制度逻辑对非洲疫苗开发、生产和分配的影响

Richard Chawana, Anastacia Mamabolo, Evangelos Apostoleris
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摘要

目的 非洲因感染而死亡的人数最多,但却缺乏足够的能力来从事疫苗的开发、生产和分销,而疫苗是有效管理和消除多种传染病的基石。有关疫苗开发、生产和分销(统称为端到端疫苗制造)中制度逻辑作用的研究很少。本研究旨在探讨制度逻辑如何影响企业参与非洲疫苗制造价值链。设计/方法/途径我们对来自三个地区四个非洲国家的五家疫苗制造企业进行了多案例研究。研究结果我们发现,国家、企业和市场的制度逻辑对疫苗制造价值链的不同部分产生了不同的影响。这些制度逻辑共存于一个星座中,同时也塑造了组织形式。它们的组合具有指导行为的主导逻辑,而次要逻辑和从属逻辑则在有限程度上影响行为。研究结果表明,制度逻辑是历史事件、技术变革和流行病等背景因素的函数。 原创性/价值 该研究开发了一种类型学,可识别疫苗制造企业原型、制度逻辑及其由背景因素支撑的组合。研究结果对企业和政策制定者具有启示意义,因为它们可以指导适合本地区的端到端疫苗生产干预措施。
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The influence of institutional logics on vaccine development, production and distribution in Africa
PurposeAfrica has the most deaths from infections yet lacks adequate capacity to engage in vaccine development, production and distribution, the cornerstone of efficiently managing and eliminating several infectious diseases. Research has scarcely explored the role of institutional logics in vaccine development, production and distribution, collectively known as end-to-end vaccine manufacturing. This study aims to explore how institutional logics influence firms to engage in the vaccine manufacturing value chain in Africa.Design/methodology/approachWe conducted multiple case study research using five vaccine manufacturing firms from four African countries in three regions. Qualitative interviews were conducted among 18 executives in 5 vaccine manufacturing firms.FindingsWe identified that the state, corporate and market institutional logics disparately influence the different parts of the vaccine manufacturing value chain. These institutional logics co-exist in a constellation that also shapes the organizational forms. Their constellation has dominant logics that guide behavior, while subdominant and subordinate logics influence behavior to a limited extent. The findings show that institutional logics are a function of contextual factors, such as historical events, technological changes and pandemics.Originality/valueThe study developed a typology that identifies vaccine manufacturing firm archetypes, institutional logics and their constellations underpinned by contextual factors. The findings have implications for firms and policymakers, as they may guide the end-to-end vaccine manufacturing interventions adapted for their regions.
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