HPV vaccine introduction at the local level in a developing country: Attitudes and criteria among key actors

Marion Piñeros, Carolina Wiesner, Claudia Cortés, Lina María Trujillo

Research output: Contribution to journalResearch Articlepeer-review

10 Scopus citations

Abstract

In most developing countries, HPV vaccines have been licensed but there are no national policy recommendations, nor is it clear how decisions on the introduction of this new vaccine are made. Decentralization processes in many Latin American countries favor decision-making at the local level. Through a qualitative study we explored knowledge regarding the HPV vaccine and the criteria that influence decision-making among local health actors in four regions of Colombia. We conducted a total of 14 in-depths interviews with different actors; for the analysis we performed content analysis. Results indicate that decisionmaking on the HPV vaccine at the local level has mainly been driven by pressure from local political actors, in a setting where there is low technical knowledge of the vaccine. This increases the risk of initiatives that may foster inequity. Local decisions and initiatives need to be strengthened technically and supported by national-level decisions, guidelines and follow-up.

Translated title of the contributionIntroducción de la vacuna contra el VPH en niveles locales de un país en vías de desarrollo: Actitudes y criterios de actores clave
Original languageEnglish (US)
Pages (from-to)900-908
Number of pages9
JournalCadernos de Saude Publica
Volume26
Issue number5
DOIs
StatePublished - May 2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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