Table A4

Level 2 resilience Sub-factors supporting risk mapping, modeling, planning and control (risk MMPC)

Level 1 resilience sub-factorsLevel 2 resilience sub-factors
Risk MMPC – product flowMapping of input, manufacturing, cold chain and vaccine supply bottlenecks
 Supply strategies to minimize stockouts
 Use of advanced modeling technologies to identify system risks
 Identification and prioritization of security and other threats
Capacity sharing and production incentivizing strategies
 Use of foreign manufactured vaccines to increase supply
 Implementation of regulatory standards and compliance requirements
 Immunization of health-care workers to minimize illness
 Guaranteed vaccine supply arrangements
 Strategic location of inventory
 Transportation assessments and validations
 Selection of suppliers based on technical and compliance capabilities
Risk MMPC – financial flowInvestment in capacity at risk by private sector, government, international organizations
 Use of contractual terms to mitigate financial risk
Risk MMPC – information flowMapping and control of cyber risks
 Use of electronic marketplaces to rapidly identify input suppliers
 Information dissemination to reduce vaccine hesitancy
 Tracking of vaccine serialization and adverse effects following immunization
 Use of monitoring and alert systems to identify risks and bottlenecks
 Availability of back up equipment for monitoring cold chain temperatures
Risk MMPC – vaccine recipient flowStrategies to reduce vaccine hesitancy
Risk MMPC – knowledge flowStrategies for transferring technology
 Minimization of liability associated with technology use and licensure
Risk MMPC – skilled worker flowEstablishment of regulatory training center
 Establishment of logistics training center
Risk MMPC – waste flowStrategies to minimize waste
 Ability to trace vaccine waste resulting from criminal activity
Source: Author’s own creation/work

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