Customizing immunization clinic operations to minimize open vial waste

Maryam H. Mofrad; Gian Gabriel P. Garcia; Lisa M. Maillart; Bryan A. Norman; Jayant Rajgopal

doi:10.1016/j.seps.2015.10.007

Customizing immunization clinic operations to minimize open vial waste

Maryam H. Mofrad, Gian Gabriel P. Garcia, Lisa M. Maillart, Bryan A. Norman, Jayant Rajgopal

Research output: Contribution to journal › Article

3 Scopus citations

Abstract

Many multi-dose vaccine vials must be used within hours of reconstitution; unused doses are discarded as "open vial waste." Building on Mofrad et al. (2014), we evaluate operating strategies that maximize coverage by controlling open vial waste. We define novel metrics for determining thresholds on vaccination clinic operating hours and session frequency. We study the performance of optimal and heuristic policies in the presence of random vial yield. Cost analyses indicate significant potential savings. Because optimal strategies are context specific, we also develop a decision support tool (available online) to easily replicate the analysis for any problem setting.

Original language	English
Pages (from-to)	1-17
Number of pages	17
Journal	Socio-Economic Planning Sciences
Volume	54
DOIs	https://doi.org/10.1016/j.seps.2015.10.007
State	Published - Jun 1 2016

Keywords

Multi-dose vial
Open vial waste
Vaccine administration policy
Vaccine coverage

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10.1016/j.seps.2015.10.007

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Mofrad, M. H., Garcia, G. G. P., Maillart, L. M., Norman, B. A., & Rajgopal, J. (2016). Customizing immunization clinic operations to minimize open vial waste. Socio-Economic Planning Sciences, 54, 1-17. https://doi.org/10.1016/j.seps.2015.10.007

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AU - Rajgopal, Jayant

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