Feasibility of HPV vaccination program implementation: A qualitative study

https://doi.org/10.22146/jcoemph.69099

Wiwin Lismidiati(1*), Vivian Nanny Lia Dewi(2), Widyawati Widyawati(3), Wenny Artanty Nisman(4), Anis Widyasari(5), Ika Parmawati(6), Ova Emilia(7)

(1) Department of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Health Behavior, Environment and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Department of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Department of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(7) Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


The implementation of the Human Papillomavirus (HPV) vaccination program is still experiencing obstacles in several developing countries. This setback is related to the lack of knowledge and the high cost of the vaccine so that it affects people's behavior about the HPV vaccine. HPV vaccination in adolescents itself as primary prevention has not been widely conducted by adolescents in Indonesia. The results of previous studies showed that not many teenagers had vaccinated against HPV by using self-financing guarantees such as health savings. The obstacles faced in implementing HPV vaccination are that the vaccine is still expensive and there is lack of knowledge of parents and adolescents about the importance of HPV immunization. This formative research using qualitative methods was conducted to analyze the implementation plan of the HPV vaccination program. Data were collected through focus group discussions (FGD) and in-depth interviews. At the end of each FGD activity or interview, transcription and thematic analysis based on content were done. The FGD participants were ten teachers, while the in-depth interview participants were one school committee. This study found two main themes, namely the scheme of implementing the HPV vaccination program and obstacles to the implementation of HPV vaccination. Schools generally supported the program implementation. However, parents still question the importance of the HPV vaccination for their daughters and consider the vaccine costs expensive. Implementation of the HPV vaccination program must consider the existing program schemes in schools and possible obstacles. The results suggested that for the next HPV vaccination program, the facilitators should provide intense and relevant education to parents about the importance and side effects of HPV immunization, and are expected to build a willingness of parents to vaccinate their daughters and seek vaccination costs, one of which can be through a savings program.


Keywords


cervical cancer prevention; feasibility; health prevention program; HPV vaccination; teenagers’ vaccination

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References

  1. Martín-Hernán, F. et al. Oral cancer, HPV infection and evidence of sexual transmission. Med Oral Patol Oral Cir. 2013;18(3):pp. e439-44.
  2. Shannon CL, Klausner JD. The growing epidemic of sexually transmitted infections in adolescents: neglected population. Curr Opin Pediatr. 2018; 30(1): 137-143.
  3. Badan Pusat Statistik. Survei Demografi dan Kesehatan 2017. Jakarta; 2017.
  4. Direktorat Pencegahan dan Pengendalian Penyakit (P2P) Kementerian Kesehatan Republik Indonesia. Program pengendalian HIV AIDS dan PIMA (Fasilitaskesehatantingkatpertama). Jakarta: Indonesia; 2017.
  5. Cunningham MS, Skrastins E, Fitzpatrick R, et al. Cervical cancer screening and human papillomavirus vaccine acceptability among rural and urban women in Kilimanjaro Region, Tanzania. BMJ Open. 2015;5:1–10.
  6. World Health Organization. Cervical Cancer [internet]. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer#:~:text=HPV%20vaccines%20work%20best%20if,in%20males%20as%20well%20as. Accessed on March 20, 2022.
  7. Wigle J, CoastE, and Watson-Jones, D. Human papillomavirus (HPV) vaccine implementation in low and middle-income countries (LMICs): health system experiences and prospects, Vaccine. Elsevier Ltd. 2013; 31(37): 3811–3817.
  8. Napolitano F, Napolitano P, Liguori G, Angelillo IF. Human papillomavirus infection and vaccination: knowledge and attitudes among young males in Italy. Hum Vaccine Immunother. 2016; 12(6): 1504-1510.
  9. Ayuningtyas D, Sutrisnawati NND. Indonesia’s readiness to implement the HPV vaccine mandatory for school age. Health Sci J Indones. 2018; 9(2): 108-18.
  10. Kementerian Kesehatan RI. InfodatinReproduksiRemaja-Ed. Pdf, pp. 1–8; 2015.
  11. Karneli NK, Suwiyoga K, Sudibya A. Parental willingness to pay the cervical cancer vaccination cost of senior high school aged students in Badung Regency. Public Health and Preventive Medicine Archive. 2013;1:70–77.
  12. Middleman A. School-located vaccination for adolescents: Past, present, and future and implications for HPV vaccine delivery. Hum Vaccines Immunother. 2016;12: 1-7.
  13. Lismidiati W, Emilia O, Widyawati. Model intervensi takespro HPV untuk peningkatan perilaku vaksinasi HPV di sekolah. Disertasi. Universitas Gadjah Mada. 2019.
  14. Dong C, Cao S, Li H. Young children's online learning during COVID-19 pandemic: Chinese parents' beliefs and attitudes. Child Youth Serv Rev; 2020;118: 105440.
  15. Sabiq AF. Persepsi orang tua siswa tentang kegiatan belajar di rumah sebagai dampak penyebaran COVID-19. Civic-Culture: Jurnal Ilmu Pendidikan PKn dan Sosial Budaya, 2020;4 (1Extra): 1-7.
  16. Santhanes D, Wong CP, Yap YY, San SP, Chaiyakunapruk N, Khan TM. Factors involved in human papillomavirus (HPV) vaccine hesitancy among women in the South-East Asian Region (SEAR) and Western Pacific Region (WPR): a scoping review. Hum Vaccin Immunother. 2018; 14(1): 124-133.
  17. Staras SA, Vadaparampil ST, Patel RP, Shenkman EA. Parent perceptions important for HPV vaccine initiation among low-income adolescent girls. Vaccine. 2014; 32(46): 6163-6169.
  18. Jaspers L, Budiningsih S, Wolterbeek R, Henderson FC, Peters AA. Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: a cross-sectional study. Vaccine. 2011; 29(44): 7785-7793.
  19. Putra WP, Kasmiarno KS. (2020). Pengaruh Covid-19 terhadap kehidupan masyarakat Indonesia: Sektor Pendidikan, Ekonomi dan Spiritual Keagamaan. POROS ONIM: Jurnal Sosial Keagamaan, 1(2), pp. 144-159.
  20. Lestari A, Gunawan. The impact of COVID-19 pandemic on learning implementation of primary and secondary school levels. Indonesian Journal of Elementary and Childhood Education; 2020;1 (2):58-63.
  21. Lismidiati W, Emilia O, Widyawati. Need vs financing capability: Human papillomavirus vaccination among adolescents. Asian Pac J Cancer Prev. 2019;20 (10):2959-64



DOI: https://doi.org/10.22146/jcoemph.69099

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