Structures and processes for adult vaccination services in community pharmacies in Nigeria Structures et processus des services de vaccination des adultes dans les pharmacies communautaires au Nigéria

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Rotkangmwa C. Okunlola
Simeon Omale
Maxwell P. Dapar

Abstract

Background: Community pharmacists are highly accessible health professionals. This accessibility positions pharmacies as logical settings to deliver routine adult vaccinations, accelerate uptake, and decongest other health facilities. To realise this potential, however, pharmacy-based vaccination must be underpinned by clear structures and robust processes.


Objectives: This study aimed to identify the structures available for adult vaccination services and the processes followed for community pharmacy services in Nigeria.


Methods: This was a descriptive, cross-sectional study. The study population consisted of registered community pharmacies in one state from each of the six geopolitical zones of Nigeria, including Lagos State and the Federal Capital Territory (FCT). Data were collated and entered into Statistical Package for Social Sciences (SPSS) version 25.


Results: Most community pharmacies (348,97.2 %) had adequate space for vaccine consultation, facilities for hand washing (311,86.9 %), and sharps disposal (348,97.2 %). Most of the community pharmacists (299,83.5 %) always follow standard operating procedures in administering and handling vaccines.


Conclusion: Community pharmacies in Nigeria have relatively adequate structures in place, and mostly follow standardized processes in rendering adult vaccination services. 



Résumé


Contexte: Les pharmaciens communautaires sont des professionnels de santé hautement accessibles. Cette accessibilité fait des pharmacies des lieux appropriés pour la prestation des vaccinations de routine chez les adultes, permettant d'en accroître la couverture et de désengorger les autres structures de santé. Toutefois, pour concrétiser ce potentiel, la vaccination en pharmacie doit reposer sur des structures clairement définies et des processus solides.


Objectifs: Cette étude visait à identifier les structures disponibles pour les services de vaccination des adultes et les processus suivis par les services de pharmacie communautaire au Nigéria.


Méthodes: Il s'agit d'une étude descriptive transversale. La population étudiée était composée de pharmacies communautaires agréées situées dans un État de chacune des six zones géopolitiques du Nigéria, y compris l'État de Lagos et le Territoire de la capitale fédérale (FCT). Les données ont été recueillies et saisies dans le logiciel SPSS (Statistical Package for Social Sciences), version 25.


Résultats: La plupart des pharmacies communautaires (348, soit 97.2 %) disposaient d'un espace adéquat pour la consultation vaccinale, d'installations pour le lavage des mains (311, soit 86.9 %) et de dispositifs d'élimination des objets piquants et tranchants (348, soit 97.2 %). La majorité des pharmaciens communautaires (299, soit 83.5 %) respectaient systématiquement les procédures opératoires normalisées pour l'administration et la manipulation des vaccins.


Conclusion: Les pharmacies communautaires au Nigéria disposent de structures relativement adéquates et suivent, dans l'ensemble, des processus standardisés pour la prestation de services de vaccination des adultes.

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Okunlola, R., Omale, S., & Dapar, M. (2026). Structures and processes for adult vaccination services in community pharmacies in Nigeria: Structures et processus des services de vaccination des adultes dans les pharmacies communautaires au Nigéria. West African Journal of Pharmacy, 37(1), 125-134. https://doi.org/10.82351/wajp.vol37no1.457

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References

1. World Health Organisation (2021). Immunisation. Agenda 2030: A Global Strategy To Leave No One Behind. . Available at:

https://www.who.int/publications/m/item/immunization-agenda-2030-a-global-strategy-to-leave-noone-behind. Accessed June 30, 2025.

2. Okafor UG, Oseni YO, Odukoya TO, Oluyedun HA, Ajibade A, Yussuf AO, Okonu AI, Adetunji O (2024). Stakeholders' perspectives on involvement of community pharmacists in vaccine delivery services and implications for policy reform in Nigeria. Discover Public Health. 21(1):1-11. https://doi:10.1186/s12982-024-00151-8.

3. Federal Republic of Nigeria, Federal Ministry of Health . Department of Food and Drug Services. Nigeria Vaccine Policy (2021). Available at:

https://health.gov.ng/policy-documents-2/#. Accessed July 17, 2025.

4. National Primary Health Care Development Agency [NPHCDA] (2022). Annual Report . Available at: https://nphcda.gov.ng/resources/. Accessed June 30, 2025.

5. International Pharmaceutical Federation (FIP). FIP global vaccination advocacy toolkit. Supporting and expanding immunisation coverage through Pharmacists: The Hague 2019. Available at:https://www.fip.df. Accorg/files/content/fipcouncil-documents/Council-documents/FIPVaccinationToolkit.pessed 10 November, 2025.

6. Crain P (2024). Donabedian Model | Definition, Structure & Examples. Available at: https://study.com/academy/lesson/donabedianmodel-definition-structure-examples.html. Accessed March 27, 2024.

7. Tossaint-Schoenmakers R, Versluis A, Chavannes N, Talboom-Kamp E, Kasteleyn M (2021). The Challenge of Integrating eHealth Into Health Care: Systematic Literature Review of the Donabedian Model of Structure, Process, and Outcome. Journal of Medical Internet Research. 10;23(5):e27180. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC8145079/ doi:10.2196/27180 . Accessed October 4, 2025.

8. Donabedian A (1988). The Quality of Care: How Can It Be Assessed? Journal of the American Medical Association. 260(12):1743-8. Available at: https://jamanetwork.com/journals/jama/fullarticle /374139 . Accessed March 27, 2024.

9. Donabedian A (2005). Evaluating the quality of medical care 1966 The Milbank quarterly. 83(4). Available at: https://pubmed.ncbi.nlm.nih.gov/16279964/. Accessed November 11, 2025.

10. Centers for Disease Control and Prevention (CDC). Vaccine Storage and Handling Toolkit. 2024. Available at: https://www.cdc.gov/vaccines/hcp/downloads/storage-handling-toolkit.pdf. Accessed July 17, 2025.

11. Oladigbolu AA, Okafor UG, Oluwaseyi CO, Ashore OM (2025). Community pharmacy workforce willingness, readiness, and infrastructural capacity to deliver vaccination services: a cross-sectional survey in Nigeria. BioMed Central Health Services Research. 25(1):1. doi:10.1186/s12913-025-12655-3. Available at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-12655-3. Accessed June 30, 2025.

12. Oseni YO, Okafor UG, Odukoya TO, Oluyedun HA, Ajibade AA, Azeez YO (2025). Improving Vaccination Coverage Through Community

Pharmacy Service Delivery in Nigeria: The COVID-19 Experience and Implications for Policy Review. Health Care Science. 17;4(1):52. Available

at: https://pmc.ncbi.nlm.nih.gov/articles/PMC11869367/. Accessed July 10, 2025.

13. Australian Government. Department of Health and Aged Care. After vaccination | The Australian Immunisation Handbook (2025). Available at: https://immunisationhandbook.health.gov.au/contents/vaccination-procedures/after-vaccination. Accessed July 17, 2025.

14. International Pharmaceutical Federation (FIP). Give it a shot: Expanding Immunisation Coverage through Pharmacists. The Hague; 2020. Available at:https://equity.fip.org/publication/give-it-a-shotexpanding-immunisation-coverage-throughpharmacists/. Accessed July 2, 2025.

15. Adje DU, Olayinka, Adepeju R, Omuta MC (2023). An appraisal of Pharmacists' involvement in Immunisation delivery in Lagos State, Nigeria. Research Journal of Pharmacy and Technology. 16(7):3201-6. Available at :https://rjptonline.org/. Accessed July 2, 2025.

16. Jekel JF, Elmore JG, Wild DMG, Lucan SC. Applying statistics to trial design. In Jekel's Epidemiology, Biostatistics, Preventive medicine and Public Health. 4th edition. United States of America; 2014: 153-162 .

17. Pharmacy Council of Nigeria, Federal Ministry of Health. List of Licensed Pharmacists and Pharmaceutical Premises As at 31st December,2023. Abuja, Nigeria; 2023.

18. Agbo BB, Esienumoh E, Inah AS, Nwachukwu JE (2019). Community Pharmacists' Participation in Immunisation Services in Cross River State, Nigeria. International Journal of Public Health, Pharmacy and Pharmacology. 4(3):11-25. Available at:https://eajournals.org/ijphpp/vol-4-issue-3-august-2019/community-pharmacists-participation-inimmunization-services-in-cross-river-state-nigeria/.Accessed:July 2, 2025.

19. Oluwadamilola F, Bolajoko A (2016). Immunization Services: Involvement of Community Pharmacies in Lagos State, Nigeria. Journal of Pharmaceutical Research International. 1-12.Available at: https://journaljpri.com/index.php/JPRI/article/view/339. Accessed March 24, 2025.

20. Aika IN, Usifoh SF, Iboi A, Venn T, Iyen S, Dantani JA (2025). Assessment of the Perception, Readiness and Willingness of Community Pharmacists to Provide Vaccination Services in Edo State. The Nigerian Journal of Pharmacy. 59(1):67-76 . Available at:

https://www.psnnjp.org/index.php/home/article/view/586. Accessed July 17, 2025.

21. World Health Organisation (WHO). Introducing SolarPowered Vaccine Refrigerator and Freezer Systems: A Guide for Managers in National Immunisation Programmes. 2015.Available at:https://extranet.who.int/prequal/sites/default/files/document_files/Introducing%20solarpowered%20vaccine%20refrigerator%20and%20freezer%20systems.pdf. Accessed July 17, 2025.

22. Azuka CV(2024). Alternative source of power supply: Implications on cost of production in Nigeria. Journal of Public Administration and Social Welfare Research. 9(4):84-98.Available at:

https://www.iiardjournals.org/get/JPASWR/Vol.%209%20No.%204%202024/Alternative%20Source%20of%20Power%2084-98.pdf. Accessed July 17, 2025.

23. National Primary Health Care Development Agency (NPHCDA). Minimum Standards For Primary Health Care in Nigeria. 2012. Available

at:https://ngfrepository.org.ng:8443/jspui/bitstream/123456789/3153/1/Minimum%20Standards%20for%20Primary%20Health%20Care%20in%20Nigeria.pdf. Accessed July 17, 2025.

24. World Health Organisation (WHO). Service Availability and Readiness Assessment (SARA): An annual monitoring system for service delivery. Reference Manual. 2015.Available at:https://cdn.who.int/media/docs/defaultsource/service-availability-andreadinessassessment(sara)/sara_reference_manual_chapter3.pdf. Accessed July 18, 2025.

25. Ministry of Health, Uganda. Service Availability and Readiness Assessment and Data Quality Review (SARA & DQR) 2018 for Uganda. Survey Report. 2019. Available at:https://library.health.go.ug/sites/default/files/resources/SARA%20and%20DQR%202018%20-%2015th%20June.pdf. Accessed July 18, 2025.

26. National Agency for Food and Drug Administration and Control (NAFDAC). Nigerian Guidelines for Detecting and Reporting of Adverse Reactions for Pharmaceutical Products and Medical Devices. 2024.Available at: https://nafdac.gov.ng/wpcontent/uploads/Files/Resources/Guidelines/PVG_

GUIDELINES/Nigerian-Guidelines-for-Detectingand-Reporting-of-Adverse-Reactions-forPharmaceutical-Products-and-Medical-Devices.pdf.

Accessed July 17, 2025.

27. World Health Organization (WHO) (2021). Brief overview of anaphylaxis as an Adverse Event Following Immunization (AEFI) and practical

guidance on its identification, case management, and response in a primary care setting. Available at: https://cdn.who.int>medicines>pharmacovigilance PDF. Accessed July 17, 2025.

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