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Global Health Economics and
                                                                                        Sustainability





                                        ORIGINAL RESEARCH ARTICLE
                                        Optimizing last-mile delivery of essential

                                        medicines in Nigeria: Insights from Niger State’s
                                        health-care supply chain



                                                                                    2
                                                             1
                                        Ogwuche Kennedy Odo , Kabiru Abubakar Gulma * , and  Mohammad Audi 3
                                        1 Department of Business Administration, Malaysia University of Science and Technology (MUST),
                                        Petaling Jaya, Selangor, Malaysia
                                        2 School of Global Health and Bioethics, Euclid University, Banjul, The Gambia
                                        3 Drugs and Hospital Consumables Management Agency, Minna, Niger State, Nigeria




                                        Abstract
                                        Last-mile delivery of health commodities is a critical component of efficient supply
                                        chains, and third-party logistics (3PL) providers are pivotal in ensuring cost-effective
                                        and reliable product distribution. This study explores the implementation of last-mile
                                        delivery outsourcing by government-operated warehouses and drug management
                                        agencies (DMAs). This research focuses on the relationship between 3PL utilization
            Academic editor:            and key performance metrics, such as cost reduction, timely delivery, and end-
            Mihajlo Jakovljevic M.D. Ph.D. MAE  user satisfaction. This study combines a literature review, surveys, and interviews
            *Corresponding author:      conducted with employees of the DMAs in Minna, Niger State, to establish significant
            Kabiru Abubakar Gulma       correlations. The findings show that using 3PLs significantly reduced operational
            (gulma@euclidfaculty.net)   costs, improved the frequency of timely deliveries, and enhanced end-user
            Citation: Odo, O.K., Gulma, K.A.,   satisfaction. These findings underscore the need for continued engagement with
            & Audi, M. (2025). Optimizing last-  3PL providers to optimize supply chain performance and improve service delivery
            mile delivery of essential medicines
            in Nigeria: Insights from Niger   outcomes. Managers are recommended to maintain and expand such collaborations
            State’s healthcare supply chain.   to sustain these benefits.
            Global Health Econ Sustain,
            3(1):185-196.
            https://doi.org/10.36922/ghes.4714   Keywords: Outsourcing; Last-mile delivery; Essential medicines; Niger State; Drug
            Received: August 30, 2024   management agency
            Revised: September 22, 2024
            Accepted: October 8, 2024
            Published online: November 5,   1. Introduction
            2024
                                        Ensuring the delivery of products where they are needed is a crucial element of any
            Copyright: © 2024 Author(s).   effective supply chain. Third-party logistics (3PL) providers are pivotal in cost-effectively
            This is an Open-Access article   delivering products to end-users, and using 3PLs requires delegating logistics-related
            distributed under the terms of the
            Creative Commons Attribution   functions, either partially or entirely, to an external organization for execution.
            License, permitting distribution,   Transportation and basic value-added logistics services are well-established outsourcing
            and reproduction in any medium,   domains; thus, 3PL companies are key stakeholders in most supply chains. These
            provided the original work is
            properly cited.             companies do not own the commodities that flow through a supply chain; however, they
                                        assume responsibility for their clients’ goods as they transit through warehouses or are
            Publisher’s Note: AccScience
            Publishing remains neutral with   transported globally (Manotas-Duque et al., 2016).
            regard to jurisdictional claims in
            published maps and institutional   Outsourcing logistics in this manner has numerous benefits, such as reducing the
            affiliations.               burden of logistics activities, and making it increasingly common among organizations


            Volume 3 Issue 1 (2025)                        185                       https://doi.org/10.36922/ghes.4714
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