Procuring medicines does not make them available to clients at the last mile; functioning and fully funded public health supply chains are essential to delivering health supplies for all. An international cost analysis has shown that, on average, an additional 12–25 percent over and above the cost of essential medicines is needed to deliver them to the last mile. The cost of the public health supply chain is an essential consideration for health planning and results-based budgeting.
Procuring medicines is not enough to make them available to the last mile. When functioning and fully funded public health supply chains are in place, the population, especially the most vulnerable, will receive the medicines when and where they need them.