Last mile distribution of pharmaceutical and non-pharmaceutical grade commodities in Gombe, Bauchi and Adamawa States, including transportation of biological samples/temperature-controlled delivery services across Abia, Ebonyi and Enugu States. Between 2017 and 2019, Avohealth was engaged by Akesis (formerly Axios Foundation International) as a Tier-3 partner on the USAID-funded Global Health Supply Chain–Procurement and Supply Management (GHSC-PSM) program in Nigeria.