International Journal of Medical Science and Pharmaceutical Research

Background: Community pharmacists continue to serve as informal entry points for Human Immunodeficiency Virus (HIV) services in Nigeria. They help in the prevention and control of Acquired Immunodeficiency Syndrome. In addition, due to the trust and confidentiality in this category of health care workers, access to continuum of care is easier by members of the communities where the community pharmacists reside in. 

Objective: To evaluate HIV related knowledge and service delivery practices among community pharmacy providers in Lafia, Nasarawa State. Factors associated with knowledge and practice related to HIV services will also be assessed.

Methods: A descriptive cross-sectional study was conducted among licensed community pharmacists in Lafia using total population sampling (n = 23). Data were collected using structured self-administered questionnaires assessing socio-demographic variables, HIV knowledge, and service delivery practices. Descriptive statistics (frequencies and percentages) and inferential analysis (Fisher’s exact test) were performed using SPSS IBM version 26. Knowledge and practice levels were categorized into “good” and “poor” based on composite scores.

Results: The mean age of respondents was 40 + 9.49 years, with a high proportion of sex being male (73.9%) and married (78.3%). Most respondents had good HIV knowledge (95.7%), with high awareness of transmission routes, prevention strategies, and treatment effectiveness. Misconceptions regarding mosquito transmission and cure were absent. However, only 73.9% showed good service delivery practices. While nearly all respondents reported providing services to HIV clients (100%), referral practices (95.7%), and maintaining confidentiality (95.7%), few respondents reported routine counselling (60.9%) and Antiretroviral Therapy (ART) dispensing (43.5%). No statistically significant associations were found between knowledge and factors such as training, years of practice, qualification, or access to guidelines of HIV (p > 0.05).

Conclusion: While community pharmacy providers in Lafia showed high levels of HIV knowledge, gaps still exist in translating HIV  knowledge into optimal service delivery practices, particularly in the area of routine counseling and ART dispensing. This differences highlights the influence of structural and system-level barriers which are beyond individual competence alone. Strengthening the formal integration of community pharmacies into HIV care frameworks, alongside targeted training and supportive supervision, may enhance their contribution to a decentralized system of HIV service delivery.

Community pharmacists, HIV knowledge, HIV services, HIV counseling, ART dispensing

1. Abimbola S, Baatiema L, Bigdeli M. The impacts of decentralization on health system equity, efficiency and resilience: a realist synthesis of the evidence. Health Policy Plan. 2019 Oct 1;34(8):605. doi:10.1093/HEAPOL/CZZ055 PubMed PMID: 31378811.
2. Cawley C, McRobie E, Oti S, Njamwea B, Nyaguara A, Odhiambo F, et al. Identifying gaps in HIV policy and practice along the HIV care continuum: evidence from a national policy review and health facility surveys in urban and rural Kenya. Health Policy Plan. 2017 Nov 1;32(9):1316. doi:10.1093/HEAPOL/CZX091 PubMed PMID: 28981667.
3. Global HIV & AIDS statistics — Fact sheet | UNAIDS [Internet]. [cited 2026 May 1]. Available from: https://www.unaids.org/en/resources/fact-sheet
4. Govender S, Esterhuizen T, Naidoo PV. Impact of Pharmacists’ Intervention on the knowledge of HIV infected patients in a public sector hospital of KwaZulu-Natal. Afr J Prim Health Care Fam Med. 2011;3(1):258. doi:10.4102/PHCFM.V3I1.258
5. Hindi AMK, Schafheutle EI, Jacobs S. Patient and public perspectives of community pharmacies in the United Kingdom: A systematic review. Health Expect. 2017 Apr 1;21(2):409. doi:10.1111/HEX.12639 PubMed PMID: 29114971.
6. HIV Blog: Caring for Communities: Pharmacists’ Role in HIV Care and Prevention | HIV.gov [Internet]. [cited 2026 May 1]. Available from https://www.hiv.gov/blog/caring-for-communities-pharmacists-role-in-hiv-care-and-prevention 
7. HIV and AIDS [Internet]. [cited 2026 May 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/hiv-aids 
8. Kherghehpoush S, McKeirnan KC. The role of community pharmacies in the HIV and HCV care continuum. Exploratory Research in Clinical and Social Pharmacy. 2023 Mar 1;9:100215. doi:10.1016/J.RCSOP.2022.100215 PubMed PMID: 36938123.
9. Magura J, Nhari SR, Nzimakwe TI. Barriers to ART adherence in sub-Saharan Africa: a scoping review toward achieving UNAIDS 95-95-95 targets. Front Public Health. 2025;13:1609743. doi:10.3389/FPUBH.2025.1609743/FULL PubMed PMID: 40556913
10. Okoye OI, Obilom IF, Ojiakor JC, Okeke IC, Ugboma EJ, Amaechi V, et al. Knowledge, attitude, and practice of pharmacists in Southern Nigeria towards management and prevention of hepatitis B virus. Pharmacy Education. 2025 Oct 5;25(1):478–92. doi:10.46542/PE.2025.251.478492
11. Oleribe OO, Momoh J, Uzochukwu BSC, Mbofana F, Adebiyi A, Barbera T, et al. Identifying Key Challenges Facing Healthcare Systems In Africa And Potential Solutions. Int J Gen Med. 2019;12:395. doi:10.2147/IJGM.S223882 PubMed PMID: 31819592.
12. Omenoba TC, Eyong U, Okelu V, Nauta T, Nwafor A, Eze A, et al. Expanding HIV Prevention: Exploring Community Pharmacists’ Willingness to Provide PrEP in Nigeria. AIDS Behav. 2025 Mar 1;30(3):778. doi:10.1007/S10461-025-04923-4 PubMed PMID: 41108426.
13. Pineda LJ, Mercier RC, Dilworth T, Iandiorio M, Rankin S, Jakeman B. Evaluating community pharmacists’ HIV testing knowledge: A cross-sectional survey. Journal of the American Pharmacists Association. 2015 Jul 1;55(4):424–8. doi:10.1331/JAPHA.2015.14139 PubMed PMID: 26161484
14. Seid A, Ahmed M. What are the Determinants of Misconception About HIV Transmission Among Ever-Married Women in Ethiopia? HIV AIDS (Auckl). 2020;12:441. doi:10.2147/HIV.S274650 PubMed PMID: 32982471.
15. Saad SH, Tuerganbayi K, Shadrack SM, Zhou Z, Chen S, Shi J, et al. Assessing the knowledge–attitude–practice gap in prevention of mother-to-child transmission of HIV among pregnant and lactating women: a cross-sectional study in Musoma Municipality, Tanzania. BMC Public Health. 2025 Dec 1;26(1):192. doi:10.1186/S12889-025-25453-7 PubMed PMID: 41382070
16. Tesoriero JM, Boos EM, Adamashvili N, Massaroni R, Maglaperidze T, O’grady TJ. Assessing Gaps in Integrated HIV and STI Testing Among New York State-Funded Providers by Pre-exposure Prophylaxis Status: Implications for Status-Neutral Programming. J Acquir Immune Defic Syndr. 2025 Apr 15;98(5):444–9. doi:10.1097/QAI.0000000000003598 PubMed PMID: 39774419.