Increasing HPV Vaccination in Rural Settings: The Hidden Potential of Community Pharmacies

Daniel, Casey L.; Wright, Anna

doi:10.1111/jrh.12408

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Pharmacists maintain personal relationships with many patients by building trust through repeated encounters, thus proving a unique opportunity to take on an advocate role. 21 Indeed, regarding Braveman's definition of equity, as taking into account disparities, pharmaceutical services of vaccination do not favor equity yet. Further research on how to better address health inequities in pharmacy should be led.…”

Section: A Strategy That Cannot Assure Equity Yetmentioning

confidence: 99%

Community Pharmacists and Influenza Vaccination: Opportunities and Challenges From a Public Health Perspective

Robitaille

Chadi

Gabet³

et al. 2022

Journal of Pharmacy Practice

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Context In Quebec, Bill 31, adopted on March 18, 2020, extended vaccination to pharmacists. Despite many advantages, this new practice comes with public health issues reinforced in the context of COVID-19. Therefore, it is essential to understand the opportunities and challenges of the participation of community pharmacists in influenza vaccination, from a public health perspective by (i) describing the year of 2020-2021 influenza vaccination offer, (ii) its opportunities and challenges, and (iii) its impact on the accessibility of this service newly offered by pharmacists to the most vulnerable people. Methods This research is a case study from one of the most affected areas by COVID-19 in Canada: Laval. Our method combines documentary analysis and semi-structured interviews with health professionals and public health actors (n = 23). Researchers used a thematic analysis to analyze these results. Results Most partners (pharmacists, public health administrators) underlined multiple opportunities of this new practice, ie, pharmacists who can vaccinate, particularly for chronically ill patients. However, structural and strategical challenges remain. More specifically, vaccination seemed to only rely on a “first come, first served” basis, which questions public health objectives of vaccination, such as equitable access. Conclusion The introduction of new actors, such as pharmacists, represents a major opportunity to improve vaccination coverage and reduce the burden of COVID-19 on the health system. However, this delegation of a public health activity to the private sector undoubtedly requires closer coordination with public health institutions.

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Section: A Strategy That Cannot Assure Equity Yetmentioning

confidence: 99%

Community Pharmacists and Influenza Vaccination: Opportunities and Challenges From a Public Health Perspective

Robitaille

Chadi

Gabet³

et al. 2022

Journal of Pharmacy Practice

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“…Low education, low awareness of HPV vaccination, lack of strong provider recommendations and barriers to appropriate healthcare are cited as some of the most prevalent reasons for low uptake and completion in the U.S. [ 4 – 6 ]. Rural settings are particularly vulnerable to these barriers with studies demonstrating that rural populations are less likely to be vaccinated [ 7 , 8 ]. Rural and urban disparities in HPV vaccination have emerged as a concern, with approximately 60 million Americans (almost one-fifth of the population) living in rural locations [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…One barrier is lack of access to care; for example, 22 of 67 counties in Alabama, a largely rural state, lack a pediatrician and 2 counties do not have any primary care providers [ 26 ]. Although previous pharmacy studies have focused on increasing access to HPV vaccination, most have not addressed the frequently inextricable economic barriers that many in rural settings face [ 8 ]. Individuals in rural areas are more likely to be poor and more likely to rely on Medicaid than their urban counterparts [ 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, increasing access points alone in rural settings does not adequately address the needs of these populations. Additional vaccination settings must be approved VFC providers if they are to effectively serve the needs of their population [ 8 ]. The current pilot study examined the feasibility and efficacy potential of enrolling a rural, community pharmacy as a VFC provider to increase access and promotion of HPV vaccination.…”

Section: Introductionmentioning

confidence: 99%

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Enrolling a rural community pharmacy as a Vaccines for Children provider to increase HPV vaccination: a feasibility study

et al. 2021

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Background Human papillomavirus (HPV) is the most common sexually transmitted infection in the U.S. with over 80 million infected individuals. High-risk strains are associated with 6 different cancers. Although infection is preventable, U.S. vaccination rates remain suboptimal and there are noted disparities between urban and rural communities due to economic barriers, lack of access, and low awareness and education. Methods The current pilot study sought to overcome these barriers through an interprofessional collaborative enrolling a community pharmacy in a rural, medically underserved Alabama county as a Vaccines for Children (VFC) provider to provide free vaccines to eligible adolescents. Program evaluation was conducted to determine the intervention’s feasibility. Potential efficacy was assessed by analyzing county-level HPV vaccination uptake and completion rates using state immunization registry data. Results Over the 8-month study, 166 total vaccines were administered to 89 adolescents ages 10–18, including 55 doses of HPV vaccine, 53 doses of Tdap vaccine, 45 doses of meningococcal vaccine, and 13 doses of influenza vaccine. Among these adolescents, mean age was 12.6 years old, and 64 (71.9%) were VFC patients. The pharmacy recorded an increase in total vaccine administration of 158.8%, an increase in prescription revenue of 34.8%, and an increase in total revenue by 24.4% during the course of the study, compared to the previous year. Conclusions Findings from the current work demonstrate the potential of this strategy and can serve as a blueprint for statewide and national dissemination and implementation to ultimately increase access to vaccination services, increase vaccination rates, and reduce urban-rural vaccine disparities.

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HPV and HPV Vaccine Awareness Among African Americans in the Black Belt Region of Alabama

Lee

Luo

Won

et al. 2023

J. Racial and Ethnic Health Disparities

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Increasing HPV Vaccination in Rural Settings: The Hidden Potential of Community Pharmacies

Abstract: Green for their assistance in providing background information.

Cited by 4 publications

References 7 publications

Community Pharmacists and Influenza Vaccination: Opportunities and Challenges From a Public Health Perspective

Community Pharmacists and Influenza Vaccination: Opportunities and Challenges From a Public Health Perspective

Enrolling a rural community pharmacy as a Vaccines for Children provider to increase HPV vaccination: a feasibility study

HPV and HPV Vaccine Awareness Among African Americans in the Black Belt Region of Alabama

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