Factors influencing pharmacovigilance practices among health care professionals in lower-middle-income countries: a scoping review.

Authors

Jan Harmony A Cesar, Christopher Rey V Nacua, Rosalie R Michael, John Miguel C Jabines, J Niño G Dawa, Lucylynn Lizarondo

Published in

JBI evidence synthesis. Aug 31, 2026. Epub Aug 31, 2026.

Abstract

The objective of this review is to explore the factors influencing pharmacovigilance practices among health care professionals in lower-middle-income countries (LMICs).
Pharmacovigilance minimizes potential harm to patients and consumers by ensuring that high-quality, safe, and efficacious medicines are used rationally. Pharmacovigilance supports public health initiatives by providing balanced information for assessing risk-benefit profiles, enhancing patient care and safety. Despite global initiatives to standardize pharmacovigilance systems, many LMICs have yet to develop fully functional frameworks capable of generating reliable, high-quality safety data.
Studies published from 2017 to 2025 including health care professionals (eg, medical doctors, dentists, optometrists, pharmacists, nurses, and midwives) will be considered for inclusion. We will focus on factors reported to influence pharmacovigilance practices in LMICs.
This scoping review will follow JBI methodology. A 3-step search will include an initial search in PubMed and EBSCOhost to identify key terms; tailored strategies for PubMed, Cochrane Library, Ovid, MEDLINE Complete (EBSCOhost), CINAHL (EBSCOhost), Web of Science, and Scopus; and supplementary searches through citation tracking, expert consultation, and gray literature sources, such as the World Health Organization, relevant national websites, and the first 200 results of ProQuest Dissertations and Theses and Google Scholar. Screening and analysis will be conducted by 2 independent reviewers, with complete search strategies reported as per the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). Review parameters will undergo descriptive analysis. Extracted data will be charted and mapped utilizing the Theoretical Domains Framework (TDF) to systematically categorize both the qualitative and quantitative factors influencing pharmacovigilance practices.
OSF https://osf.io/r7zs6/overview.

PMID:
42678238
Bibliographic data and abstract were imported from PubMed on 01 Sep 2026.

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