Flying maggots: a smart logistic solution to an enduring medical challenge

Innovation in humanitarian logistics and supply chain management: a systematic review

The COVID-19 global health crisis forced border closings, strained resources and tightened funding, forcing humanitarian organisations to innovate. This paper aims to identify gaps in the literature on innovation in humanitarian supply chains, and to develop an appropriate framework for future research through a systematic literature review. We use a systematic literature review approach and synthesis the discussion of innovation in humanitarian supply chains after reviewing 43 papers. The synthesis identifies the different contexts for and outcomes of innovation in humanitarian supply chains. Our findings indicate that research on innovation in humanitarian supply chains is an underdeveloped topic. Gaps we identified in regards to the humanitarian context are: (1) a limited discussion of the contribution by the beneficiary to the supply chain; (2) a limited discussion of reconstruction innovations; (3) a lack of study on field application for complex innovations; (4) the lack of discussion of the role of individual knowledge in humanitarian supply chain innovation and finally (5) a lack of study of position innovations where humanitarian organisations use supply chains as a way to market effectively towards donors.

Mitigating personal protective equipment (PPE) supply chain disruptions in pandemics – a system dynamics approach

Purpose

The coronavirus disease (COVID-19) pandemic has emerged as an unprecedented health crisis worldwide and heavily disrupted the healthcare supply chain. This study focuses on analysing the different types of disruptions occurring in personal protective equipment (PPE) supply chains during the COVID-19 pandemic and on proposing mitigation strategies that are fit to the global scale and many interdependencies that are characteristic for this pandemic. The authors construct a conceptual system dynamics model (SD) based on the literature and adjusted with the use of empirical data (interviews) to capture the complexity of a global supply chain and identify leverage points (mitigation strategies).

Design/methodology/approach

This research follows a mix-methods approach. First, the authors developed a conceptual framework based on four types of disruptions that usually occur during health emergencies (direct effect, policy, supply chain strategy, and behaviourally induced disruptions). Second, the authors collected and analysed data from interviews with experts in the PPE supply chain. Based on the interviews data, the authors developed a conceptual system dynamics (SD) model that allows to capture the complex and dynamic interplay between the elements of the global supply chain system, by highlighting key feedback loops, delays, and the way the mitigation strategies can impact on them. From this analysis, the authors developed four propositions for supply chain risk management (SCRM) in global health emergencies and four recommendations for the policy and decision makers.

Findings

The SD model highlights that without a combination of mitigation measures, it is impossible to overcome all disruptions. As such, a co-ordinated effort across the different countries and sectors that experience the disruptions is needed. The SD model also shows that there are important feedback loops, by which initial disruptions create delays and shortages that propagate through the supply chain network. If the co-ordinated mitigation measures are not implemented early at the onset of the pandemic, these disruptions will be persistent, creating potential shortages of PPE and other critical equipment at the onset of a pandemic – when they are most urgently needed.

Originality/value

This research enriches the understanding of the disruptions of PPE supply chains on the systems level and proposes mitigation strategies based on empirical data and the existing literature.

The application of Industry 4.0 technologies in sustainable logistics: a systematic literature review (2012-2020) to explore future research opportunities

Nowadays, the market competition becomes increasingly fierce due to diversified customer needs, stringent environmental requirements, and global competitors. One of the most important factors for companies to not only survive but also thrive in today's competitive market is their logistics performance. This paper aims, through a systematic literature analysis of 115 papers from 2012 to 2020, at presenting quantitative insights and comprehensive overviews of the current and future research landscapes of sustainable logistics in the Industry 4.0 era. The results show that Industry 4.0 technologies provide opportunities for improving the economic efficiency, environmental performance, and social impact of logistics sectors. However, several challenges arise with this technological transformation, i.e., trade-offs among different sustainability indicators, unclear benefits, lifecycle environmental impact, inequity issues, and technology maturity. Thus, to better tackle the current research gaps, future suggestions are given to focus on the balance among different sustainability indicators through the entire lifecycle, human-centric technological transformation, system integration and digital twin, semi-autonomous transportation solutions, smart reverse logistics, and so forth.

A Socio-Analytical Approach to the Integration of Drones into Health Care Systems

The integration of drones into health care as a supplement to existing logistics methods may generate a need for cooperation and involvement across multiple resource areas. It is currently not well understood whether such integrations would merely represent a technical implementation or if they would cause more significant changes to laboratory services. By choosing socio-technical theory as the theoretical lens, this paper intends to harvest knowledge from the literature on various organizational concepts and examine possible synergies between such theories to determine optimal strategies for introducing the use of drones in a health care context. Our particular interest is to examine whether the insights generated from the multi-level perspective (MLP) may have the potential to create dynamic spin-offs related to the organizational transitions associated with the implementation of drones in health services. We built our study on a scoping literature review of topics associated with the MLP and socio-technical studies from differing arenas, supplemented with studies harvested on a broader basis. The scoping review is based on 25 articles that were selected for analysis. As a way of organizing the literature, the niche, regime, and landscape levels of the MLP are translated to the corresponding health care-related terms, i.e., clinic, institution, and health care system. Furthermore, subcategories emerged inductively during the process of analysis. The MLP provides essential knowledge regarding the context for innovation and how the interaction between the different levels can accelerate the diffusion of innovations. Several authors have put both ethical topics and public acceptance into a socio-technological perspective. Although a socio-technical approach is not needed to operate drones, it may help in the long run to invest in a culture that is open to innovation and change.

Containing the COVID-19 pandemic with drones - Feasibility of a drone enabled back-up transport system

The COVID-19 pandemic has profoundly altered common social and economic patterns as governments all over the world have been forced to take drastic measures to counter the spread of the disease. Among them, quarantine, the closure of borders, and social distancing are the ones that have affected transportation systems most severely. With the clear need to avoid all unnecessary direct human contact, an increased interest in contactless transportation and delivery modes emerged. Drones are a promising alternative in this regard, especially for the delivery of essential goods, such as COVID-19 viral tests. In this study, we therefore investigate how drones can be used to distribute viral tests to potentially infected patients. The novel approach that we propose is to use existing drone infrastructure to perform this task, where drones owned and operated by different public and private entities are retrofitted for the distribution of essential goods in the case of emergency. In a wider sense, we hence suggest the establishment of a drone enabled back-up transport system. Potential performance gains are analyzed through a mathematical time and cost model that was developed in close cooperation with the state Red Cross Organization and a utility drone manufacturer. Process design as well as parameter estimation are based on empirical investigation including, but not limited to, accompanying a COVID-19 mobile testing team in the field. The practical feasibility was verified by retrofitting drones initially assigned to other purposes. Additionally, policy recommendations, such as the establishment of public-public and public-private partnerships, were identified.

Drones to the rescue? Exploring rescue workers' behavioral intention to adopt drones in mountain rescue missions

Purpose

Mountaineering and related activities are increasingly becoming popular and are accompanied by an increase in medical incidents. Emergency operations in mountainous terrain are time-critical and often pose major logistical challenges for rescuers. Drones are expected to improve the operational performance of mountain rescuers. However, they are not yet widely used in mountain rescue missions. This paper examines the determinants that drive the behavioral intention of mountain rescuers to adopt drones in rescue missions.

Design/methodology/approach

This is a behavioral study that builds upon an extended model of the unified theory of acceptance and use of technology (UTAUT) and investigates the relationship between individual attitudes, perceptions, and intentions for drone adoption. Original survey data of 146 mountain rescuers were analyzed using moderated ordinary least squares (OLS) regression analysis.

Findings

Results indicate that the behavioral intention to use drones in mountain rescue missions is driven by the expected performance gains and facilitating conditions. Favorable supporting conditions and experience with drones further moderate the relationship between performance expectancy and behavioral intention. The effects for effort expectancy, social influence, and demonstrations were not significant.

Practical implications

Rescue organizations and stakeholders are recommended to consider the identified determinants in the implementation of drones in emergency logistics. Drone manufacturers targeting mountain rescue organizations are advised to focus on operational performance, provide sufficient support and training, and promote the gathering of practical experience.

Originality/value

A tailored-model that provides first empirical results on the relevance of personal and environmental factors for the acceptance of drones in emergency logistics is presented.

Managing the drone revolution: A systematic literature review into the current use of airborne drones and future strategic directions for their effective control

Commercial and private deployment of airborne drones is revolutionising many ecosystems. To identify critical issues and research gaps, our systematic literature review findings suggest that historic issues such as privacy, acceptance and security are increasingly replaced by operational considerations including interaction with and impacts on other airspace users. Recent incidents show that unrestricted drone use can inflict problems on other airspace users like airports and emergency services. Our review of current regulatory approaches shows a need for further policy and management response to both manage rapid and efficient drone usage growth, and facilitate innovation (e.g. intraurban package delivery), with one promising strategic response being low altitude airspace management (LAAM) systems for all drone use cases.

The maggot therapy supply chain: a review of the literature and practice

Maggot therapy (MT) is the clinical application of living fly larvae for the treatment of non-healing wounds and wounds that require debridement. This systematized and expanded literature review is the first study to investigate MT through the conceptual and disciplinary framework of supply chain management. The review of 491 selected academic papers was expanded to include the grey literature and online information resources to construct a first-pass theory of the medicinal maggot supply chain. It shows that the literature to date has focused on isolated discussions of echelon-specific issues such as diet improvement and sterilization protocols in the production echelon, and the relative effectiveness of medicinal maggot application methods in the treatment echelon. There is little knowledge in the public domain regarding the transport and distribution of medicinal maggots, but existing supply chains for vaccines, blood and pathology specimens may provide learning and supply chain integration opportunities. Maggot therapy knowledge across the treatment echelon is generally substantive but there is still insufficient knowledge regarding patients' and health care providers' attitudes toward the therapy, and their experiences of receiving and administering MT. Moreover, there is no research concerned with the humane disposal of medicinal flies during production and after treatment.

Multi-level facility location-allocation problem for post-disaster humanitarian relief distribution

Purpose

Previously use of drones as a relief distribution vehicle was studied in several studies where required number of drones and the best locations for the relief centers were investigated. The maximum travel distance of drones without a need to recharge is limited by their endurance. Recharge stations can be used to extend the coverage area of the drones. The purpose of this paper is to find the best topology for both relief centers and recharge stations to cover a large-scale area with minimum and feasible incurred costs and waiting times.

Design/methodology/approach

A multi-level facility location problem (FLP) is utilized to find the optimum number of relief centers and refuel stations and their locations. It is supposed that the demand occurs according to Poisson distribution. The allocation of the demand is based on nearest neighborhood method. A hybrid genetic algorithm is proposed to solve the model. The performance of the algorithm is examined through a case study.

Findings

The proposed method delivers increased efficiency and responsiveness of the humanitarian relief system. The coverage area of the drones is extended by refuel stations, total costs of the system are reduced and the time to respond an emergency, which is an important factor in survival rate, is significantly decreased.

Originality/value

This study proposes a multi-level FLP to simultaneously account for recharge stations, relief centers and the number of required drones to cover all the demand for relief in a post-disaster period.

Post-disaster transportation of seriously injured people to hospitals

Purpose

The purpose of this paper is to deal with the transportation of a high number of injured people after a disaster in a highly populated large area. Each patient should be delivered to the hospital before the specific deadline to survive. The objective of the study is to maximize the survival rate of patients by proper assignment of existing emergency vehicles to hospitals and efficient generation of vehicle routes.

Design/methodology/approach

The concepts of non-fixed multiple depot pickup and delivery vehicle routing problem (MDPDVRP) is utilized to capture an image of the problem encountered in real life. Due to NP-hardness of the problem, a hybrid genetic algorithm (GA) is proposed as the solution method. The performance of the developed algorithm is investigated through a case study.

Findings

The proposed hybrid model outperforms the traditional GA and also is significantly superior compared to the nearest neighbor assignment. The required time for running the algorithm on a large-scale problem fits well into emergency distribution and the promptness required for humanitarian relief systems.

Originality/value

This paper investigates the efficient assignment of emergency vehicles to patients and their routing in a way that is most appropriate for the problem at hand.

Cold chains, interrupted

Purpose

The purpose of this paper is to analyze how far technology and information enable, facilitate or support the planning and implementation decisions in humanitarian vaccine cold chains for vaccination campaigns. The authors specifically focus on three emerging technologies that have the potential to create more flexible conditions in the field, and identify the need to further explore the link between uncertainty, information and irreversibility.

Design/methodology/approach

The authors present a basic structure for the analysis of cold chain disruptions in terms of three distinct yet connected layers of deficient infrastructure and capacity, information gaps and failures in decision making. The authors then review three humanitarian technologies and their impact on vaccine campaigns along these layers. From there, a research agenda is developed to address research gaps this review brought forward.

Findings

Three critical research gaps in the areas of technology innovation for humanitarian vaccine cold chain management are presented. The authors argue that technology to improve capacity, information and decisions need to be aligned, and that the areas of uncertainty, information and irreversibility require further investigation to achieve this alignment. In this way, the paper contributes to setting the research agenda on vaccine cold chains and connects humanitarian logistics to technology, information management and decision making.

Originality/value

This paper presents the humanitarian vaccine cold chain problem from an original angle by illuminating the implications of technology and information on the decisions made during the planning and implementation phases of a vaccine campaign. The authors develop an agenda to provide researchers and humanitarians with a perspective to improve cold chain planning and implementation at the intersection of technology, information and decisions.