Skip to main content

Community Health Outreach Services: Focus on Pharmacy-Based Outreach Programs in Low- to Middle-Income Countries

  • Living reference work entry
  • First Online:
Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy

Abstract

Community outreach service encompasses the provision of healthcare services by health professionals in locations other than where they principally practice. The principal target areas for outreach services include rural and remote communities as well as other vulnerable populations such as immigrants and underserved populations. Therefore, outreach services are typically provided in locations where the need for access to health services is higher. However, increasingly, community outreach services, especially those related to health promotion and disease prevention, are commonly provided in cities and urban areas and targeting all populations. The primary purpose of these services is to increase access to healthcare that the targeted community or population in question would not normally have. Pharmacy in general, and public health pharmacy in particular, plays an important role in the provision of community outreach services either singly or through a multidisciplinary approach. In low- to middle-income countries (LMICs), such outreach activities are not as widely available as they are in the developed world. This entry is primarily intended to provide a general overview of community outreach programs provided by pharmacy professionals and to document the status of such programs from the context of LMIC. Overall, pharmacists in different care settings can play an important role in proving care through community outreach programs. Public health pharmacy can make a significant impact in improving health outcomes through community outreach services in LMICs. Some of the major barriers in developing and implementing effective pharmacy-based community outreach activities in developing countries include resource constraints, especially lack of facilities and limited human resource for health. Efforts should be made to encourage the development and provision of such services, especially among the underserved and vulnerable populations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Abd Elaziz KM, Dewedar SA, Sabbour S, El Gafaary MM, Marzouk DM, Aboul Fotouh A, et al. Screening for hypertension among adults: community outreach in Cairo. Egypt J Public Health (Oxf). 2015;37(4):701–6.

    Google Scholar 

  • Adebayo AM, Ige OK, Ilesanmi OS, Ogunniyan TB, Ojo T. Making a case for community screening services: findings from a medical outreach in Ibadan. Nigeria Ann Ib Postgrad Med. 2011;9(1):14–8.

    CAS  Google Scholar 

  • Albanese NP, Rouse MJ, Schlaifer M, Pharmacy CoCi. Scope of contemporary pharmacy practice: roles, responsibilities, and functions of pharmacists and pharmacy technicians. J Am Pharm Assoc. 2010;50(2):e35–69.

    Article  Google Scholar 

  • Anderson C, Bates I, Beck D, Brock TP, Futter B, Mercer H, et al. The WHO UNESCO FIP pharmacy education taskforce. Hum Resour Health. 2009;7(1):1–8.

    Article  Google Scholar 

  • Angelo LB, Maffeo CM. Local and global volunteer opportunities for pharmacists to contribute to public health. Int J Pharm Pract. 2011;19(3):206–13.

    Article  Google Scholar 

  • Arcaya MC, Arcaya AL, Subramanian SV. Inequalities in health: definitions, concepts, and theories. Glob Health Action. 2015;8:27106.

    Article  Google Scholar 

  • Atif M, Malik I, Asif M, Qamar-Uz-Zaman M, Ahmad N, Scahill S. Drug safety in Pakistan. Drug Safety in Developing Countries. Elsevier; 2020. p. 287–325.

    Book  Google Scholar 

  • Bang K-S, Chae S-M, Lee I, Yu J, Kim J. Effects of a community outreach program for maternal health and family planning in Tigray. Ethiopia Asian nursing research. 2018;12(3):223–30.

    Article  Google Scholar 

  • Barreto ML. Health inequalities: a global perspective. Cien Saude Colet. 2017;22(7):2097–108.

    Article  Google Scholar 

  • Bigdeli M, Peters DH, Wagner AK, Organization WH. Medicines in health systems: advancing access, affordability and appropriate use. 2014.

    Google Scholar 

  • Brandling-Bennett HA, Kedar I, Pallin DJ, Jacques G, Gumley GJ, Kvedar JC. Delivering health care in rural Cambodia via store-and-forward telemedicine: a pilot study. Telemed J E Health. 2005;11(1):56–62.

    Article  Google Scholar 

  • Bridges D, Davidson RA, Soule Odegard P, Maki IV, Tomkowiak J. Interprofessional collaboration: three best practice models of interprofessional education. Med Educ Online. 2011;16(1):6035.

    Article  Google Scholar 

  • Bush PJ, Johnson KW. Where is the public health pharmacist? Am J Pharm Educ. 1979;43(3):249–52.

    Google Scholar 

  • Caldwell RI, Grant M, Gaede B, Aldous C. Enabling factors for specialist outreach in western KwaZulu-Natal. Afr J Prim Health Care Fam Med. 2018;10(1):e1–e10.

    Article  Google Scholar 

  • Chatham-Stephens K, Caravanos J, Ericson B, Sunga-Amparo J, Susilorini B, Sharma P, et al. Burden of disease from toxic waste sites in India, Indonesia, and the Philippines in 2010. Environ Health Perspect. 2013;121(7):791–6.

    Article  Google Scholar 

  • Cometto G, Tulenko K, Muula AS, Krech R. Health workforce brain drain: from denouncing the challenge to solving the problem. PLoS Med. 2013;10(9):e1001514.

    Article  Google Scholar 

  • Crilly P, Kayyali R. A systematic review of randomized controlled trials of telehealth and digital technology use by community pharmacists to improve public health. Pharmacy. 2020;8(3):137.

    Article  Google Scholar 

  • Frehywot S, Vovides Y, Talib Z, Mikhail N, Ross H, Wohltjen H, et al. E-learning in medical education in resource constrained low-and middle-income countries. Hum Resour Health 2013;11(1):1–15.

    Google Scholar 

  • Garry S, Checchi F. Armed conflict and public health: into the 21st century. J Public Health. 2020;42(3):e287–e98.

    Article  CAS  Google Scholar 

  • George PP, Molina JA, Cheah J, Chan SC, Lim BP. The evolving role of the community pharmacist in chronic disease management-a literature review. Ann Acad Med Singap. 2010;39(11):861–7.

    Google Scholar 

  • Goel P, Ross-Degnan D, Berman P, Soumerai S. Retail pharmacies in developing countries: a behavior and intervention framework. Soc Sci Med. 1996;42(8):1155–61.

    Article  CAS  Google Scholar 

  • Goetjes E, Pavlova M, Hongoro C, Groot W. Socioeconomic inequalities and obesity in South Africa-a decomposition analysis. Int J Environ Res Public Health. 2021;18(17):9181.

    Article  Google Scholar 

  • Gruen RL, Weeramanthri TS, Bailie RS. Outreach and improved access to specialist services for indigenous people in remote Australia: the requirements for sustainability. J Epidemiol Community Health. 2002;56(7):517–21.

    Article  CAS  Google Scholar 

  • Gruen RL, Bailie RS, Wang Z, Heard S, O'Rourke IC. Specialist outreach to isolated and disadvantaged communities: a population-based study. Lancet. 2006;368(9530):130–8.

    Article  Google Scholar 

  • Hango E, Amakali K, Shilunga A, Kibuule D, Godman B, Kalemeera F. Assessing smoking cessation services and pharmacotherapy in Namibia; findings and implications for future policy initiatives. Expert Rev Pharmacoecon Outcomes Res. 2021; (just-accepted).

    Google Scholar 

  • Health Outreach Partners. How Outreach Programs Can Improve Health Outcomes. n.d. [Available from: https://outreach-partners.org/2012/02/01/how-outreach-programs-can-improve-health-outcomes/

  • Hedima EW, Adeyemi MS, Ikunaiye NY. Community pharmacists: on the frontline of health service against COVID-19 in LMICs. Res Social Adm Pharm. 2021;17(1):1964–6.

    Article  Google Scholar 

  • Jin X, Azhar S, Murtaza G, Xue F, Mumtaz A, Niu H, et al. Quantitative study evaluating perception of general public towards role of pharmacist in health care system of Pakistan. Acta Pol Pharm. 2014;71(5):869–75.

    Google Scholar 

  • Lasker JN, Aldrink M, Balasubramaniam R, Caldron P, Compton B, Evert J, et al. Guidelines for responsible short-term global health activities: developing common principles. Glob Health. 2018;14(1):1–9.

    Article  Google Scholar 

  • Lehnerdt G, van Delden A, Lautermann J. Management of an “ear camp” for children in Namibia. Int J Pediatr Otorhinolaryngol. 2005;69(5):663–8.

    Article  Google Scholar 

  • Ludwick T, Endriyas M, Morgan A, Kane S, McPake B. Moving from community-based to health Centre-based management: impact on urban community health worker performance in Ethiopia. Health Policy Plan. 2021;

    Google Scholar 

  • Martins SF, van Mil JWF, da Costa FA. The organizational framework of community pharmacies in Europe. Int J Clin Pharm. 2015;37(5):896–905.

    Article  CAS  Google Scholar 

  • Matowe L, Katerere DR. Globalization and pharmacy: a view from the developing world. Ann Pharmacother. 2002;36(5):936–8.

    Article  Google Scholar 

  • Mendenhall E, Kohrt BA, Norris SA, Ndetei D, Prabhakaran D. Non-communicable disease syndemics: poverty, depression, and diabetes among low-income populations. Lancet. 2017;389(10072):951–63.

    Article  Google Scholar 

  • Miller R. The rise of chain pharmacies in India: implications for public health. London School of Hygiene & Tropical Medicine; 2018.

    Google Scholar 

  • Miller R, Goodman C. Performance of retail pharmacies in low- and middle-income Asian settings: a systematic review. Health Policy Plan. 2016;31(7):940–53.

    Article  Google Scholar 

  • Miller R, Goodman C. Quality of tuberculosis care by pharmacies in low- and middle-income countries: gaps and opportunities. J Clin Tuberc Other Mycobact Dis. 2019;18:100135.

    Article  Google Scholar 

  • Miller ML, Karwa R, Schellhase EM, Pastakia SD, Crowe S, Manji I, et al. Meeting the needs of underserved patients in Western Kenya by creating the next generation of Global Health pharmacists. Am J Pharm Educ. 2016;80(2):22.

    Article  Google Scholar 

  • Mohiuddin AK. The role of the pharmacist in patient care: achieving high quality, cost-effective and accessible healthcare through a team-based, patient-centered approach. Universal-Publishers; 2020.

    Google Scholar 

  • Moore C. How to Organize an Effective Medical Outreach Program E-Health 2021. Available from: https://quenza.com/blog/medical-outreach-program/

  • Nair V, Haberstroh AJ, Berko M, Rapp W, Fowler B, Redborg K. Strengthening Global Health outreach programs through pharmacy services. Ann Glob Health. 2017;83(3–4):621–4.

    Article  Google Scholar 

  • Organization WH. Health promotion: Ottawa charter. World Health Organization; 1995.

    Google Scholar 

  • Organization WH. Guidance on developing a national deployment and vaccination plan for COVID-19 vaccines: interim guidance, 16 November 2020. World Health Organization; 2020.

    Google Scholar 

  • Organization WH. Working together for health: the World health report 2006: policy briefs. World Health Organization; 2006.

    Google Scholar 

  • Ozgediz D, Galukande M, Mabweijano J, Kijjambu S, Mijumbi C, Dubowitz G, et al. The neglect of the global surgical workforce: experience and evidence from Uganda. World J Surg. 2008;32(6):1208–15.

    Article  Google Scholar 

  • Roodenbeke Ed, Organization WH. Outreach services as a strategy to increase access to health workers in remote and rural areas. World Health Organization; 2011.

    Google Scholar 

  • Shin HY, Kim KY, Kang P. Concept analysis of community health outreach. BMC Health Serv Res. 2020;20(1):417.

    Article  Google Scholar 

  • Steeb DR, Overman RA, Sleath BL, Joyner PU. Global experiential and didactic education opportunities at US colleges and schools of pharmacy. Am J Pharm Educ. 2016;80(1):7.

    Article  Google Scholar 

  • Thapa SS, Kelley KH, Rens GV, Paudyal I, Chang L. A novel approach to glaucoma screening and education in Nepal. BMC Ophthalmol. 2008;8(1):21.

    Article  Google Scholar 

  • The Role of the Pharmacist in Public Health 2006 [Available from: https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/07/13/05/the-role-of-the-pharmacist-in-public-health.

  • Upadhyay DK, Ooi GS. Enhancing quality of patient-centered care services in developing countries: pharmaceutical care approach. Social and administrative aspects of pharmacy in low-and middle-income countries. Elsevier; 2018. p. 311–28.

    Google Scholar 

  • Van Lerberghe W. The world health report 2008: primary health care: now more than ever. World Health Organization; 2008.

    Google Scholar 

  • Weathers B, Barg FK, Bowman M, Briggs V, Delmoor E, Kumanyika S, et al. Using a mixed-methods approach to identify health concerns in an African American community. Am J Public Health. 2011;101(11):2087–92.

    Article  Google Scholar 

  • WHO. Diseases of poverty and the 10/90 gap 2004 [cited 2021 30 Oct].

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmed Awaisu .

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

ElGeed, H., Navti, P.M., Awaisu, A. (2022). Community Health Outreach Services: Focus on Pharmacy-Based Outreach Programs in Low- to Middle-Income Countries. In: Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy. Springer, Cham. https://doi.org/10.1007/978-3-030-50247-8_37-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-50247-8_37-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50247-8

  • Online ISBN: 978-3-030-50247-8

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

Publish with us

Policies and ethics