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Underlying this work on technologies and equipment was a major effort to develop the human resources required to manage and implement the immunization supply chain.
International efforts to eradicate smallpox in the 1960s and 1970s provided the foundation for efforts to expand immunization programmes, including work to develop immunization supply chains.
Governments and immunization partners have been aware of this problem for several years, and in 2010, the World Health Organization (WHO) launched the Effective Vaccine Management EVMM) process to help countries identify shortcomings in their immunization supply chains and develop plans for systematic improvement.
Despite known gaps and the introduction of new vaccines, the vast majority of low-performing countries receive no technical support to strengthen capacity for immunization supply chain management.
At country level, UNICEF and partners support governments in optimising immunization supply chains so that cold chain equipment and logistics effectively maintain vaccines at stable temperatures at every step of storage and transportation until the child is reached.
The Bill & Melinda Gates Foundation developed a RI strategy in 2012 to identify and focus on some of the unaddressed challenges, particularly the need to improve data quality and use, as well as immunization supply chain logistics necessary to protect investment in expensive new vaccines.
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USAID also supported the PAHO Revolving Fund, a pooled procurement mechanism to purchase vaccines, syringes and immunization supplies.
And, accurate forecasting is the first step in ensuring adequate immunization supplies and is the foundation of Vaccine Security.
The Child Health Week itself followed several weeks of preparation to pre-position immunization supplies across the country from as far away as UNICEF's main supply warehouse in Copenhagen.
UNICEF works on ensuring the global availability of essential supplies through positively influencing markets including for immunization supplies, essential medicines, water and sanitation, education and other key products.
The RF is a mechanism for bulk purchase of vaccines and immunization supplies, managed by PAHO since 1979, to serve Member States [ 11, 16].
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