Cited by 29Cervical Cancer and HPV ResearchVaccine Coverage and HesitancyWomen's cancer prevention and management

Assessing the Environment for Introduction of Human Papillomavirus Vaccine in India~!2009-10-20~!2010-02-02~!2010-04-06~!

Open access
Jacob, Martha, Mawar, Nita, Menezes, Lysander, Kaipilyawar, Satish, Gandhi, Sanjay, Khan, Irfan, Patki, Manoj, Bingham, Allison +8 more·2010·The Open Vaccine Journal

Abstract

This paper presents findings from a study conducted in 2007 and 2008 in two states in India: Andhra Pradesh and Gujarat.The objectives of the study were to: (i) design effective and appropriate HPV vaccine delivery systems for 10-to 14-year-old girls; (ii) design a communication strategy for HPV vaccine delivery; and (iii) devise an HPV vaccine advocacy strategy.The study populations included girls, parents, and local-, district-, and national-level stakeholders.A mixture of group discussions, visual representation techniques, face-to-face interviews, desk and health facility record reviews, field observations, and consultative workshops were used to collect the data.Study findings showed that the policymakers, health care providers, parents, and adolescents were aware and concerned about cervical cancer; would welcome vaccination if safe, effective, affordable, and accessible.Health systems did not require large infrastructure investments to introduce HPV vaccine; basic cold chain and logistic equipment were available.New outreach systems for adolescent girls need to be tested through demonstration projects.No policies would compromise the introduction of HPV vaccination.An HPV vaccine program, requiring public education and provider training, could be delivered.Policymakers' safety and vaccine efficacy concerns can be addressed through targeted advocacy efforts.Three broad approaches were suggested: (i) merge HPV vaccination with already established immunization services; (ii) package HPV immunization with adolescent health services or as a part of a cancer control service; and (iii) deliver HPV vaccinations through either routine immunization services or a campaign using schools as sites for school-going girls and anganwadi or village health centers for non-school-going girls.

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Authors
Jacob, M., Mawar, N., Menezes, L., Kaipilyawar, S., Gandhi, S., Khan, I., Patki, M., Bingham, A., LaMontagne, D. S., Bagul, R., Katendra, T., Karandikar, N., Madge, V., Chaudhry, K., Paranjape, R., & Nayyar, A.
Affiliations
  • Program for Appropriate Technology in Health (US)
  • National AIDS Research Institute (IN)
  • Indian Council of Medical Research (IN)
Venue
The Open Vaccine Journal
Published
2010-05-04
Volume
3
Issue
1
Pages
96-107
ISSN
1875-0354 (ISSN-L)
OpenAlex
W2126165661
Cited by
29
References
18
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2021: 1 · 2019: 1 · 2016: 2 · 2014: 2 · 2013: 7 · 2012: 4
FWCI
3.27
Type
journal article
Language
en
Open access
Locations
The Open Vaccine Journal (publishedVersion)
Funders
  • Bill and Melinda Gates Foundation
  • Indian Council of Medical Research
Topics
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Keywords
HPV vaccine, cervical cancer prevention, adolescent girls, vaccine delivery systems, health communication strategies, vaccine advocacy, vaccine hesitancy, cold chain, immunization services, school-based vaccination, Anganwadi centres, vaccination policy, Andhra Pradesh, Gujarat

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