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Emmanuel commented on Community Pharmacies as Immunization Providers (CPIP)

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


Emmanuel commented on Community Pharmacies as Immunization Providers (CPIP)

Mr Temba, thanks for your comment below are my answers, and I will suggest you checkout the studies I pointed out as they answered most of the questions asked here;
1. So to the answer of distance to vaccination clinic, leveraging community pharmacies solves this better as they are found in almost all nook and crannies in communities in Nigeria.
2. Community pharmacy is a healthcare facility and its the first point of contact for patients in communities, they visit the pharmacy before the hospitals based on severity, so community pharmacy has preference than primary healthcare facilities as even the primary healthcare facilities refer patients to community pharmacies to meet their drug needs.
3. The government will permit as some pharmacists run NGOs that combat hepatitis B and they vaccinate their targets, but the challenge of data to back impact is what makes impact presentation difficult. Some community pharmacies offer vaccination services, what we want to do is perfect the model so it can be adopted into the Nigeria routine immunization program.
4. Pharmacist are well trained and licensed healthcare professionals and some schools in Nigeria offer the Doctor of pharmacy program like you find in U.S here which is more patient centered care (pharmaceutical care), and empowers them with loads of knowledge and skills, so as regards the license permit that isn't a challenge, data should back advocacy.
5. Quality and safety should not be a challenge, they have all the facilities and equipments to maintain the cold chain of vaccines compared to certain health facilities as sited in the study I referenced , they are well trained in pharmacovigilance and management of adverse events following immunization and have a standby first aid box with adrenaline, antihistamines, and hydrocortisone amongsts others to stabilize patients who react post vaccine administration.
I will provide you with more evidence based references on request. Thanks