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Martha L. Sabogal De La Pava

Publications and source records attributed to Martha L. Sabogal De La Pava.

2 recordsLinked to original sources

When Shortages Lead to Export Restrictions: A Computational Study

Globalization has enabled companies to leverage cost efficiencies; however, it has increased exposure to disruption risks that threaten supply stability. Among these, export bans have emerged as a systemic challenge, often arising as a secondary effect of conventional supply capacity disruptions. The pharmaceutical industry is particularly vulnerable to bans because of the criticality of keeping life-saving medications available, yet such disruptions also jeopardize patient health globally as well as challenge company operations. This paper proposes a supply chain design model that incorporates the relationship between conventional disruption risks (quality-related capacity failures and natural disasters) and export bans that may be induced when the drug is projected to be in short supply. The model is a two-stage stochastic mixed integer program, where the systemic setting yields a second-stage problem with one binary variable and continuous variables. The structure motivates the study of three tailored solution methods: the Alternating Integer L-shaped Cut, Alternating Disjunctive Cut, and Alternating Bilinear Cut methods. In the nearly-continuous second stage context, the Alternating Integer L-shaped cuts perform best. Using an oncology drug case study, we study effects of systemic, induced risk and quantify the value of incorporating disruptions into supply chain design.

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Effects of Geopolitical Strain on Global Pharmaceutical Supply Chain Design and Drug Shortages

Emerging geopolitical risks have begun to threaten global supply chains, including those that produce life-saving drugs. Export bans may prevent a company from shipping products internationally, and it is unclear how these new dynamics may affect company plans and persistent, worldwide drug shortages. To address these questions, we present a global pharmaceutical supply chain design model that considers the risk of export bans that are induced by supplier capacity disruptions and corresponding price increases. The model takes the company's perspective as a decision-maker looking to locate plants and distribute drugs globally. It is a two-stage stochastic program that includes uncertainty in capacity, ability-to-export, and demand. The model is solved by integrating the Sample Average Approximation and L-shaped methods. We present conditions related to when demand will be met and a case study of a generic oncology drug. We find that preparing for geopolitical strain may increase resilience and profits as well as reduce shortages in the short term. At baseline, expected global shortages are high (17.2%) with disparities across country income levels (0.3%, 0.8%, 87.2%, and 87.6% for high, upper-middle, lower-middle, and low income countries, respectively). Pricing policies may improve drug access overall, back-shoring may slightly improve access for the country where it is implemented, and bilateral alliances may not be effective at improving access.

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