National pharmacy associations in the commonwealth: current scenario and future needs to maximise effective contributions of the pharmacy profession towards universal health coverage
Abstract
Background: The Commonwealth Pharmacists Association (CPA) is a charity representing pharmacists across the
Commonwealth, with the vision of empowering and collaboratively develop the profession and fully utilise the
potential of pharmacists to strengthen health systems through supporting better access to, quality and use of medicines and related services. Commonwealth comprises predominantly of low- and middle-income countries, where
limited data often exists in pharmacy practice. There is a recognised need across the Commonwealth to focus on
developing, implementing and fully utilising pharmacy professional services to progress universal health coverage
and achieve the sustainable development goals, particularly in low and middle-income countries; however, currently
a knowledge gap exists in understanding the national priorities in Commonwealth nations. CPA is ideally positioned
to access to these nations. The aim of this study was thus to explore the priorities and focus areas of NPAs across the
Commonwealth and create evidence for a needs-based approach to inform the support that the Commonwealth
pharmacists association can collaboratively and strategically provide to its members to progress towards shared goals.
Methods: Data were collected virtually on Zoom by conducting interviews using a semi-structured interview guide
developed for this study with CPA councillors representing NPAs or their equivalents if no ofcial body existed. An
inductive, refexive, thematic analysis was performed for data analysis.
Results: In total, 30 councillors were interviewed from 30 low- and medium-income countries. The three main overarching priority areas identifed across respective Commonwealth nations developing extended pharmacy services,
improving pharmacy education, and developing and redefning the role of NPAs.
Conclusions: This novel study highlights the collective priorities for the pharmacy profession across the low and
middle-income countries of the Commonwealth and the urgent need for supporting NPAs around the three identifed overarching priority areas. T