Evaluating the effect of key performance indicators of vaccine supply chain on sustainable development of mission indradhanush: A structural equation modeling approach

Abstract

Indradhanush is a health mission, launched by the Government of India in 2014 to ensure that all children up to two years of age and pregnant women are completely immunized with all available vaccines. In this study, a novel framework is presented that demonstrates how the universal immunization program (UIP) India can utilize the key performance indicators (KPIs) of its vaccine supply chain (VSC) towards the goal of sustainable development (SD) of Mission Indradhanush. Based on the expert's opinions and an in-depth review of the literature, 57 performance indicators of VSC and 52 sustainability practices criteria (SPC) were identified. Using the balanced scorecard (BSC), the performance indicators were assessed in four dimensions: learning and growth, internal process, customer, and finance; whereas SPC were evaluated in three dimensions: economic, environmental and social. Further, from the field survey in 3 states of India, 248 valid questionnaires were collected, which were used to conduct exploratory factor analysis (EFA) and structural equation modeling (SEM). The results of the analysis revealed that the learning and growth and internal process KPIs of VSC have a positive and significant effect on the success of Mission Indradhanush sustainable development. In addition, results also revealed that the internal process mediates the relationship of learning and growth and sustainable performance and is the main dimension of VSC to strive towards sustainability. The findings of the present study will be beneficial to the policy-makers for measuring, monitoring, and improving the performance of immunization programs so as to build up the sustainability in Mission Indradhanush.