In Haiti, the journey to deliver health commodities to the last mile is no easy task.
As of 2011, Haiti had approximately 1,700 kilometers of paved roads, more than 2,600 kilometers of unpaved roads, and bridges that were not passable or in disrepair. Because many of the roads are unmapped and unmarked, local knowledge is critical to traversing the country.
The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project procures and distributes HIV/AIDS and family planning commodities to health clinics across Haiti. Because of the challenging terrain, ensuring all patients have access to the medicines they need requires ingenuity and novel approaches.
When civil unrest blocked roads and disrupted ground transportation, GHSC-PSM contracted inter-regional aircraft to deliver ARVs to remote health centers and hospitals so patients could continue to access treatment.
By motorized vehicle.
Often, the project uses its own vehicles or the services of a third party logistics provider to reach service delivery points.
GHSC-PSM delivers commodities to several islands that can only be reached by boat, such as Ile de la Tortue (Turtle Island).