A socio-economic optimization model for blood supply chain network design during the COVID-19 pandemic: An interactive possibilistic programming approach for a real case study.

In uncertain circumstances like the COVID-19 pandemic, designing an efficient Blood Supply Chain Network (BSCN) is crucial. This study tries to optimally configure a multi-echelon BSCN under uncertainty of demand, capacity, and blood disposal rates. The supply chain comprises blood donors, collection facilities, blood banks, regional hospitals, and consumption points. A novel bi-objective mixed-integer linear programming (MILP) model is suggested to formulate the problem which aims to minimize network costs and maximize job opportunities while considering the adverse effects of the pandemic. Interactive possibilistic programming is then utilized to optimally treat the problem with respect to the special conditions of the pandemic. In contrast to previous studies, we incorporated socio-economic factors and COVID-19 impact into the BSCN design. To validate the developed methodology, a real case study of a Blood Supply Chain (BSC) is analyzed, along with sensitivity analyses of the main parameters. According to the obtained results, the suggested approach can simultaneously handle the bi-objectiveness and uncertainty of the model while finding the optimal number of facilities to satisfy the uncertain demand, blood flow between supply chain echelons, network cost, and the number of jobs created.

Blood plasma supply chain planning to respond COVID-19 pandemic: a case study.

The COVID-19 pandemic causes a severe threat to human lives worldwide. Convalescent plasma as supportive care for COVID-19 is critical in reducing the death rate and staying in hospitals. Designing an efficient supply chain network capable of managing convalescent plasma in this situation seems necessary. Although many researchers investigated supply chains of blood products, no research was conducted on the planning of convalescent plasma in the supply chain framework with specific features of COVID-19. This gap is covered in the current work by simultaneous regular and convalescent plasma flow in a supply chain network. Besides, due to the growing importance of environmental problems, the resulting carbon emission from transportation activities is viewed to provide a green network. In other words, this study aims to plan the integrated green supply chain network of regular and convalescent plasma in the pandemic outbreak of COVID-19 for the first time. The presented mixed-integer multi-objective optimization model determines optimal network decisions while minimizing the total cost and total carbon emission. The Epsilon constraint method is used to handle the considered objectives. The model is applied to a real case study from the capital of Iran. Sensitivity analyses are carried out, and managerial insights are drawn. Based on the obtained results, product demand impacts the objective functions significantly. Moreover, the systems' total carbon emission is highly dependent on the flow of regular plasma. The results also reveal that changing transportation emission unit causes significant variation in the total emission while the total cost remains fixed.

A possibilistic-robust-fuzzy programming model for designing a game theory based blood supply chain network.

This paper presents a bi-level blood supply chain network under uncertainty during the COVID-19 pandemic outbreak using a Stackelberg game theory technique. A new two-phase bi-level mixed-integer linear programming model is developed in which the total costs are minimized and the utility of donors is maximized. To cope with the uncertain nature of some of the input parameters, a novel mixed possibilistic-robust-fuzzy programming approach is developed. The data from a real case study is utilized to show the applicability and efficiency of the proposed model. Finally, some sensitivity analyses are performed on the important parameters and some managerial insights are suggested.

A flexible robust model for blood supply chain network design problem.

World Health Organization (WHO) declared COVID-19 as a pandemic On March 12, 2020. Up to January 13, 2022, 320,944,953 cases of infection and 5,539,160 deaths have been reported worldwide. COVID-19 has negatively impacted the blood supply chain by drastically reducing blood donation. Therefore, developing models to design effective blood supply chains in emergencies is essential. This research offers a novel multi-objective Transportation-Location-Inventory-Routing (TLIR) formulation for an emergency blood supply chain network design problem. We answer questions regarding strategic, operational, and tactical decisions considering disruption in the network and blood shelf-life. Since, in real-world applications, the parameters of the proposed mathematical formulation are uncertain, two flexible uncertain models are proposed to provide risk-averse and robust solutions for the problem. We applied the proposed formulations in a case study. Under various scenarios and realizations, we show that the offered robust model handles uncertainties more efficiently and finds solutions that have significantly lower costs and delivery time. To make a reliable conclusion, we performed extensive worst-case analyses to demonstrate the robustness of the results. In the end, we provide critical managerial insights to enhance the effectiveness of the supply chain. Supplementary Information: The online version contains supplementary material available at 10.1007/s10479-022-04673-9.

A Simulation-based Analysis of the Blood Supply Chain during Covid-19

Based on interviews at Indonesian Red Cross in Yogyakarta, there has been a 30% decrease in blood supply since the Covid-19 pandemic occurred. This study aims to create system dynamics model of the blood supply chain, analyze the fulfillment of blood demand, create policy scenarios to significantly increase blood supply, and provide recommendations. The research stages consist of dynamic hypothesis, system dynamics model, policy scenarios, comparative analysis, and conclusions. There are many requests for blood from hospitals and blood transfusion units that have not been fulfilled. Policy scenarios that can significantly increase blood supply are made, namely: socialization of blood donation through short message applications, collaboration with agencies to donate blood, combined scenarios of socialization of blood donation and collaboration with agencies. Based on the capacity of Indonesian Red Cross in Yogyakarta, it can be concluded that the combined scenario with the combination of targets number 5 (contacting 14, 723 people and collaborating with 5 agencies), 6 (contacting 17, 667 people and collaborating with 4 agencies, ), and 7 (contacting 20 people and collaborating with 3 agencies) is recommended to apply. © 2021 IEEE.

Integrating GIS in reorganizing blood supply network in a robust-stochastic approach by combating disruption damages.

As supplying adequate blood in multiple countries has failed due to the Covid-19 pandemic, the importance of redesigning a sensible protective-resilience blood supply chain is underscored. The outbreak-as an extensive disruption-has caused a delay in ordering and delivering blood and its by-products, which leads to severe social and financial loss to healthcare organizations. This paper presents a robust multi-phase optimization approach to model a blood supply network ensuring blood is collected efficiently. We evaluate the effectiveness of the model using real-world data from two mechanisms. Firstly, a Geographic Information System (GIS)-based method is presented to find potential alternative locations for blood donation centers to maximize availability, accessibility, and proximity to blood donors. Then, a protective mathematical model is developed with the incorporation of (a) blood perishability, (b) efficient collation centers, (c) multiple-source of suppliers, (d) back-up centers, (e) capacity limitation, and (f) uncertain demand. Emergency back-up for laboratory centers to supplement and offset the processing plants against the possible disorders is applied in a two-stage stochastic robust optimization model to maximize the level of hospitals' coverage. The results highlight the fraction cost of considering back-up facilities in the total costs and provide more resilient decisions with lower risks by examining resource limitations.

Forecasting COVID-19 recovered cases with Artificial Neural Networks to enable designing an effective blood supply chain.

This study introduces a forecasting model to help design an effective blood supply chain mechanism for tackling the COVID-19 pandemic. In doing so, first, the number of people recovered from COVID-19 is forecasted using the Artificial Neural Networks (ANNs) to determine potential donors for convalescent (immune) plasma (CIP) treatment of COVID-19. This is performed explicitly to show the applicability of ANNs in forecasting the daily number of patients recovered from COVID-19. Second, the ANNs-based approach is further applied to the data from Italy to confirm its robustness in other geographical contexts. Finally, to evaluate its forecasting accuracy, the proposed Multi-Layer Perceptron (MLP) approach is compared with other traditional models, including Autoregressive Integrated Moving Average (ARIMA), Long Short-term Memory (LSTM), and Nonlinear Autoregressive Network with Exogenous Inputs (NARX). Compared to the ARIMA, LSTM, and NARX, the MLP-based model is found to perform better in forecasting the number of people recovered from COVID-19. Overall, the findings suggest that the proposed model is robust and can be widely applied in other parts of the world in forecasting the patients recovered from COVID-19.

A novel capacity sharing mechanism to collaborative activities in the blood collection process during the COVID-19 outbreak.

Because of government intervention, such as quarantine and cancellation of public events at the peak of the COVID-19 outbreak and donors' health scare of exposure to the virus in medical centers, the number of blood donors has considerably decreased. In some countries, the rate of blood donation has reached lower than 30%. Accordingly, in this study, to fill the lack of blood product during COVID-19, especially at the outbreak's peak, we propose a novel mechanism by providing a two-stage optimization tool for coordinating activities to mitigate the shortage in this urgent situation. In the first stage, a blood collection plan considering disruption risk in supply to minimize the unmet demand will be solved. Afterward, in the second stage, the collected units will be shared between regions by applying the capacity sharing concept to avoid the blood shortage in health centers. Moreover, to tackle the uncertainty and disruption risk, a novel stochastic model combining the mixed uncertainty approach is tailored. A rolling horizon planning method is implemented under an iterative procedure to provide and share the limited blood resources to solve the proposed model. A real-world case study of Iran is investigated to examine the applicability and performance of the proposed model; it should be noted that the designed mechanism is not confined just to this case. Obtained computational results indicate the applicability of the model, the superior performance of the capacity sharing concept, and the effectiveness of the designed mechanism for mitigating the shortage and wastage during the COVID-19 outbreak.

A stochastic bi-objective simulation-optimization model for plasma supply chain in case of COVID-19 outbreak.

As of March 24, 2020, the Food and Drug Administration (FDA) authorized to bleed the newly recovered from Coronavirus Disease 2019 (COVID-19), i.e., the ones whose lives were at risk, separate Plasma from their blood and inject it to COVID-19 patients. In many cases, as observed the plasma antibodies have cured the disease. Therefore, a four-echelon supply chain has been designed in this study to locate the blood collection centers, to find out how the collection centers are allocated to the temporary or permanent plasma-processing facilities, how the temporary facilities are allocated to the permanent ones, along with determining the allocation of the temporary and permanent facilities to hospitals. A simulation approach has been employed to investigate the structure of COVID-19 outbreak and to simulate the quantity of plasma demand. The proposed bi-objective model has been solved in small and medium scales using ε -constraint method, Strength Pareto Evolutionary Algorithm II (SPEA-II), Non-dominated Sorting Genetic Algorithm II (NSGA-II), Multi-Objective Grey Wolf Optimizer (MOGWO) and Multi Objective Invasive Weed Optimization algorithm (MOIWO) approaches. One of the novelties of this research is to study the system dynamic structure of COVID-19's prevalence so that to estimate the required plasma level by simulation. Besides, this paper has focused on blood substitutability which is becoming increasingly important for timely access to blood. Due to shorter computational time and higher solution quality, MOIWO is selected to solve the proposed model for a large-scale case study in Iran. The achieved results indicated that as the plasma demand increases, the amount of total system costs and flow time rise, too. The proposed simulation model has also been able to calculate the required plasma demand with 95% confidence interval.