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Implementing pharmacy-located HPV vaccination: findings from pilot projects in five U.S. states
William A Calo1,2, Parth D Shah3, Melissa B Gilkey4,5
1a Department of Public Health Sciences, Penn State College of Medicine , Hershey , PA , USA.
Human Vaccines & Immunotherapeutics
|April 5, 2019
Summary
Pharmacies face challenges in adolescent human papillomavirus (HPV) vaccination due to low parent demand and administrative hurdles like reimbursement issues. Improving these areas is key for pharmacy-based HPV immunization success.
Area of Science:
- Public Health
- Implementation Science
- Vaccinology
Background:
- Pharmacies offer accessible locations for vaccinations.
- Adolescent human papillomavirus (HPV) vaccination rates remain suboptimal in the US.
- Pharmacy-based vaccination services are underutilized for HPV immunization in adolescents.
Purpose of the Study:
- To evaluate challenges and opportunities for implementing pharmacy-located HPV vaccination services.
- To map process evaluation results onto implementation science constructs.
- To identify barriers and facilitators for adolescent HPV vaccination in pharmacies.
Main Methods:
- Pilot projects were conducted in five US states (North Carolina, Michigan, Iowa, Kentucky, Oregon).
- Process evaluation results were analyzed using implementation science frameworks.
- Data collection spanned 12 months with varying recruitment strategies.
Main Results:
- Only 13 HPV vaccine doses were administered to adolescents and three to young adults across all sites.
- Key barriers included low parent demand, limited pharmacy staff engagement, and administrative hurdles.
- Lack of third-party reimbursement and poor integration with primary care systems hindered feasibility and sustainability.
Conclusions:
- Pharmacy-based HPV vaccination programs for adolescents faced significant implementation challenges.
- Opportunities for improvement include expanding reimbursement, increasing public awareness, and enhancing care coordination.
- Addressing engagement and administrative barriers is crucial for successful pharmacy-led HPV immunization initiatives.
Keywords:
HPV vaccinealternative vaccination settingsimplementation sciencepharmaciespharmacistsscope of practiceMore Related Videos
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