Table 3.
Challenges with the HPV vaccination program reported by the health workers, school health coordinators, village health workers, and community leaders surveyed for the HPV vaccination program feasibility and acceptability surveys, Zimbabwe, January–February 2020.
| Health workers (N = 56) |
School health coordinators (N = 55) |
Village health workers (N = 55) |
Community leaders (N = 55) |
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|---|---|---|---|---|---|---|---|---|
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|
|
|
|
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| n | (%) | n | (%) | n | (%) | n | (%) | |
| Reported biggest challenge related to the HPV program | ||||||||
| Transportation of staff and supplies (fuel shortages/cost, the lack of vehicles) | 21 | (38) | 9 | (16) | 14 | (25) | 13 | (24) |
| Lack of funds for delivering vaccine (health worker per diem, etc.) | 19 | (34) | 5 | (9) | 8 | (15) | 6 | (11) |
| Staff shortages to conduct vaccination sessions | 14 | (25) | 7 | (13) | 1 | (2) | 5 | (9) |
| Inadequate training | 9 | (16) | 12 | (22) | 14 | (25) | 4 | (7) |
| Inadequate social mobilization activities/materials | 9 | (16) | 20 | (36) | 15 | (27) | 17 | (31) |
| Lack of registers, tally sheets, cards, etc. | 8 | (14) | 5 | (9) | 4 | (7) | 2 | (4) |
| Increased workload | 5 | (9) | 3 | (5) | 1 | (2) | 0 | (0) |
| Community resistance | 5 | (9) | 16 | (29) | 9 | (16) | 7 | (13) |
| Tracking girls/recording/reporting | 4 | (7) | 2 | (4) | 1 | (2) | 4 | (7) |
| Lack of understanding of the delivery model/eligibility criteria | 2 | (4) | 13 | (24) | 14 | (25) | 19 | (36) |
| HPV vaccine stock outs | 1 | (2) | 2 | (4) | 0 | (0) | 0 | (0) |
| Difficulty identifying eligible girls (out-of-school) | 1 | (2) | 1 | (2) | 0 | (0) | 2 | (4) |
| Geographic accessibility | 1 | (2) | 0 | (0) | 1 | (2) | 4 | (7) |
| Other | 0 | (0) | 5 | (9) | 4 | (7) | 4 | (7) |
| No challenges reported | 7 | (13) | 11 | (20) | 12 | (22) | 16 | (29) |