Mixed-method study examines Ukraine's immunization supply chain adaptation during war, suggesting key resilience strategies.
Key Points
This study aims to analyze how Ukraine’s immunization supply chain has adapted to disruptions caused by war and to identify factors for enhancing its resilience.
Mixed-methods approach combining 15 semi-structured interviews with stakeholders
Review of literature, regulatory documents, and program data
Data analyzed using thematic analysis and interpreted through the health system resilience framework
Digitalization of the vaccine stock management system strengthened knowledge capacity
Large investments in cold chain equipment improved management of electricity outages
Strong collaboration with international partners sustained the immunization supply chain despite ongoing war disruptions