Transportation Costs Research Articles

The Right to Healthcare Must Include the Right to Ease of Physical Access: Exploring Geography-Health Nexus in GIDA Communities in the Philippines.

Using the United Nations' 'leave no one behind' framework for the achievement of sustainable development goals, this article underscores the key role of geography as one of the core factors why certain people are left behind, deprived, and continue to experience inequality in terms of access to (quality) health care facilities and services. This article specifically examines the consequences of physical inaccessibility to health outcomes and health-seeking behavior in geographically isolated and disadvantaged areas (GIDAs) in the Philippines. This article illustrates that physical accessibility is an ignored aspect of the public health paradigm. For that reason, public health facilities, no matter how critical the facility is to a person's care, are not an immediate option for GIDA residents who seek medical aid. Responsive policy measures are vital to address this seemingly paradigmatic error. Subsidizing transportation costs and allocating funds for road improvements are called for, among other changes. The government must act on the people's right to ease of access as part of fulfilling fundamental health-related state obligations. But for the government to act, it will be crucial for claimants to health rights to proactively demand these changes. The latter is key for the fulfillment of the affected people's right to get easier access to meaningful health care.

Economic evaluation of an outsourced fourth-party logistics under a flexible production system

Competition in the production business is getting harder day by day for the manufacturer and the corresponding retailer of the supply chain. When a supply chain deals with deteriorating products, an efficient production system, and a logistic provider are two important pillars to keep the business profitable. Logistics facility for deteriorating products requires additional attention, especially when deteriorating products require a refrigerate-storage facility. This study investigates the economic evaluation of flexible production and logistics outsourcing for deteriorating products with the help of logistics outsourcing. The retailer outsources logistics facilities through a fourth-party logistics provider. Fourth-party logistics uses reefer shipping to transport deteriorating products to prevent deterioration during transportation. The refrigerant of the shipping container has a random leakage during shipping. In the meantime, the manufacturer uses preservation facility to reduce the random deterioration rate of products. A classical optimization finds the global minimum total cost for a unique solution of decision variables. Results prove that flexible production is very sensitive to machinery systems and fresh products are more cost-effective for transportation than frozen products. The proposed system saves 38.38% of the total cost in comparison with a constant production rate. Sensitivity analysis finds transportation costs of 4PL are the most sensitive parameters of the system.

TRANSPORT LOGISTICS AND WORKFORCE QUALITY: EVALUATING ACCESSIBILITY AND HUMAN RESOURCE QUALITY IN SELECTED NIGERIAN ORGANIZATIONS

This paper investigated how transport services affect the quality of work in selected organizations in Lagos Nigeria. As one of the most populous cities in Nigeria, Lagos deals with unique transport issues that impact the productivity and wellbeing of its workforce, with the region’s dynamic urban landscape that creates challenges and opportunities in the transportation system. A survey design was employed to gather data from 402 employees of the selected organizations sampled from a population of 6150 using research advisor. A structured questionnaire was employed to bring together the data for the study via random sampling technique. Descriptive and inferential analyses which included frequencies, percentages, mean, standard deviation and regression analysis were used to analyse the data. The findings revealed that availability of transport logistics services (t = 5.837, β = 0.313, ρ ≤ 0.05) had positive and significant effects on access to quality workforce, and reach to quality suppliers (t = 6.438, β = 0.308, ρ ≤ 0.05) significantly affects Cost of Transport logistics. On the overall, transport services in the study areas had a positive and significant effect on the quality of work in Lagos state, Nigeria. This study concluded that the quality of work in Lagos, Nigeria is significantly predicted by transport services. Hence, there is a need to strengthen the transport services so as to improve access to quality workforce, and the cost of transport.

Gansu, Qinghai and Ningxia regions of the new western land and sea corridor Freight network optimization

The new western land and sea corridor makes use of a variety of transport modes to reach major ASEAN countries such as Singapore to the south, connects Southeast Asia and North America to the east, and connects Chongqing, Lanzhou and Xinjiang to the north with the China-European Union (CEU) liner train, which is a composite opening-up corridor in the western region for realising the regional linkage and international co-operation with ASEAN and other countries, and organically connecting with the "One Belt, One Road". In order to explore the regional freight network of Gan-Qing-Ning region of the new western land and sea corridor, we establish the model of node socio-economic attractiveness, topological charisma and comprehensive utility maximization, and analyze the index factors by using entropy weighting, Delphi and comprehensive evaluation methods through the Matlab Genetic Algorithm Toolbox to study the influence of node socio-economic attractiveness, topological charisma, node freight volume, logistics and transportation costs and construction costs on the utility of nodes of the new western land and sea corridor. The influence of the regional node utility of Gansu, Qinghai and Ningxia in the corridor. Analyze the problems and factors affecting the selection of nodes in the existing freight transport corridors in the three provinces. Completing the site selection of Gan-Qing-Ning regional node of the new western land and sea corridor and combining the import and export cargo volume of the three provinces to propose the construction of the South-Middle East three-lane freight corridor, and completing the optimization plan of the freight network. The results show that: scientific optimization and improvement of Gan-Qing-Ning regional freight network can promote the construction of freight network in the northwest region of the new western land and sea corridor, to meet the demand for freight transportation in the corridor, and to promote the development of the corridor industry and economic growth. Thus, it provides reference for the development of Gansu, Qinghai and Ningxia region and freight network optimization.

Sistem Pemasaran Beras Bujang Marantau Di Kecamatan Sungai Tarab, Kabupaten Tanah Datar, Provinsi Sumatera Barat

The “Bujang Marantau” rice variety is local rice from Tanah Datar Regency which was registered as a national superior rice variety by BPTP West Sumatra in 2015 and grows well in Tanah Datar Regency. This increase in “Bujang Marantau” rice production must be balanced with a good marketing system so that farmers and institutions marketing can receive more favorable prices. The study is aimed to analyze the channels, functions and operational efficiency of rice marketing (marketing margin, farmer’s share, and profit to cost ratio) in Sungai Tarab District. This research involved 45 farmers as samples obtained through a simple random sampling method. Marketing institution respondents were obtained using the snowball method based on the flow of information from farmers and 15 marketing institution respondents were obtained. Qualitative data is used to analyze marketing channels and institutions. Quantitative data is used to analyze marketing margin, farmer’s share, profit to cost ratio and marketing efficiency index. The results showed that there are 3 marketing channels and 3 types of marketing institutions involved. The results of the marketing operational efficiency analysis show that the relatively efficient marketing channel is channel III because it has the lowest marketing margin value, the highest farmer’s share, and the shortest marketing channel compared to other channels. Marketing institutions should further optimize the marketing functions of each institution, such as the transportation function, so that transportation costs can be lower and minimize marketing costs more efficiently.

Methodology for improving the assessment of the economic efficiency of transport infrastructure development

Transport infrastructure, especially railway infrastructure, plays a key role in economic development, ensuring efficient movement of goods and people. It is characterised by high capital intensity, long operational lifespans, and generation of socio-economic effects. Therefore, there is a need to improve the methodology for assessing the economic efficiency of creating and developing transport infrastructure objects. The traditional approach to evaluation is based on discounting cash flows. When applying this method, significant capital investments are compared with devalued effects in subsequent years due to discounting, during which the infrastructure object reaches the specified estimated load. Moreover, it does not consider the fact that the transport infrastructure benefits and holds value not only for the current generation but also for the future one. Additionally, it, as an economic good, cannot be seen as a one-timely consumed product: this transportation service cannot be accumulated. For a more accurate and comprehensive assessment of the efficiency, particularly in the case of railway transport, it is proposed to consider the results of long-term operation of the transport infrastructure at full (estimated) load not in the future but in the present (present сontinious). The economic assessment indicators include initially invested and adjusted capital, annual effect, efficiency ratio, and the value of the transport infrastructure object. The research results aim to provide an adequate assessment of project implementation efficiency in the field in question. In the future, the methodology can be enhanced by defining risks of not ensuring normal infrastructure load throughout the entire calculation period as well as by assessing the reduction in profitability or increase in transportation costs.

Efficient load balancer for local internet service providers based on operation research

Load balancing in internet services acts as a reverse proxy to distribute network bandwidth or application traffic across multiple servers. To decrease the internet route cost and to make the network intermediate devices more intelligent distance, number of hops, bandwidth capacity, equipment maintenance, power consumption ...etc must be considered. .. The aim is for the devices to have self-decision: acting upon data found in the network and transport layer protocols (Internet Protocol IP, Transmission Control Protocol TCP, File Transfer Protocol FTP, User Datagram Protocol UDP), and delivering the services to the secondary internet (wireless or optical fibers) ISPs. To achieve this target, the use of an operation research algorithm, such as linear programming, has been proposed to solve the problem of minimizing transport and distribution costs by developing and overcoming the transmission load cost of the path selection. The proposed EWRRLB (Efficient Weighted Round Robin Load Balancer) will assign different costs to each internet connection based not only on its capacity or priority but also on the cost of transmission paths. This allows load balancers to allocate the best economic path and the share of the bandwidth to certain connections.

한국의 대외 수출에 미치는 TBT와 미통보 기술 규제의 영향분석: 중력모형과 PPML 방법론을 통한 접근

This study investigates the impact of Technical Barriers to Trade (TBT) and unnotified technologies on South Korea’s foreign exports, analyzing the background and objectives. With the expansion of regional economic blocks such as FTAs, the EU, and NAFTA, the scope of non-tariff barriers, including TBT and Sanitary and Phytosanitary (SPS) measures, has broadened. These non-tariff barriers, often implemented for safety purposes like environmental protection, can increase shipping and compliance costs, imposing a burden on domestic industries. The main objective of this study is to quantitatively evaluate the effects of TBT and unnotified technologies on South Korea's exports across various industries from 1995 to 2022. To achieve this, we employ the gravity model, one of the most widely used models in explaining trade conflicts, alongside the Poisson Pseudo Maximum Likelihood (PPML) method, which is suitable for handling the complexities of trade data with zero trade flows. This approach enables a detailed analysis of the impact of TBT and unnotified technologies on export performance, disaggregated by objective and industry. The results reveal that while TBT has a positive effect in promoting exports, unnotified technologies have a negative impact. These findings highlight the importance of distinguishing between the two in international trade negotiations.

Analysis of technologies of disposal and use fibrous paper skopje

The article examines the current state and trends in the development of waste management technologies in the pulp and paper industry, with the aim of analyzing the reasons that hinder, and sometimes make impossible, the effective utilization of fibrous waste paper to obtain environmentally safe materials and raw products. The production of paper products is one of the most capital-intensive and energy-intensive industries, second only to the metallurgical and chemical industries, with a correspondingly large amount of waste and a negative impact on the environment. The technological processes of scum formation as a result of waste paper recycling and paper production wastewater treatment are considered and analyzed. Skopje is the final waste of the pulp and paper industry, which is formed at various stages of the paper and cardboard manufacturing process, therefore it is deposited in landfills. Multiton volumes of skopje require significant areas for its storage. Despite the low IV hazard class, this leads to serious environmental problems, as the leachate from the skopje landfill pollutes surface and ground water. Technologies of possible disposal and reuse of skopje, known in domestic and foreign literature, are described and analyzed. The technology of reusing scoop is determined by its relatively environmentally safe physicochemical composition. The indicated fibrous, mineral, extractive constituents and lignin determine the possibility of reusing skopje, mainly for the construction industry. The perspective of the complex use of multi-tonnage waste – slag, sludge, ash and slag of thermal power plants as plasticizers, fillers, binders and binding components in the production of building structural and heat-insulating materials is named. Technologies for using scapula as a filler in the production of building materials require a high content of inorganic compounds and a minimum amount of organic compounds. A high content of fibrous particles and a low content of mineral substances is necessary when using scapula in the production of composite wood composite materials. The specified technological limitations ensure only small amounts of skopje use in the production of building materials. The effectiveness of using skopje as an additive to the asphalt mixture for road construction and production of fuel materials is determined by the economic costs of transportation and dewatering. It is noted that the high humidity, ash content and low calorific value of scum are the main reason for the lack of effective technologies for its utilization. The solution to the problem is the use of low-energy technologies through the direct use of osprey as a component of the soil mixture for biological reclamation of man-made landscapes. The article substantiates an environmentally safe and socially favourable option for using a soil substrate based on osprey. It is emphasised that the humidity and organic viscosity of the plant origin of osprey form the agrotechnical properties of soil substrates of prolonged action, which ensure optimal technological efficiency of phytomelioration of degraded lands. The reclaimed areas will reduce greenhouse gas emissions from the soil, prevent wind and water erosion, and ensure the environmental safety of natural and man-made ecosystems.

TRANSPORT SYSTEMS AS ESSENTIAL PART OF GOVERNMENT POLICY

The paper discusses the significance of transport systems as a crucial compone nt of public policy in the majority of countries worldwide. Transport policy aims to achieve various objectives, including promoting economic growth, enhancing accessibility, improving safety, reducing environmental impacts, and promoting social equity. A significant aspect is the substantial funding required to construct and maintain transportation infrastructure, includin g roadways, railway tracks, airports, harbors, and publictransportation systems.Special emphasis is placed on international transport corridors such as the Trans-Caspia n International Transportation Route, which complements the Chinese Belt and Road initiative and presents new opportunities for trade between China and European nations. The paper emphasize s the importance of collaboration between different levels of government and internationa l stakeholders to address cross-border transportation challenges and harmonize regulations. The authors also discuss the role of the Shanghai Cooperation Organization in the development of regional transportation infrastructure and logistics. They highlight key issues such as outdate d infrastructure, high transportation costs, low efficiency, and the need for increased transit capacity. Additionally, they discuss other international initiatives, such as the Eurasian Economic Union and Central Asian Regional Economic Cooperation that aim to improve regional connectivity and facilitate trade.In conclusion, they emphasize the importance of strategic planning and investment in transportation systems to promote sustainable economic growth and enhance transportation links between Central Asian countries and other regions of the world.

콜드체인 운송플랫폼의 IPA분석을 통한 가구 특성별 물류서비스에 관한 연구

Purpose: This study suggests logistics service improvements by analyzing the importance of, and satisfaction with, a domestic cold chain transportation platform. In addition, it differs from previous studies in that it is divided into single-person and multi-person households to understand the importance and satisfaction. Research design, data, and methodology: Data were collected on the importance of, and satisfaction with, service reliability, empathy, convenience, stability, and economic feasibility for service consumers who have used a cold chain transportation platform. Results: The cold chain transportation platform needs to provide additional services that can reduce the burden of transportation costs or increase satisfaction, and there is a need to improve the UI to make the delivery platform easier. In addition, in cold chain transportation services for single-person households, service quality improvement taking this into account is required. Conclusions: Through prior research, selection factors for a cold chain transportation platform were derived, and the implication is that service improvement is suggested through the IPA.

Pickup and Delivery Vehicle Routing Problem with Hybrid Missions and Third-Party Vehicle Rentals: A Case Study of Animal Feed Industry

The vehicle routing problem for small and medium-sized animal feed manufacturers is a complex challenge because each transport route can vary significantly between delivering products to customers and picking up raw materials to return to the factory. Currently, businesses lack well-planned management for utilizing a limited number of trucks. As a result, they often incur additional costs by relying on third-party vehicle rentals. This research aims to reduce transportation costs for small and medium-sized animal feed manufacturers by solving a formulated mixed-integer linear programming (MILP) model, using experimental data that accurately reflects the actual problems faced. The MILP model results help reduce transportation costs by up to 18.5% compared to current practices by optimizing route sequences and incorporating the use of third-party vehicle rentals. This also serves as a guideline for reducing transportation costs in other similar industries.

Energy Harvesting Technologies in Electric Vehicles and Applications in Sustainable Agricultural Transportation: A Review

The increasing challenges of energy depletion, environmental pollution, climate change, and agricultural transportation costs demand innovative solutions. Electric vehicles (EVs) offer a promising solution towards mitigating these issues through renewable energy sources. However, limited driving range remains a crucial barrier to their widespread adoption, particularly in environmentally friendly agricultural transportation. This review paper comprehensively analyzes energy harvesting technologies in electric vehicles and their application in agricultural transportation. The focus is on their potential to improve driving range and address the specific needs of farmers in terms of maximizing their income. Very few review articles have been published on maximum number of possibilities of harvesting energies in electric vehicles, application in agricultural transportation and future prospects for improvement. Existing and current literature was systematically reviewed on various energy harvesting techniques applicable to EVs, including solar energy harvesting, regenerative braking, aerodynamic (wind) energy recovery, and vibration energy harvesting through suspension systems which are all renewable energy sources. Their advantages, working principle, limitations, and recent advancements were critically discussed. All explored energy harvesting methods show the ability to extend EV driving range. However, solar energy and wind or aerodynamic energy harvesting in EVs are theoretically possible but still under research for practical applications due to lots of limitations. Regenerative braking and vibration energy harvesting show the most promising current applications. The Electrical or electromagnetic vibration energy harvesters produce better results over mechanical (hydraulic and pneumatic harvesters). When optimization is employed, better results were achieved. Research on the application of artificial intelligence based computer algorithms to optimize and produce the best amount of harvested energy in EVs will play a significant contribution in the adoption of EVs for sustainable agricultural transportation.

The gravity of distance: evidence from a trade embargo

Abstract On 5 June 2017, an airspace blockade was imposed on the State of Qatar by Bahrain, Saudi Arabia, United Arab Emirates (neighboring countries), and Egypt. We exploit this exogenous increase in air transportation costs toward non-blockading countries to examine the effect of increased travel distance, due to re-routing, on bilateral trade. Based on a gravity model estimated using a Poisson pseudo-maximum likelihood estimator, we find a distance elasticity of imports between −0.3 and −0.5. Overcoming the limitations of cross-sectional studies and taking advantage of this quasi-natural experiment, our findings are robust and revise downward previous estimates of the distance elasticity.

Multi-objective energy management strategy for a dual-stack fuel cell heavy-duty truck via deep reinforcement learning

The Proton Exchange Membrane Fuel Cell (PEMFC) system, as an efficient, zero-pollution emission, and high-efficiency energy conversion device, is particularly suitable for heavy-duty transportation. Considering the limited power of the current PEMFC system, this study focuses on a hybrid fuel cell heavy-duty truck with dual stacks. Considering the optimal operating range of the PEMFC system and the health status of the lithium-ion battery pack, an energy management strategy (EMS) based on the Deep Deterministic Policy Gradient (DDPG) algorithm is established. This strategy optimizes the hydrogen consumption cost, degradation costs of lithium-ion battery and fuel cells. Additionally, a dynamic programming (DP) and an equivalent consumption minimization strategy (ECMS) based EMSs are established. The power allocation and overall transportation costs under the CSC driving cycle are compared and verified for the three EMSs. The results show that the DDPG algorithm provides a more optimal power allocation for the dual-stack fuel cells, improving the overall system efficiency, enhancing the lifecycle of heavy-duty trucks, and significantly reducing overall travel costs.

PROFITABILITY ANALYSIS OF RICE MILLING AND MARKETING IN BAUCHI STATE, NIGERIA

The study analysed the profitability of rice milling and marketing in Bauchi State, Nigeria. Multi-stage sampling procedure was used for the selection of respondents. The respondents comprised rice processors (millers) and marketers. Data were collected using questionnaire and analysed using descriptive statistics, farm budgeting techniques and multiple regression analysis. The findings revealed that majority (87.5%) of the millers and all (100%) of marketers were male and married with a mean age of 39 and 44 years respectively. However, 43.8% of the millers and 40% of the marketers had a family size of between 6-10 people per household with majority (62.5%) of the millers having tertiary education. The analysis also shows that half (50%) and more than half (53%) of the millers and marketers had a marketing and milling experience of between 11-20 years. The result of the budgeting model revealed that millers had a net income of N714 per bag with a return per naira of N1.46 and marketers had a net income of N1, 672 per bag with a return per naira of N 0.12. The results of the regression analysis revealed that years of milling experience and education level were the factors influencing rice milling while household size and membership of association were significant factors influencing rice marketers’ income. However, high cost of diesel (96.7%) and transportation cost (95%) were the major constraints faced by the millers and marketers in the study area. The study concluded that, milling and marketing of rice is a profitable ventures in the study area. It is therefore, recommended that government together with stakeholders should provide adequate infrastructure and introduce favorable policies to strengthen the rice value chain in the study area.

Dynamic ranking function to optimize transshipment costs in intuitionistic Type-2 and Type-1 fuzzy environments

In the dynamic realm of organizational logistics, accurately minimizing transportation and transshipment costs is crucial, yet often challenging due to inherent uncertainties. This paper introduces a novel application of fuzzy logic to provide a more precise analysis of these costs. Specifically, it develops an innovative ranking function for trapezoidal fuzzy numbers (TrFNs) for Type-2 and Type-1 fuzzy environments, a tool yet unexplored in existing literature. The main contributions of this paper are the idea that a ranking function for TrFNs can significantly improve decision-maker's freedom in cost analysis due to an adherence on all (a, b, c d) parameters of TrFN. A new decision-oriented ranking method for these fuzzy numbers is developed which consists of an inventive algorithm. The method is also considered for intuitionistic TrFNs and applied to solve transshipment costs in fuzzy area. To verify the proposed methodology's efficiency, effectiveness and accuracy a numerical example in Wolfram Mathematica 9.0 is demonstrated showing superior computational performance over existing methods.

Dynamic job allocation method of multiple agricultural machinery cooperation based on improved ant colony algorithm

Contemporary large-scale and systematic agricultural operations demand the collaborative efforts of multiple agricultural machines with distinct functionalities. However, the failure of a single agricultural machine during collaborative operations jeopardizes the entire undertaking. To address this challenge, this paper proposes a multi-machine collaborative dynamic job allocation method based on the improved ant colony algorithm. Initially, the improved ant colony algorithm is employed to determine the optimal solution for harvester scheduling. This solution is then fed into the data conversion algorithm to acquire the necessary unloading point information for transport vehicle scheduling. Subsequently, the improved ant colony algorithm is once again utilized to optimize the transport vehicle scheduling. In cases of agricultural machinery failure or changes in the operating environment, two distinct methods are employed based on the situation. The first involves double-layer rescheduling of both harvester and transport vehicles, while the second employs single-layer rescheduling exclusively for the transport vehicles, yielding the respective rescheduling results. The outcomes demonstrate that the proposed solution method effectively identifies the current optimal scheduling plan for both the harvester and transport vehicle in the event of malfunctions. Moreover, under the premise that the unproductive waiting time of the harvester is reduced to zero, and the number of transport vehicles is minimized, it achieves the minimization of operating time cost and transportation cost. This method exhibits significant potential for seamless integration into the practical application of unmanned farms, providing a foundation for addressing scheduling and management challenges in multi-agricultural machinery collaborative operations within complex farmland operating environments.

Multi-depot and product vehicle routing problem with precedence constraint and selective backhauling in animal feed manufacturing industry

ABSTRACT Multi-depot vehicle routing with precedence constraints and selective backhauling, along with practical challenges such as outsourcing, demand splitting, and flexible pickup and delivery formats, is a common issue in the animal feed industry. However, few studies address demand splitting and flexible pickup constraints. The industry struggles with inadequate management, leading to difficulties in efficiently utilizing limited vehicles for both raw material pickup and product delivery. This inefficiency results in higher transportation costs, including subcontractor vehicle expenses. This study proposes the Extended Adaptive Grey Wolf Optimizer to minimize total transportation costs by incorporating essential factors such as multi-depots, outsourcing services, optimization of split delivery and pickup operations, precedence constraints, and selective backhauling. The results show a remarkable 97.6% improvement toward optimality, representing a significant enhancement of 38.1% improvement over current practice. The findings emphasize the benefits to the industry of adopting proper route sequencing and utilizing subcontractor vehicles.

Risk factors for death among children with severe malaria, Ivukula sub-county, Namutumba district, Eastern Uganda, september 2021–february 2022

BackgroundIn February 2022, the Ministry of Health received reports of more than 100 child deaths from a ‘strange disease’ in Namutumba District over a period of 6 months from politicians through the media. Preliminary investigations by the district rapid response team confirmed the strange disease to be severe malaria. The scope of severe malaria deaths was investigated, associated factors identified, and recommendations made for control measures to inform early malaria treatment strategies in Namutumba District.MethodsA retrospective study was conducted in March 2022 in the most affected subcounty (Ivukula Subcounty) involving cases and controls. A case was defined as a death with a positive malaria test, fever and any of the following: convulsions, difficulty breathing, yellowing of eyes or palms, tea-coloured urine, anaemia (evidenced by pale eyes or palms, or clinically-identified in medical records), loss of consciousness, or reduced urine output (very little or no urine in a day) in a child ≤ 12 years from September 2021 to February 2022 in Ivukula Subcounty, Namutumba District. Controls were survivors with the same signs and symptoms, recruited in a 2:1 ratio with cases. Cases and controls were actively searched using a door-to-door approach with the help of community health workers. Caretakers were interviewed to obtain data on signs and symptoms, socio-demographic information, health-seeking behaviours and health system risk factors. Drugs and bloodstock status information was obtained from health workers using an interview guide. Factors associated with death were identified using multivariate logistic regression and thematic analysis for qualitative data.ResultsAmong 46 cases, 29 (63%) were < 5 years, and 23 (50%) were female. Death among children with severe malaria was significantly associated with treatment non-completion (aOR = 9.7, 95%CI 1.8–53) and inability to receive blood transfusion for anaemic patients (aOR = 7.1, (95%CI 1.4–36). Healthcare workers reported that inability to reach referral sites due to transport costs, stockouts of anti-malarials and blood products at health facilities, and absence of integrated community case management of childhood illnesses (iCCM) contributed to deaths among children with severe malaria.ConclusionLack of access to anti-malarial treatment and to blood transfusions among anaemic patients due to stockouts were associated with severe malaria deaths among children ≤ 12 years in Ivukula Subcounty. Recommendations made were: accurate quantification of anti-malarials for health facilities, offering transport support to severe patients referred to higher-level facilities, and increasing access to blood products. Activation of iCCM could facilitate public health efforts against severe malaria in the district.