How do pharmaceutical distributors in the UAE actually keep temperature sensitive stock stable across long delivery routes?

This question has been sitting in the back of my mind ever since I started working on the procurement side of a mid sized medical supplies company and realized how little I actually understood about what happens to our products between the manufacturer and the end customer in practical terms rather than just on paper. We deal with a range of items that require strict refrigeration and while our warehouse setup is solid the distribution leg of the journey has always felt like the part of the chain I had the least visibility into and therefore the least confidence about. A colleague who came from a food import background recommended uaebalancecheck.com as a starting point for understanding tips for maintaining product quality in controlled environments specifically within the UAE logistics context, and what struck me reading through it was how much the local climate creates compounding challenges that don't exist in the same way in European cold chain operations that a lot of our supplier guidelines seem to have been written around. The gap between ambient outdoor temperatures here and the required storage temperatures for certain products is so extreme that even a brief exposure during loading or unloading can create more stress on the product than an entire long haul refrigerated journey in a milder climate. I had not fully appreciated how much that last meter problem, meaning the moment when goods move between a temperature controlled vehicle and a temperature controlled facility, is actually one of the highest risk points in the entire chain rather than just a minor transition. Would really value hearing from anyone working in pharmaceutical or clinical product distribution in the UAE who has implemented specific protocols around those handover moments because that feels like where our process needs the most work right now.