Pharmacists as Immunizers in Lebanon: A National Survey of Community Pharmacists’ Willingness and Readiness to Administer Adult Immunization

Abstract Background: Since the focus of healthcare has shifted toward prevention, pharmacists were highly encouraged to expand their practice to include immunization services. Our study aimed to assess the knowledge, attitudes and beliefs of community-based Lebanese pharmacists, in addition to their willingness to expand their practice scope to include vaccine administration. Methods: A cross-sectional study was conducted during the phase preceding the arrival of the COVID-19 vaccine in Lebanon between 1st and 31st December 2020. Data were collected from Lebanese pharmacists through an online survey that included information on socio-demographic characteristics, clinical experience, willingness to administer vaccines, knowledge about vaccination, attitudes towards immunization, reasons supporting utilizing pharmacists as immunizers and the requested elements to incorporate immunization in pharmacists’ practice scope. Knowledge and attitude scores were computed. Participants’ overall knowledge and overall attitude were categorized using modified Bloom’s cut-off point as good if the score was equal or more than 60%, and poor if the score was less than 60%.Results: A total of 412 community pharmacists participated in this survey. Of the total, 66.5% of the surveyed community pharmacists are willing to administer vaccines. The majority of surveyed pharmacists (96.1%) had an overall good level. Out of all, 92.7% showed a positive overall attitude score toward immunization, 95.4% agreed that community pharmacists can play an important role in advertising and promoting vaccination. The main needed elements for implementing immunization services in pharmacies listed by participants were: support of health authorities (99.3%), statutory allowance (82.8%), patient demand (95.4%), pharmacist’s interest (96.1%) and continuous education and training workshops on immunization. Conclusion: Most of Lebanese community pharmacists are willing to offer immunizations. However, before any statutory reform targeting the expansion of pharmacists’ scope of practice to include provision of immunizations, it is important to consider education and training as a fundamental part of the process.