Evidence map›Paper›PMID 38205195›Full record

ArticleJournal of pharmaceutical policy and practice2024

Impact of pharmacist interventions on immunisation uptake: a systematic review and meta-analysis.

Mohamad Hafiz Abd Rahim, Siti Hajar Mahamad Dom, Mohd Shah Rezan Hamzah, Siti Hawa Azman, Zahirah Zaharuddin, Mathumalar Loganathan Fahrni

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Impact of an Influenza and Pneumococcal Vaccination Course on Enhancing Pharmacists' Knowledge.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Leveraging the role of pharmacists in vaccine education and uptake among newcomers to Ontario.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. European community pharmacists practice in tackling influenza.Exploratory research in clinical and social pharmacy · 2024
    Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mohamad Hafiz Abd RahimFaculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Selangor Branch, Bandar Puncak Alam, Malaysia.
Siti Hajar Mahamad DomFaculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Selangor Branch, Bandar Puncak Alam, Malaysia.
Mohd Shah Rezan HamzahFaculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Selangor Branch, Bandar Puncak Alam, Malaysia.
Siti Hawa AzmanFaculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Selangor Branch, Bandar Puncak Alam, Malaysia.
Zahirah ZaharuddinFaculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Selangor Branch, Bandar Puncak Alam, Malaysia.
Mathumalar Loganathan FahrniFaculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Selangor Branch, Bandar Puncak Alam, Malaysia.ORCID https://orcid.org/0000-0002-9042-4290

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Under-utilisation of immunisation services remains a public health challenge. Pharmacists act as facilitators and increasingly as immunisers, yet relatively little robust evidence exists of the impact elicited on patient health outcome and vaccination uptake. Objective: To evaluate the influence of pharmacist interventions on public vaccination rate. Methods: SCOPUS, PubMed, and Web of Science were searched from inception to April 2023 to retrieve non- and randomised controlled clinical trials (RCTs). Studies were excluded if no comparator group to pharmacist involvement was reported. Data extraction, risk of bias assessments, and meta-analyses using random-effect models, were performed. Results: Four RCTs and 15 non-RCTs, encompassing influenza, pneumococcal, herpes zoster, and tetanus-diphtheria and pertussis vaccine types, and administered in diverse settings including community pharmacies, were included. Pooled effect sizes revealed that, as compared to usual care, pharmacists, regardless of their intervention, improved the overall immunisation uptake by up to 51% [RR 1.51 (1.28, 1.77)] while immunisation frequency doubled when pharmacists acted specifically as advocators [RR 2.09 (1.42, 3.07)]. Conclusion: While the evidence for pharmacist immunisers was mixed, their contribution to immunisation programmes boosted public vaccination rate. Pharmacists demonstrated leadership and acquired indispensable advocator roles in the community and hospital settings. Future research could explore the depth of engagement and hence the extent of influence on immunisation uptake.

Indexed as

advocatorimmunisationpharmacistprimary preventionVaccination

Identifiers

PMID38205195
PMCPMC10775721

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.