Page 199 - GHES-3-1
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Global Health Economics and
            Sustainability
                                                                                        Outsourcing last-mile delivery


              Table 5 demonstrates the evaluation of the 15 managers/  •   Using 3PL in outsourcing
            supervisors interviewed. Their estimation showed the following:  •   Lower cost of last-mile delivery using 3PL than last-
            •   The practice of outsourcing management of last-mile   mile delivery without 3PL
               delivery operations                             •   Last-mile delivery estimated lead time of about 24 h
                                                                  for the farthest distance
            Table 5. Objective 3: 3PL services and end-user customer   •   High frequency of timely delivery with 3PL
            satisfaction
                                                               •   High level of customer satisfaction with last-mile
            Propositions       Responses   Number  Percentage     delivery using 3PL providers.
            Health-care workers in   Strongly agree  15  30
            supported health facilities   Agree  35  70        3.2. Results of preliminary data analysis
            emphasize 3PL service
            delivery           Disagree                        The following results were revealed.
                               Strongly disagree               1.  Of respondents, 70.0% agreed that in each of their
                               Total         50      100          1,500 implementations of 3PL for last-mile delivery
            Patients and their families  Strongly agree  20  40   of essential medicines, delivery costs were reduced
            prefer essential medicine   Agree  10    20           by  23% from  the  Niger  State  Drug and  Hospital
            delivery through 3PL                                  Consumables  Management  Agency,  Minna,  Niger
            services for faster response  Disagree  10  20        State
                               Strongly disagree  10  20       2.  An average of 77.0% of respondents agreed that their
                               Total         50      100
                                                                  1,500 uses of 3PL for last-mile delivery of essential
            Patients expressed   Strongly agree  35  70           medicines resulted in 80 timely (same-day) delivery
            satisfaction with the   Agree                         times across the state. Deliveries without 3PL averaged
            delivery of essential
            medicines by 3PL   Disagree      10      20           three days for last-mile delivery
            providers          Strongly disagree  5  10        3.  An average of 77.0% of respondents agreed that using
                               Total         50      100          3PL to deliver essential medicines yielded 160 end-
            Source: Field survey, 2022.                           user customer satisfaction for 120 health-care officers/
            Abbreviation: 3PL: Third-party logistics.             workers.
            Table 6. Analysis of interview data
            Variables handled during the interview       Average data                       Survey data
            Number of times the organization used         3,000 p.a
            outsourcing p.a
            Number of times the organization used          1,500                    An average of 74.7% of the respondents
            3PL p.a                                                                 supported the interview data.
            Cost of last-mile delivery without 3PL        N12.8 p.a
            Cost of last-mile delivery using 3PL          N9.86 p.a                 An average of 70.0% of
                                                                                    respondent-supported interview data.
            Estimated time of last-mile delivery         Within 24 h
            using 3PL to the farthest distance
            Estimated time of last-mile delivery           5 days                   An average of 77.0% of
            without 3PL to the farthest distance                                    respondent-supported interview data.
            Number of timely deliveries using 3PL           80                      An average of 77.0% of
            for last-mile delivery                                                  respondent-supported interview data.
            Number of customer-end-user                    160 p.a                  An average of 77.0% of
            satisfaction p.a                                                        respondent-supported interview data.
            Number of times hospital pharmacists/           120                     An average of 77.0% of respondents
            HCW requested the NSDHCMA p.a                                           agreed.
            Operational benefits of 3PL last-mile   Safety of essential medicines=8; security of essential   An average of 74.0% of respondents
            delivery                        medicines=8; speed of delivery=10; zero distractions;   agreed.
                                            ability to maneuver constraints
            Source: Interview, 2022.
            Abbreviations: 3PL: Third-party logistics; HCW: Healthcare worker; NSDHCMA: Niger state drugs and hospital consumables management agency.


            Volume 3 Issue 1 (2025)                        191                       https://doi.org/10.36922/ghes.4714
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