Community Pharmacy Based Model for HIV Care and Services: Attitudes and Perceptions of Practitioners in Jos, Nigeria

Main Article Content

M. L. P. Dapar
B. N. Joseph
P. A. Damun
C. R. Okunlola
E. Ahmadu
B. M. Aya
P. N. Alphonsus


Background: Differentiated care is an innovative multi-dimensional strategy for improving access to HIV care and treatment outcomes. However, its successful implementation depends on attitudes and perceptions of practitioners.

Objectives: This study assessed the attitudes and perception of community pharmacists on HIV differentiated care and services.

Methods: This was a cross-sectional survey of community pharmacists in Jos, Plateau state, Nigeria. The portion of the study reported in this paper consisted of a 10 items Likert questions to assess attitudes and perceptions of community pharmacists on differentiated HIV care and services. The Statistical Package for Social Sciences version 20 was used to manage data. The reliability of the instrument was calculated using Cronbach’s alpha. Descriptive statistics were presented as tables and figures.

Results: Seventy-three 73 community pharmacists completed our questionnaire out of 110 distributed, giving a response rate of 66.4%. Mean age of respondents was 37.7+7.8 years. Cronbach’s alpha for internal consistency of the perception scale was 0.9 indicating good reliability of the instrument. Overall, respondents had a positive perception regarding suitability and benefits of differentiated HIV care and services in community pharmacies. Highest agreement was to the perception that differentiated care would encourage collaboration between community pharmacies and the rest of the health system.

Conclusion: Willingness and positive perceptions of community pharmacists about the suitability and benefits of providing HIV differentiated care and services were identified. 

Community pharmacy, HIV differentiated care, attitude, perception, practitioners, Nigeria

Article Details

How to Cite
Dapar, M. L., Joseph, B., Damun, P., Okunlola, C., Ahmadu, E., Aya, B., & Alphonsus, P. (2019). Community Pharmacy Based Model for HIV Care and Services: Attitudes and Perceptions of Practitioners in Jos, Nigeria. International STD Research & Reviews, 8(2), 1-10.
Original Research Article


National Aids Control Programme Federal Ministry of Health. National Guidelines for HIV Prevention Treatment and Care; 2016.

FMOH N. 1. Nigeria HIV/AIDS Indicator and Impact Survey; 2018.

Unaids. UNAIDS report on the global AIDS epidemic.Global Report; 2013.

Bennett S, Boerma JT, Brugha R. Scaling up HIV/AIDS evaluation. Lancet (London, England). 2006;367(9504):79–82.

Evans T, Stansfield S. Editorials Health information in the new millennium: a gathering storm? Bulletin of the World Health Organization. 2003;81.

Gray A, Conradie F, Crowley T, Gaede B, Gils T, Shroufi A, et al. Improving access to antiretrovirals in rural South Africa – A call to action. South African Med J. 2015; 105(8):638.

Avong YK, Aliyu GG, Jatau B, Gurumnaan R, Danat N, Kayode GA, et al. Integrating community pharmacy into community based anti-retroviral therapy program: A pilot implementation in Abuja, Nigeria. Fernandez-LLimos F, editor. PLoS One. 2018;13(1):e0190286.

SIDHAS/FHI 360. Getting community pharmacists on the differentiated care train in Nigeria: Strengthening integrated delivery of HIV services - Crowd 360Crowd 360 [Internet]; 2018.

[Cited 2019 Jul 5].

Kibicho J, Owczarzak J, Pinkerton SD. Opinions of a Small Sample of Pharmacists About Pharmacy Setting and Patient Adherence to Antiretroviral Therapy. J Manag Care Pharm. 2012; 18(6):446–52.

Brennan TA, Dollear TJ, Hu M, Matlin OS, Shrank WH, Choudhry NK, et al. An Integrated Pharmacy-Based Program Improved Medication Prescription And Adherence Rates In Diabetes Patients. Health Aff. 2012;31(1):120–9.

Kibicho J, Owczarzak J. Pharmacists’ strategies for promoting medication adherence among patients with HIV. J Am Pharm Assoc. 2011;51(6):746–55.

Kelly Blanchard, Teresa Harrison, and Mosala Sello. Pharmacists’ knowledge and perceptions of emergency contraceptive pills in Soweto and the Johannesburg Central Business District, South Africa. Int Fam Plan Perspect. 2005;31(4):172–178.

Kristi K. Van, Riper and Wendy L., Hellerstedt. Emergency Contraceptive Pills: Dispensing Practices, Knowledge and Attitudes of South Dakota Pharmacists. Perspect Sex Reprod Health. 2005;37(1):19–24.

MORRIS RM. Asessing utilization of family planning services among women of reproductive age (15-49 Yrs) in North Kanyabala Sub-Location, Homabay Sub-County. J Biol Agric Healthc. 2011;5(7): 142–53.

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50(2):179–211.

Dapar MLP, Joseph BN, Damun PA, Okunlola CR, Alphonsus PN, Aya BM. Assessment of knowledge and competencies of community pharmacists for differentiated HIV care and services in Jos, Nigeria. J Pharm Res Int. 2019;1–10.

Butterworth J, Sansom A, Sims L, Healey M, Kingsland E, Campbell J. Pharmacists’ perceptions of their emerging general practice roles in UK primary care: A qualitative interview study. Br J Gen Pract. 2017;67(662):e650–8.

Schwandt HM, Speizer IS, Corroon M. Contraceptive service provider imposed restrictions to contraceptive access in urban Nigeria. BMC Health Serv Res. 2017;17(1):268.

Verma RK, Paraidathathu T, Taha NA, Chong WW. Attitudes, practices, and barriers of Malaysian Community Pharmacists Toward Provision of Weight Management Services. Front Pharmacol. 2019;10:138.

Nunes FG, Anderson JE, Martins LM. Patient reactions to community pharmacies’ roles: evidence from the Portuguese market. Health Expect. 2015; 18(6):2853–64.

Kelling SE. Exploring accessibility of community pharmacy services. Inov Pharm. 2015;6(3).

Hindi AMK, Schafheutle EI, Jacobs S. Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients’, pharmacists’ and GPs’ experiences and expectations. BMC Fam Pract. 2019;20(1):26.

Hindi AMK, Schafheutle EI, Jacobs S. Patient and public perspectives of community pharmacies in the United Kingdom: A systematic review. Heal Expect. 2018;21(2):409–28.

Weech-Maldonado R, Elliott M, Pradhan R, Schiller C, Dreachslin J, Hays RD. Moving Towards Culturally Competent Health Systems: Organizational and market factors. Soc Sci Med. 2012; 75(5):815.

Chicago IIHR& ET. Becoming a Culturally Competent Health Care Organization; 2013.

Hindi AMK, Schafheutle EI, Jacobs S. Patient and public perspectives of community pharmacies in the United Kingdom: A systematic review. Health Expect. 2018;21(2):409–28.

Walker A, Watson M, Grimshaw J, Bond C. Applying the theory of planned behaviour to pharmacists’ beliefs and intentions about the treatment of vaginal candidiasis with non-prescription medicines. Fam Pract. 2004;21(6):670–6.