ABSTRACT
The unprecedented scale of the Covid-19 pandemic has been a challenge for health supply chains around the world. Many international humanitarian organizations have had to ensure the continuity of their already complex development programs, while addressing their supply chain disruptions linked to the pandemic. Process modularity has frequently been advocated as a strategy to mitigate such disruptions, although empirical evidence regarding its impact on supply chain responsiveness and what moderates this impact is scarce. This exploratory research uses supply chain data analysis, qualitative content analysis, interviews, and a three-round Delphi study to investigate how Doctors without Borders (Médecins Sans Frontières; MSF) and its 151 missions employed process modularity during the Covid-19 pandemic. Our results show that despite severe disruptions, process modularity-based on a modular architecture, interfaces, and standards-has helped MSF maintain supply chain responsiveness. Specifically, it (1) enabled time-consuming, nonessential tasks to be skipped, (2) relieved internal and external bottlenecks, and (3) facilitated better allocation and prioritization. Our analyses also put forward eight moderators, structured in three dimensions (visibility, alignment, and resource orchestration), which can affect the impact of process modularity on supply chain responsiveness. We extend the literature on supply chain responsiveness and process modularity by presenting extensive empirical results suggesting that process modularity improves responsiveness in crisis situations, how it does so, and what moderates this impact. Our study thereby highlights the potential of this strategy and provides operationally relevant insights that could help organizations to implement or to review and redesign their process modularity.
ABSTRACT
Purpose This study investigated how organizations can maintain their supply chain (SC) resilience in situations where high-impact shocks cannot be absorbed and what capabilities are needed. The article is an empirical exploration of a socio-ecological view of resilience in the SC context. Design/methodology/approach The case under study in this article is that of Medecins sans Frontieres (MSF) and MSF's reconfiguration of its supply management processes in response to the supply shocks during the coronavirus disease 2019 (COVID-19) pandemic. In total, 503 internal documents and ERP extractions from six databases from late 2019 to September 2020, 43 semi-structured interviews and a 3-round policy Delphi process were used to investigate this phenomenon. Findings The authors' results show that throughout the pandemic, MSF adapted its procurement and supply processes to cope with supply shortages at both the international and local levels of the SC. This was possible due to the organization's capacity to use its exploitation and exploration capabilities of the organization at the same time. Research limitations/implications This research is based on the single in-depth case study of a medical aid organization. Further research should investigate this phenomenon in commercial companies with similar or different organizational structures. Originality/value This study constitutes a first attempt to empirically demonstrate that the four phases of the adaptive cycle put forth in the panarchy theory constitute a suitable representation of the reconfigurations that SCs follow in response to a high-impact shock. The study also adds to the growing body of knowledge on resilience by including ambidexterity as a mechanism to achieve resilience.