Author(s): Nurfirda, Susi Ari Kristina, Suci Hanifah


DOI: 10.52711/0974-360X.2021.00448   

Address: Nurfirda1, Susi Ari Kristina2*, Suci Hanifah3
1Pharmacy Undergraduate Program, Faculty of Pharmacy, Universitas Gadjah Mada.
2Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada.
3Department of Pharmacy, Faculty of Mathematics and Sciences, Islamic University of Indonesia.
*Corresponding Author

Published In:   Volume - 14,      Issue - 5,     Year - 2021

Background: Starting from 2019, the government has been aiming to increase the immunization coverage by up to 93%. Community pharmacists are well-positioned to extend access to immunizations by providing immunization services to patients. This objective of this study was to determine community pharmacists' attitudes and knowledge on providing immunizations including perceived barriers to immunizing. Methods: This study was a cross-sectional survey conducted in the community pharmacies in Yogyakarta province, between August to October 2019. A pre-validated questionnaire was used and piloted to a small group of pharmaciets. A convenience sampling was chosen and written informed consent was required. The questionnaire included demographic characteristics of participating pharmacists’, their readiness to provide immunization, and the barriers that may potentially happen when community pharmacists’ implement immunization services. Descriptive statistics were used to present the received data. Result: Among 120 respondents, mostly female (80.83%) and pharmacists degree as education (81.67%). Additionally, to the easiness of accessibility, community pharmacists believed that they will have a powerful role in increasing the rate of immunization and improving the vaccination service. More than half of respondents (54.17%) did not fully have good knowledge of all aspect of vaccine administration. Several barriers have been identified as the factors that can contribute to the immunization services by pharmacists. The largest barrier is the lack of regulation governing immunization by pharmacists (95.83%). Followed by a lack of competency (70.83%), lack of skills training (66.67%), lack of equipment (63.3%), and high workload on conventional services (54.17%). Conclusion: Community pharmacists have a good perception of providing immunization services but the lack of regulation, competency, and skills training becomes a barrier in providing immunization services.

Cite this article:
Nurfirda, Susi Ari Kristina, Suci Hanifah. Readiness to provide immunization services among community pharmacists in Yogyakarta, Indonesia. Research Journal of Pharmacy and Technology. 2021; 14(5):2543-7. doi: 10.52711/0974-360X.2021.00448

Nurfirda, Susi Ari Kristina, Suci Hanifah. Readiness to provide immunization services among community pharmacists in Yogyakarta, Indonesia. Research Journal of Pharmacy and Technology. 2021; 14(5):2543-7. doi: 10.52711/0974-360X.2021.00448   Available on:

1.    World Health Organization. (2019). Children: reducing mortality. [online]. Available at: [Accessed 28 Mei 2020]
2.    Packard, M.R., (2016). A History of Global Health: Interventions into the Lives of Other Peoples. [online]. Available at: [Accessed 28 Mei 2020].
3.    Aher, VD., Banerjee, S., Mahaur, KK., Vaccine: An Ultimate Way of Immunization. Research J. Pharm. and Tech. 2011; 4(3): 369-374.
4.    Mishra, D., Mishra, A., Dubey, V., Shukla, K., Transdermal Immunization: A Recent Tool for Immunization. Research J. Pharm. and Tech. 2010; 3(4): 964-969.
5.    World Health Organization. (2020). Immunization. [online]. Available at: [Accessed 1 Mei. 2020].
6.    World Health Organization. (2020). Vaccines. [online]. Available at: [Accessed 1 Mei.2020].
7.    Ministry of Health. (2014). Situation and Analysis of Immunization. [online]. Available at: file:///C:/Users/Sahabat%20Sg/Downloads/infodatin-imunisasi%20(1).pdf [Accessed 5 Mei 2020].
8.    Centers for Disease Control and Prevention (CDC). (2010). Adult vaccination Coverage-United States. MMWR. Morbidity and Mortality Weekly Report. [online]. Available at: [Accessed 5 Mei 2020].
9.    Darmawan, KH., and Kristina, SA. Vaccine hesitancy among parents in Yogyakarta Province, Indonesia: A cross sectional study. Research J. Pharm. and Tech. 2020; 13(5): 2393-2398.
10.    Kristina, SA., and Permitasari, NPAL. Knowledge, Attitudes and Barriers towards Human Papillomavirus (HPV) Vaccination in Developing Economies Countries of South-East Asia Region: A Systematic Review. Sys Rev Pharm. 2019; 10(1): 81-86.
11.    Kristina, SA., Lienaningrum AS., Wulandari, GP. Beliefs and acceptance of Human papillomavirus (HPV) vaccine among parents in urban community in Yogyakarta. International Journal of Pharmaceutical Research. 2020; 12(3).
12.    Pronyk P, Sugihantono A, V S. Vaccine hesitancy in Indonesia. The Lancet Planetary Health. 2019; 3: e114-e5.
13.    Jose, AT., Alexander, G., Bose, A., Jeyaseelan, V. Knowledge, Attitude and Practice Regarding the Universal Immunization Schedule among Mothers of Infants. Asian J. Nursing Education and Research. 2018; 8(1): 33-38.
14.    Maheswari, K., Kavitha, Malairani. Knowledge of Mothers Regarding Newer Vaccines and Vaccines Preventable Diseases. Int. J. Adv. Nur. Management. 2015; 3(2): 107-108.
15.    Shinde, K., Rani, U., Kumar, N. Assessing the Effectiveness of Immunization Reminder System among nursing Mothers of South India. Research J. Pharm. and Tech. 2018; 11(5): 1761-1767.
16.    American Society of Health-System Pharmacists. (2003). ASHP Guidelines on the Pharmacist’s Role in Immunization. [online]. Available at: [Accessed 7 Mei 2020].
17.    Burson, Randal., Buttenheim, Allison., Armstrong, Allison., Feemster, Kristen. Community pharmacies as sites of adult vaccination: A systematic review. J A Pharm Assoc. 2016; 3146-3159.
18.    Goad JA, Bach AT. The role of community pharmacy-based vaccination in the USA: current practice and future directions. Integr Pharm Res Pract. 2015; 1(4): 67-77.
19.    Visweswaran, V., Binoy, A., Sreenivas, A., Abhinand, B., Vijayan, M. Vaccines-Pillars of Preventive Health. Research J. Pharm. and Tech. 2017; 10(9): 3205-3210.
20.    Kamal KM, Madhavan SS, Maine LL. Pharmacy and Immunization Services: Pharmacists' Participation and Impact. J A Pharm Assoc. 2003; 43(4): 470-82
21.    Traynor K. With Maine on board, pharmacists in all 50 states can vaccinate: H1N1 prompts emergency vaccination rules for pharmacists. Am J Health Syst Pharm. 2009; 66(21): 1892–4.
22.    Evans AM, Wood FC, Carter B. National community pharmacy NHS influenza vaccination service in Wales: a primary care mixed methods study. Br J Gen Pract. 2016; 66(645): 248–57.
23.    Edwards N, Corsten E, Kiberd M, Bowles S, Isenor J, Slayter K, et al. Pharmacists as immunizers: a survey of community pharmacists’ willingness to administer adult immunizations. Int J Clin Pharm. 2015; 37: 292–5.
24.    Sauvageau C, Dube E, Bradet R, Mondor M, Lavoie F, Moisan J. Immunization Services Offered in Québec (Canada) Pharmacies. Hum Vaccine Immunother. 2013; 9(9): 1943-9.
25.    Rosado H, Bates I. (2016). An overview of current pharmacy impact on immunization. A global report. [online]. Available at: [Accessed 5 Mei 2020].
26.    Balkhi B, Aljadhey H, Mahmoud MA, Alrasheed M, Pont LG, Mekonnen AB, Alhawassi TM. Readiness and willingness to provide immunization services: a survey of community pharmacists in Riyadh, Saudi Arabia. Safety in Health. 2018; 4:1.
27.    Pace AC, Flowers SK, Hastings JK. Arkansas Community Pharmacists' Opinions on Providing Immunizations. J Pharm Pract. 2010; (5): 496-501.
28.    Pribadi, P., Kristina, SA., Syahlani, SP., Satibi. The empirical test of pharmacist-patient relationship model in hospital pharmacy practice: Indonesia context. Research J. Pharm. and Tech. 2019; 12(10): 4623-4627.
29.    Shah, NV., Patil, SA., Shah, VV., Patil, MN. Advances in Hospital Pharmacy. Research J. Pharm. and Tech. 2017; 10(2): 618-624.
30.    Raghotham S., Balamuralidhara V., Kamireddy Karuna. Registration Requirement and Approval Procedure of Vaccines in Saudi Arabia. Research J. Pharm. and Tech. 2019; 12(9): 4531-4538.
31.    Ministry of Health Regulation. (2013). Implementation of Immunization. [online]. Available at: [Accessed 12 Mei 2020].
32.    Basak, SC., Sathyanarayana, D. Evaluation of the Impact of an Educational Workshop for Community Pharmacists. Research J. Pharm. and Tech. 2009; 2(1): 144-146.
33.    American Pharmacist Assocition. (2017). Applying the Pharmacists’ Patient Care Process to Immunization Services A Resource Guide for Pharmacists. [online]. Available at: [Accessed 10 Mei 2020].
34.    Skoy ET, Kelsch M, Hall K, Choi BJ, Carson P. Increasing Adult Immunization Rates in a Rural State Through Targeted Pharmacist Education. Can Pharm J (Ott). 2014; 147(1): 33–44.
35.    Madhavan SS, Rosenbluth SA, Amonkar M, Borker RD, Richards T. Pharmacists and immunizations: a national survey. J Am Pharm Assoc. 2001; 41(1): 32-45.
36.    Kamal KM, Madhavan SS, Maine LL. Impact of the American Pharmacists Association’s (APhA) immunization training certification program. Am J Pharm Educ. 2003; 67(4).

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