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This study aims to develop a hierarchical model that uncovers the relationships between challenges confronting Africa's organ transplant supply chain systems.

Eleven challenges (variables) were identified after a comprehensive review of the existing literature. The contextual interactions among these variables were analysed from the perspectives of health-care stakeholders in two sub-Saharan Africa (SSA) countries (Nigeria and Uganda), using Delphi-interpretive structural modelling-cross-impact matrix multiplication applied to classification (MICMAC) techniques.

The findings reveal that weak regulatory frameworks, insufficient information systems and a lack of necessary skills make it challenging for critical actors to perform the tasks effectively. The interaction effects of these challenges weaken organ supply chains and make it less efficient, giving rise to negative externalities such as black markets for donated organs and organ tourism/trafficking.

This paper establishes a solid foundation for a critical topic that could significantly impact human health and life once the government or non-profit ecosystem matures. The MICMAC analysis in this paper provides a methodological approach for future studies wishing to further develop the organ supply chain structural models.

The study provides valuable insights for experts and policymakers on where to prioritise efforts in designing interventions to strengthen organ transplantation supply chains in developing countries.

This study is one of the first to empirically examine the challenges of organ transplant supply chains from an SSA perspective, including theoretically grounded explanations from data collected in two developing countries.

The public distribution system (PDS) is an Indian food security system established to manage the distribution of food grains at affordable prices. As a result of the population explosion, the long-established PDS system finds it challenging to maintain operational efficiency, quality, trust and transparency. This paper explores the possibility of leveraging blockchain technology to overcome these operational hurdles.

Through a literature review and expert interactions, the present research identifies critical success factors in terms of enablers and barriers that influence the adoption of blockchain technology in PDS. Furthermore, we propose two independent interpretive structural models (ISM) and MICMAC to characterize these attributes.

The research identifies 15 distinct enablers and ten barriers that influence the diffusion of the latest technology in the sector at focus. The analyses disclose the interrelationships/dependencies among these enablers and between barriers, along with their individual driving power and dependence power.

The research showcases the importance of automating the system and illustrates how the features of blockchain technology can assist in augmenting stakeholder satisfaction levels. However, poor or nonexistent government regulations and patronage are found to be the major impediments to adoption. The research also delineates the cost implications of this barrier through its interrelationships with other barriers.

Interesting inferences are drawn from the models that offer actionable insights for the industry, government and technologists for improving PDS performance. Such interventions will ensure national food security through enhanced trust and transparency, which can further improve efficiency and effectiveness.