Health Care Provider Perceptions of Facilitators and Barriers to Human Papillomavirus Vaccination Delivery in Five Countries.
Sex Transm Dis
; 48(8): 557-564, 2021 08 01.
Article
em En
| MEDLINE
| ID: mdl-34014055
ABSTRACT
BACKGROUND:
National human papillomavirus (HPV) vaccination programs could reduce global cervical cancer morbidity and mortality with support from health care providers. We assessed providers' perceptions of HPV vaccination in 5 countries.METHODS:
We identified providers from 5 countries where national HPV vaccination programs were at various stages of implementation Argentina, Malaysia, South Africa, South Korea, and Spain. Providers authorized to administer adolescent vaccines completed an in-depth survey, reporting perceptions of barriers and facilitators to initiating and completing HPV vaccination, and logistical challenges to HPV vaccination.RESULTS:
Among 151 providers, common barriers to HPV vaccination initiation across all countries were parents' lack of awareness (39%), concerns about vaccine safety or efficacy (33%), and cost to patients (30%). Vaccination education campaign (70%) was the most commonly cited facilitator of HPV vaccination initiation. Common barriers to series completion included no reminder system or dosing schedule (37%), loss to follow-up or forgetting appointment (29%), and cost to patients (25%). Cited facilitators to completing the vaccine series were education campaigns (45%), affordable vaccination (32%), and reminder/recall systems (22%). Among all countries, high cost of vaccination was the most common logistical challenge to offering vaccination to adolescents (33%).CONCLUSIONS:
Incorporating provider insights into future HPV vaccination programs could accelerate vaccine delivery to increase HPV vaccination rates globally.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções por Papillomavirus
/
Alphapapillomavirus
/
Vacinas contra Papillomavirus
Tipo de estudo:
Qualitative_research
Limite:
Adolescent
/
Female
/
Humans
País/Região como assunto:
Africa
/
America do sul
/
Argentina
/
Asia
/
Europa
Idioma:
En
Revista:
Sex Transm Dis
Ano de publicação:
2021
Tipo de documento:
Article