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Community Pharmacies as Immunization Providers (CPIP)

Empowering pharmacists to be immunization service providers so community pharmacies can be leveraged as immunization centers.

Photo of Emmanuel Egbroko
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Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)

Ensuring caregivers get pleasant experiences when they take their children for immunization by empowering community pharmacists with skills needed to provide quality immunization services, so community pharmacies can be used as immunization centers.

Explain the idea (less than 2,000 characters)

Based on the National Primary Health Care Development Agency (NPHCDA) report, Nigeria has a low immunization coverage rate of 33%, and research has shown contributing factors to this low demand for routine immunization include long waiting times at clinics, poor workers attitude to caregivers, and poor quality of services among health workers at primary healthcare facilities. Workers at primary healthcare facilities are few in number, overworked, some are ad hoc staffs with no background in healthcare, and they are not well motivated, hence their poor attitude towards caregivers who bring their children for immunization. Some caregivers are not treated with courtesy and respect, others are shouted at these contributes to caregivers not bringing their children for immunization or completing their child immunization schedule, thus contributing to low demand for immunization in certain communities in Nigeria. We suspect an estimated 1,050,000 Caregivers aged (15 – 49 years) with their under 5 children in Lagos State will benefit from community pharmacies vaccination services which includes; provision of quality immunization services, good patients relationship, administration of vaccines, providing health education and leaflets on vaccines and vaccine scheduling, engaging in immunization follow up, carrying out patient monitoring for detection of adverse events following immunization, and sign posting patients to vaccination services. Patients have been shown to be satisfied with pharmacists services especially provision of pharmaceutical care which can be applied to immunization. We plan solving the above challenges by using a digital platform (https://bit.ly/2SPN6El) to train pharmacists on offering immunization services in Nigeria so that community pharmacies can be leveraged as immunization centers through partnering with the Association of Community Pharmacists of Nigeria (ACPN) and the Primary Health Care Board (PHCB) Lagos State.

Which part(s) of the world does this idea target?

  • Eastern Africa
  • Western Africa

Geographic Focus (less than 250 Characters)

We targets mothers in both rural and urban areas in Nigeria.

Who are your end users and how well do you know them? (750 characters)

The end users and beneficiaries of the CBPI Foundation CPIP are Community pharmacies and mothers with under-5 children due for immunization. The strength of CBPI Foundation includes; 1. We are a known brand in the community we plan launching our pilot with over 2 years experience running projects in the community. 2. We have conducted a pilot to test whether Pharmacists will be interested in such training on vaccination and the pilot was a success. 3. CBPI Foundation has a good corporate governance structure with a track record of accountability, credibility, and integrity to execute projects. 4. We have a good working relationship with the pharmacists professional bodies and healthcare agencies in project communities.

How is the idea unique? (750 Characters)

This idea is unique in our clime as community pharmacists are not currently being used as immunization service providers despite they showing interest in providing this service as shown from this research (https://bit.ly/2CcL1g1). We have the core professionals, our platform is built, and we have a relationship with professional bodies. This approach will work because community pharmacies can be found in almost every community and have long opening hours, further more in countries where community pharmacies offer immunization services it has been shown to increase demand for immunization services thus increasing immunization coverage as shown (https://bit.ly/2STT2Mr and https://bit.ly/2STT2Mr). We will expand through a franchise system.

Idea Proposal Stage (Select 1)

  • Prototype: We have done some small tests or experiments with prospective users to continue developing the idea.

How many months are required for the project idea? (140 characters)

We have tested the sustainability plan of CPIP model, and can train 500 Pharmacists in 1 year, and begin offering vaccination the next year.

Organization Name (less than 140 characters)

Community Based Participatory Immunization (CBPI) Foundation.

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Youth-led organization

Organization Location (less than 140 Characters)

Lagos, Nigeria.

What is the current scale of your organization’s work?

  • Community (working within one or a few local communities within a region)

Website URL

https://cbpi.com.ng/

Tell us more about your organization/company (1-2 sentences)

CBPI Foundation works tirelessly to combat maternal and child healthcare challenges in Nigeria, part of our 10 year strategic goal is to increase immunization coverage in Nigeria from the current 33% to at least 90%, reduce under 5 mortality to as low as 25 per 1000 live births. This idea will help us increase immunization coverage in Nigeria as mothers will have access to quality professional services offered by community pharmacists during their child immunization which will motivate them.

Who will work alongside your organization in the project idea? (750 characters)

We will work with the Primary Health Care Board, intervention community leaders, Sanofi Aventis, and Association of Community Pharmacists of Nigeria. With funding from the British Council Nigeria (https://bit.ly/2THu732), when we tested the CPIP model to find out if pharmacists will be interested to take such training, offer immunization service, and more importantly pay for the training to sustain this project, we partnered with ACPN and within 5 days of testing the online platform we built (https://bit.ly/2SPN6El) 51 Pharmacists paid $34 to receive our training. We partnered with the Primary Healthcare heads at community in our Bandi Project and was able to vaccinate 3,015 children and distribute 2,230 immunization reminder bands.

How many people are on your team?

6

Tell us more about you and your team

Dr Emmanuel Egbroko is a Pharmacist, he plays the role of Project manager, Erioluwa Olorunnisola is a Nurse, Dr Paul Ogoji is a Medical doctor, Bammeke Oyebola Oladoyin Is a Consultant/Program manager, registered nurse and midwife, Hammed Balogun and Ikechukwu Oguoma heads our IT department. CBPI values integrity and quality in the services it provides, and we put innovation and data at the core of what we do. We are core medical professional with backgrounds in public health and have over 7 years experience working in the Nigerian immunization space. Furthermore, we are well connected to the Primary Health Care board through our Consultant Mrs Bammeke Oladoyin who worked with them for over 25 years. Emmanuel has connection to the Association of Community Pharmacists of Nigeria (ACPN), so it’s easy for us getting access to community pharmacies. CBPI will implement the CPIP project ensuring project goals and objectives are achieved on time, on budget, and on scope.

5 comments

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Photo of Temba Vicent
Team

Hello Emmanuel,

Thank you for checking from Nigeria.It is very much interested to hear that you want to engaged the community pharmacy as immunization center's.What is the relationship between these community pharmacy and mothers? How do they empower mothers to bring their children for vaccination? Is it possible to share the perception of mothers regard to these community pharmacies? How do these community pharmacies bridge the cultural gaps that hinder immunization for children ? Thank you

Photo of Anne-Laure Fayard
Team

Hi Emmanuel Egbroko really like your idea to build upon an existing infrastructure. It was also great to read you did a pilot with pharmacists and learnt that they were interesting in learning about vaccination. That was one of my original question when reading your idea: would pharmacists be interested? what was their motivation to participate to the training? Two related questions are: How do they pay for the training? Also is there a way for you to test their skills? I also like that you created a video to prototype your idea. For the next iteration, maybe adding some text or a voice over could help the viewer. For example, I did not really understand what was happening in the second part of the video after you showed the training options.
My second set of thoughts and questions are related to Temba Vicent question about how you will motivate mothers to go to the pharmacists for vaccination. From my research and what I've read on the platform so far, one factor for the low immunization rate is also the lack of awareness / education and misinformation and associated fears about immunization. I wonder if there could be a way to think of how your idea connect with Temba's idea https://challenges.openideo.com/challenge/briefsgates-vaccine-innovation/ideas/mama-chanjo-key-immunization-mothers-strengthen-healthcare-system-and-vaccination-service-to-new-and-expectant-mothers-with-their-babies Moreover, you said that an issue was good patient relationship. I wonder what is the current relationship between caregivers and pharmacists. If there's not much trust already, I wonder how you plan to address this. I'd love to hear your responses to Temba's questions.
Really looking forward to seeing your idea evolve as it addresses a big part of the problem and do this by building upon an existing network.

Photo of Emmanuel Egbroko
Team

Dear Anne, thanks for your amazing comments and suggestions; I will provide a quick answer to just two of your questions then throw more light on the rest later.
1. From my pilot they paid from their pockets, and that was what we referenced in the second part of the video, the online payment platforms showing the list of pharmacists who made payments.
2. Economic of scope, they needed to offer more services, and like the study I reference suggested they were willing to offer such immunization services and had the infrastructure in place. I will reference two known studies in my followup reply answer your questions with evidence. Thanks

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