Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.

<h4>Introduction</h4>Vaccination with the 2-dose HPV vaccine series among adolescent girls in Uganda remains low after almost 5 years since the vaccine was included into the routine national immunization program and barriers are not well understood.<h4>Objective</h4>We explor...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Joseph Rujumba, Mathias Akugizibwe, Nicole E Basta, Cecily Banura
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/27309e20ffdb42df9a77d1c4502a4ad9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:27309e20ffdb42df9a77d1c4502a4ad9
record_format	dspace
spelling	oai:doaj.org-article:27309e20ffdb42df9a77d1c4502a4ad92021-12-02T20:09:51ZWhy don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.1932-620310.1371/journal.pone.0253735https://doaj.org/article/27309e20ffdb42df9a77d1c4502a4ad92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253735https://doaj.org/toc/1932-6203<h4>Introduction</h4>Vaccination with the 2-dose HPV vaccine series among adolescent girls in Uganda remains low after almost 5 years since the vaccine was included into the routine national immunization program and barriers are not well understood.<h4>Objective</h4>We explored barriers that prevent eligible girls from initiating or completing the recommended 2-dose HPV vaccine series in Oyam District, Northern Uganda.<h4>Methods</h4>A qualitative study was conducted in Oyam District, Northern Uganda. Forty interviews were conducted with adolescent girls, their caregivers, Village Health Team Members, health workers and school administrators involved in HPV vaccination. All interviews were audio recorded and transcribed. NVivo version 11 was used for data management and content thematic approach for analysis guided by the Social Ecological Model.<h4>Results</h4>At individual level, low levels of knowledge about the vaccine, girls' frequent mobility between vaccine doses, school absenteeism and drop out, fear of injection pain and discouragement from caregivers or peers were key barriers. At the health facilities level, reported barriers included: few healthcare workers, inadequate knowledge about HPV vaccine, limited social mobilization and community engagement to promote the vaccine, limited availability of the HPV vaccine, unreliable transportation, lack of reminder strategies after the first dose of the vaccine, lack of vaccination strategy for out-of-school girls and un-friendly behaviour of some healthcare workers. Concerns about safety and efficacy of the vaccine, negative religious and cultural beliefs against vaccination, rumors and misconceptions about the vaccine, mistrust in government intentions to introduce the new vaccine targeting girls, busy schedules and the gendered nature of care work were key community level barriers.<h4>Conclusion</h4>Our study revealed an interplay of barriers at individual, health facility and community levels, which prevent initiation and completion of HPV vaccination among adolescent girls. Strengthening HIV vaccination programs and ensuring high uptake requires providing appropriate information to the girls plus the community, school and health facility stakeholders; addressing cold chain challenges as well as adequate training of vaccinators to enable them respond to rumors about HPV vaccination.Joseph RujumbaMathias AkugizibweNicole E BastaCecily BanuraPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253735 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Joseph Rujumba Mathias Akugizibwe Nicole E Basta Cecily Banura Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
description	<h4>Introduction</h4>Vaccination with the 2-dose HPV vaccine series among adolescent girls in Uganda remains low after almost 5 years since the vaccine was included into the routine national immunization program and barriers are not well understood.<h4>Objective</h4>We explored barriers that prevent eligible girls from initiating or completing the recommended 2-dose HPV vaccine series in Oyam District, Northern Uganda.<h4>Methods</h4>A qualitative study was conducted in Oyam District, Northern Uganda. Forty interviews were conducted with adolescent girls, their caregivers, Village Health Team Members, health workers and school administrators involved in HPV vaccination. All interviews were audio recorded and transcribed. NVivo version 11 was used for data management and content thematic approach for analysis guided by the Social Ecological Model.<h4>Results</h4>At individual level, low levels of knowledge about the vaccine, girls' frequent mobility between vaccine doses, school absenteeism and drop out, fear of injection pain and discouragement from caregivers or peers were key barriers. At the health facilities level, reported barriers included: few healthcare workers, inadequate knowledge about HPV vaccine, limited social mobilization and community engagement to promote the vaccine, limited availability of the HPV vaccine, unreliable transportation, lack of reminder strategies after the first dose of the vaccine, lack of vaccination strategy for out-of-school girls and un-friendly behaviour of some healthcare workers. Concerns about safety and efficacy of the vaccine, negative religious and cultural beliefs against vaccination, rumors and misconceptions about the vaccine, mistrust in government intentions to introduce the new vaccine targeting girls, busy schedules and the gendered nature of care work were key community level barriers.<h4>Conclusion</h4>Our study revealed an interplay of barriers at individual, health facility and community levels, which prevent initiation and completion of HPV vaccination among adolescent girls. Strengthening HIV vaccination programs and ensuring high uptake requires providing appropriate information to the girls plus the community, school and health facility stakeholders; addressing cold chain challenges as well as adequate training of vaccinators to enable them respond to rumors about HPV vaccination.
format	article
author	Joseph Rujumba Mathias Akugizibwe Nicole E Basta Cecily Banura
author_facet	Joseph Rujumba Mathias Akugizibwe Nicole E Basta Cecily Banura
author_sort	Joseph Rujumba
title	Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
title_short	Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
title_full	Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
title_fullStr	Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
title_full_unstemmed	Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
title_sort	why don't adolescent girls in a rural uganda district initiate or complete routine 2-dose hpv vaccine series: perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/27309e20ffdb42df9a77d1c4502a4ad9
work_keys_str_mv	AT josephrujumba whydontadolescentgirlsinaruralugandadistrictinitiateorcompleteroutine2dosehpvvaccineseriesperspectivesofadolescentgirlstheircaregivershealthcareworkerscommunityhealthworkersandteachers AT mathiasakugizibwe whydontadolescentgirlsinaruralugandadistrictinitiateorcompleteroutine2dosehpvvaccineseriesperspectivesofadolescentgirlstheircaregivershealthcareworkerscommunityhealthworkersandteachers AT nicoleebasta whydontadolescentgirlsinaruralugandadistrictinitiateorcompleteroutine2dosehpvvaccineseriesperspectivesofadolescentgirlstheircaregivershealthcareworkerscommunityhealthworkersandteachers AT cecilybanura whydontadolescentgirlsinaruralugandadistrictinitiateorcompleteroutine2dosehpvvaccineseriesperspectivesofadolescentgirlstheircaregivershealthcareworkerscommunityhealthworkersandteachers
_version_	1718375051132141568

Why don't adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers.

Ejemplares similares