Strategies to develop a sustainable and resilient vaccine supply chain in the context of a developing economy

Developing a vaccine supply chain (VSC) is an intricate process due to product perishability issues and crossborder supply complexities. On top of that, developing a pandemic-driven VSC is more challenging due to having significant operational, infrastructural, and policy-related disruptions. From the perspective of a developing economy such as Bangladesh, handling the global COVID-19 pandemic through the proper establishment of a VSC has been disrupted by a multitude of organizational, economic, and policy barriers. This has hindered the process of establishing a resilient VSC let alone ensuring the sustainability of the supply chain (SC). Therefore, this study strives to identify the key VSC strategies and their interrelationships under four groups: Intra-organizational, Inter-organizational, Legislative, and Environmental, based on previous literature and the expert opinions of industrial practitioners and policymakers. 20 strategies are ranked, and their causal relationships are discussed using the fuzzy DEMATEL method. This study utilizes the fuzzy set theory to deal with the vagueness of human beings' perceptions, and the DEMATEL method to form a structural model to find out the cause (influencing and independent) and effect (influenced and dependent) relationships among different strategies. The outcome of this study shows that 'developing local production facilities for vaccines', 'creating extensive governmental policy to ensure efficient distribution of vaccines', 'ensuring sustainable investment in vaccine manufacturing and distribution', 'integrating advanced data analytics for robust and resilient demand prediction' and 'promoting public-private-people partnership for sustainable investment' are the most prominent strategies. The findings provide stakeholders and policymakers with a practical framework for developing a sustainable VSC prepared for any virus outbreak, such as COVID-19, while also achieving the Sustainable Development Goals (SDGs).