Vaccination Administration Training Across Pharmacy Degree Levels: A Global Survey of Pharmacy Educators

Background/Objectives: Pharmacist vaccination authority has expanded globally over the past two decades, but education and training for vaccine administration have not consistently kept pace. Evidence on curricular content and delivery has emerged from individual countries and institutions in isolation, with no global, cross-regional comparison across pharmacy degree levels. This study aimed to describe the content, delivery format, assessment, and certification practices for vaccination administration training across Bachelor's, Master's, and Doctoral pharmacy programmes globally, and to assess pharmacy educators' perceptions of the adequacy of current training. Methods: A cross-sectional survey of pharmacy educators (n = 81) from 35 countries was administered via Qualtrics between January and April 2026. Responses were analysed descriptively (frequencies and percentages). Master's and Doctoral responses were compared with Bachelor's using McNemar's exact test, with McNemar's Odds Ratio as the effect-size statistic. Results: Fewer than a third of institutions offering training included paediatric administration technique at any degree level (28.6% Bachelor's, 14.3% Master's, 20.0% Doctoral), and educators rated their institution's education as significantly less adequate for paediatric vaccination than adult vaccination (Wilcoxon signed-rank W = 5.5, n = 71, p < 0.001, r = 0.52). Training status did not differ significantly between Bachelor's (41.9% taught) and postgraduate (32.4% taught) levels (McNemar χ²(1, n = 74) = 1.33, p = 0.248, OR = 0.59). Roughly half of students at every degree level completed training without receiving a formal certificate, and financial cost and limited curriculum time were the most frequently cited barriers to training (41.4% and 37.1% of institutions, respectively). Conclusions: Accreditation bodies and pharmacy programmes should prioritize structured certification pathways so that more students can receive formal certification and training.