the humanitarian supply chain. Originality/value The delivery framework suggests that firms can develop successful strategic philanthropy through systematic humanitarian supply chain collaboration. It explains how a company can operate its philanthropic programs through collaboration with others as well as describes how these different actors can work together.


Author(s):  
Alessandra Cozzolino ◽  
Silvia Rossi ◽  
Alessio Conforti

PurposeThe purpose of this paper is to identify the specific stages of the humanitarian logistics process in which the agile and lean principles are needed.Design/methodology/approachTo achieve this purpose, the authors propose an original conceptual framework and apply it to evidence from a “best practice” case study in the humanitarian sector: the United Nations World Food Programme and its efforts in the Darfur (Sudan) crisis.FindingsAlthough several previous works introduced the agile principle as suitable for disaster relief, when and how to embrace the agile and lean principles remained unclear. This paper demonstrates the proper combination of the agile and lean principles in disaster relief phases. The correspondence is based on the coincidence of the objectives that arises in every stage and that each principle is capable of achieving.Research limitations/implicationsFurther empirical research is needed to support the framework and to enrich the results that arise from this first explorative work.Practical implicationsThe proposed framework is targeted at leading actors involved in the operation and planning of humanitarian logistics when a crisis emerges. This approach, which is based on the combination of the agile and lean principles, is not exclusive to the humanitarian sector. This perspective may be useful to create business logistics that address disruptions to traditional supply chain flows and other forces that disrupt logistics, production and information handling.Originality/valueThe paper clarifies how agility and leanness should be emphasised in specific stages of the humanitarian logistics process, to reach a higher level of effectiveness and efficiency when planning disaster relief.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Aditya Kamat ◽  
Saket Shanker ◽  
Akhilesh Barve

Purpose The purpose of this paper is to analyze the factors affecting the implementation of unmanned aerial vehicles (UAVs) in Indian humanitarian logistics. The factors listed are significant as they are hindering the incorporation of this new technology into the humanitarian supply chain, thus creating inefficiencies in the humanitarian logistics sector. Design/methodology/approach This research is approached using a two-step process. In the first step, the particular barriers for UAV implementation are determined by a literature review and consultation with experts. Next, the proposed framework, a combination of grey-decision-making trial and evaluation laboratory (grey-DEMATEL) and analytic network process (ANP), i.e. g-DANP, is used to determine a hierarchical structure for the factors and sub-factors. The grey hypothesis provides sufficient analytical data to an otherwise lacking DEMATEL technique. Also, the use of ANP gives weightage to each factor, allowing us to categorize their importance further. Findings This study reveals that factors like expensive commercial solutions and high transport energy costs are significant factors of the “cause” group, whereas the uncertain cost for maintenance and repair and deficiency of high-level computing are crucial factors of the “effect” category. The mentioned factors, along with many others, are the main reasons for the delayed incorporation of UAVs in humanitarian logistics. Practical implications The results of this study present insights for humanitarian supply chain managers, UAV producers and policymakers. Those in the humanitarian logistics sector can use the findings of this study to plan for various challenges faced as they try and implement UAVs in their supply chain. Originality/value This research is unique as it analyses the general factors hindering the implementation of UAVs in Indian humanitarian logistics. The study enriches existing literature by providing an analytic approach to determine the weightage of various interrelations between the identified factors affecting UAV incorporation in the humanitarian supply chain.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Zerin Tasnim ◽  
Abu Bakar A. Hamid ◽  
Yogesh K. Dwivedi ◽  
Mahmud A. Shareef

PurposeNumber of disastrous events are rising globally, and it is important to manage the humanitarian supply chain management process to assist the disaster affected individuals in terms of relief operations. Effective relief operations can help to recover the materialistic loss due to any disaster. But there is a paucity of studies regarding this issue for developing countries. This study, hence, inspected the factors that affect the disaster supply chain management (DSCM) processes for relief operations in Bangladesh.Design/methodology/approachThis study examined the factors affecting relief operations through a qualitative analysis. This study used thematic analysis. Interviews were conducted with related supply chain individuals who were triangulated by data from related publications and blogs.FindingsThe study showed that sustainable DSCM for relief operations in Bangladesh require addressing few factors as organizational capabilities, warehousing locations and inventory management, infrastructure facility, coordination among partners, government and local authority support to create a transparent, efficient, effective and sustainable DSCM process for relief operations in Bangladesh. The system loopholes can be identified and rectified on the base of these factors.Research limitations/implicationsThe number of interview respondents was limited to twenty who were selected randomly from four organizations. To create a sustainable disaster supply chain management (SCM) for relief operations few factors were considered as predominant factors in Bangladesh context to generalize the developing country contexts and other factors were not considered. Therefore, for farther humanitarian research, the model of this study can be used for quantitative research and the hypotheses can be tested empirically to get more acute findings.Practical implicationsAs this study identifies the factors which can help to create a sustainable DSCM system for relief operations, hence practically, Bangladesh humanitarian SCM agencies will be beneficial from this study. They can easily recognize the factors need to be considered to create a sustainable DSCM process for relief operations.Originality/valueThis is a unique study carried out to examine the factors affecting DSCM process for relief operations in Bangladesh.


2016 ◽  
Vol 31 (2) ◽  
pp. 137-151 ◽  
Author(s):  
Shrikant Gorane ◽  
Ravi Kant

Purpose – The purpose of this paper is to predict the success possibility of supply chain practices (SCPs) implementation based on ten selected SCPs using the analytic hierarchy process (AHP). Design/methodology/approach – A case study was conducted, and for the same, data were collected from two organizations. The data collected from both the organizations were analyzed using AHP. The pair-wise comparisons of SCPs (usually, alternatives and attributes) are established using a scale indicating the strength with which one SCP dominates another with respect to higher-level SCPs. This scaling process then translated into priority weights. Once the priority weights of the elements/determinants of the module have been calculated, the presence of the corresponding element in the organization was evaluated. An evaluation rating of these elements multiplied by the established priority weights have determined the prediction weight for each SCP. Findings – The application of this procedure is described for the institutionalization module and can be similarly extended to the other SCPs/SCM implementation modules. By establishing the prediction weight for each module, the organizations will be able to evaluate the strength of the corresponding factors present before embarking on the SCPs. The organization can identify and create awareness of the essential elements in the SCPs implementation process and identify the actions necessary before implementing SCPs. The AHP can be a useful guide in the decision-making process of SCPs implementation, especially for medium- and large-scale organizations. Research limitations/implications – The priority weights are subjective and assigned as per the judgment of SCM managers from both the organizations. Further, the priority weights can be obtained from more industry experts through a questionnaire. Second, in this model, only ten practices are taken into consideration for successful SCPs implementation; more practices may be included in future research. Practical implications – The methodological approach presented can be a useful guide in the decision-making process of SCPs implementation in an organization. The outcome will aid practitioners to know the SCPs and benchmark the organizations on the basis of the methodological research conducted. Again, this model can simply act as a possible research model and the data can act as an example that can be utilized for other studies. Originality/value – This is the first kind of study which identified ten SCPs and further deployed AHP approach to see the success possibility of combined SCPs that influence the SCM implementation in an organization.


Author(s):  
Henrietta Buddas

Purpose – The purpose of this paper is to further the understanding of bottlenecks occurring when preparing for humanitarian operations in the humanitarian supply chain. The focus in this paper is set on the activities of aid supply procurement and aid consolidation into standardised deliveries of humanitarian aid. Design/methodology/approach – The paper follows a qualitative case study and builds a theoretical bottleneck analysis framework, using, e.g. the theory of constraints as an important building block. The case study as such involves the IFRC supply chain. Findings – The findings in the empirical study show that there is a need for long-term planning (practical and strategic planning) of the supply procurement, as well as organisational commitment in order to remove bottlenecks in a humanitarian operation. Research limitations/implications – The research framework built for the case study is applicable in similar future analyses of humanitarian supply chain operations and projects, as well as modifiable to other types of project or operation analyses. Practical implications – This paper gives a wide perspective insight into constraining bottleneck areas as well as areas of improvement in disaster preparedness. Additionally the paper provides an applicable tool for humanitarian practitioners to use for analysing process bottlenecks, to decide on corrective actions. Originality/value – The paper constructs a bottleneck analysis framework, which can be utilised beyond the humanitarian setting. Bottleneck analyses have not previously been conducted within the humanitarian context.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nobuhito Ohtsu ◽  
Akihiko Hokugo ◽  
Ana Maria Cruz ◽  
Yukari Sato ◽  
Yuko Araki ◽  
...  

Purpose This study investigated pre-evacuation times and evacuation behaviors of vulnerable people during the 2018 flooding in Shimobara, Okayama, Japan, and the flood-triggered factory explosion, a natural hazard-triggered technological accident known as a natural-hazard-triggered technological accidents (Natech). This study examined factors that affected evacuation decisions and pre-evacuation time, estimated the evacuation time in case of no explosion and identified community disaster prevention organization response efforts for vulnerable people. Design/methodology/approach Interviews with all 18 vulnerable people who experienced the event were conducted. Multiple regression analysis was used to examine the effect of six factors on evacuation time and reasons for delayed evacuation. Findings Factors affecting evacuation decisions included the sound of the explosion, followed by recommendations from relatives and the community disaster prevention organization. Explosion-related injuries delayed early evacuation, but experience of previous disasters and damage had a positive effect on early evacuation. The explosion sound accelerated evacuation of non-injured people; however, explosion-related injuries significantly delayed evacuation of injured individuals. The Shimobara community disaster prevention organization’s disaster response included a vulnerable people registry, visits to all local households and a multilayered approach that enabled monitoring of all households. Originality/value This is the first study to examine the evacuation behavior of vulnerable people and community responses during a Natech event.


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