Demand and willingness to pay for human papilloma virus vaccine for their daughters among mothers in Haryana, India: A contingent valuation study

Interpersonal factors like parental influence, peer support, and healthcare provider recommendations shaped decisions, though outreach was inconsistent in underserved areas.

“Interpersonal factors like parental influence, peer support, and healthcare provider recommendations also shaped decisions, though outreach was inconsistent in underserved areas31,39,45.”

Girls from urban and higher socioeconomic backgrounds were more likely to have heard of HPV and the vaccine, whereas those from rural or tribal areas had lower awareness and greater scepticism.

“Girls from urban and higher socioeconomic backgrounds were more likely to have heard of HPV and the vaccine, whereas those from rural or tribal areas were found to have lower awareness and greater scepticism31,32,36.”

Despite educational interventions, a subset of participants remained hesitant, often citing concerns about vaccine cost, availability, or insufficient information from healthcare providers.

“Despite this, a subset of participants remained hesitant, often citing concerns about vaccine cost, availability, or insufficient information from healthcare providers31,32,38,43.”

Cost is a primary barrier to HPV vaccination in India.

“Cost emerged as a primary barrier.”

High cost per dose of commercially available vaccines like Gardasil and Cervarix makes them unaffordable for most Indian families, particularly in rural and low-income settings.

“Several studies cited the high cost per dose for commercially available vaccines like Gardasil and Cervarix, making them unaffordable for most Indian families, particularly in rural and low-income settings17,21,31.”