Decentralized drug distribution (DDD), in conjunction with multi-month dispensing (MMD), is helping public sector health programs bring lifesaving medicines for HIV/AIDS and other illnesses closer to clients. However, essential supply chain elements must be functional before countries begin implementing.
Key learnings are available from countries that have already implemented and scaled up their own DDD approaches and several different models have emerged. With case studies from five countries, this new handbook aims to document the supply chain implications of DDD for countries considering implementation. Annexes to the handbook provide example tools that are used to implement and practice DDD.