Table 4. Parents’ and guardians’ reasons for accepting or not accepting human papillomavirus (HPV) vaccination, India, Peru, Uganda and Viet Nam, 2008–2010.
| Vaccine delivery strategy | Peru |
Uganda |
Viet Nam |
India |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| School-based |
School-based |
Combined with Child Days Plus programme |
School-based |
Health-centre-based |
School- and health-centre-based, pulsed campaign at three time points |
School- and health-centre-based, monthly delivery |
||||||||||
| 2008 | 2008 | 2009 | 2008–2009 | 2009 | 2008–2009 | 2009–2010 | 2008–2009 | 2009–2010 | 2009–2010 | 2009–2010 | ||||||
| Survey respondents, no. | 575 | 400 | 280 | 361 | 448 | 500 | 285 | 280 | 219 | 1948 | 1973 | |||||
|
Reason for accepting full vaccinationa,b |
||||||||||||||||
| Responses, no. | 475 | 362 | 249 | 190 | 272 | 415 | 274 | 263 | 216 | 1617 | 1487 | |||||
| Protection against cervical cancer, no. (%) | 369 (78) | 248 (69) | 152 (61) | 104 (55) | 143 (53) | 203 (49) | 118 (43) | 116 (44) | 111 (51) | 859 (53) | 649 (44) | |||||
| Prevention of disease or infection, no. (%) | 13 (3) | 203 (56) | 109 (44) | 107 (56) | 144 (53) | 217 (52) | 208 (76) | 137 (52) | 144 (67) | 307 (19) | 176 (12) | |||||
| Vaccines thought good for health or wanted girl to be healthy, no. (%) | 20 (4) | 218 (60) | 138 (55) | 124 (65) | 154 (57) | 199 (48) | 117 (43) | 111 (42) | 96 (44) | 696 (43) | 520 (35) | |||||
| Any of the three reasons above, no. (%) | 388 (82) | 294 (81) | 210 (84) | 180 (95) | 228 (84) | 380 (92) | 253 (92) | 241 (92) | 203 (94) | 1530 (95) | 1010 (68) | |||||
| Other reasons for accepting full vaccination, no. (%) | ||||||||||||||||
| Government programme | 3 (< 1) | 66 (18) | 51 (21) | 13 (7) | 56 (21) | 81 (20) | 79 (29) | 31 (12) | 69 (32) | 11 (< 1) | 97 (7) | |||||
| Vaccine is free | 129 (27) | 8 (2) | 7 (3) | 22 (12) | 19 (7) | 53 (13) | 38 (14) | 36 (14) | 31 (14) | 59 (4) | 163 (11) | |||||
| Followed others’ advice | 81 (17) | 85 (23) | 15 (6) | 43 (23) | 81 (30) | 151 (36) | 77 (28) | 8 (3) | 41 (19) | 273 (17) | 772 (52) | |||||
| Information was convincing | 85 (18) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| School was providing it to every child | 11 (2) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28 (2) | 348 (23) | |||||
| Fear of cancer | NA | NA | 61 (24) | NA | 80 (29) | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| Knows someone who had cervical cancer | 0 | 18 (5) | 26 (10) | 10 (5) | 12 (4) | 16 (4) | 0 | 10 (4) | 0 | 0 | 5 (< 1) | |||||
| Reason for partial or non-vaccinationa | ||||||||||||||||
| Responses, no. | 100 | 38 | 31 | 171 | 176 | 85 | 11 | 17 | 3 | 331 | 486 | |||||
| School absenteeism, no. (%) | 21 (21) | 23 (61) | 29 (94) | 64 (37) | 73 (41) | 14 (17) | 3 (27) | 2 (12) | 1 (33) | 60 (18) | 86 (18) | |||||
| Programme-related issues, no. (%) | ||||||||||||||||
| Was not aware of the programme | 9 (9) | 3 (8) | 3 (10) | 50 (29) | 41 (23) | 5 (6) | 0 | 2 (12) | 0 | 99 (30) | 195 (40) | |||||
| Eligibility was difficult to determine | 4 (4) | 0 | 0 | 59 (35) | 30 (17) | 2 (2) | 0 | 5 (29) | 0 | 7 (2) | 16 (3) | |||||
| Vaccine-related issues, no. (%) | ||||||||||||||||
| Concerns about safety | 7 (7) | 0 | 1 (3) | 3 (2) | 10 (6) | 28 (33) | 5 (45) | 1 (6) | 0 | 23 (7) | 17 (3) | |||||
| Vaccine is new | 0 | 0 | 0 | 0 | 0 | 13 (15) | 0 | 2 (12) | 0 | 0 | 0 | |||||
| Vaccine is experimental | 26 (26) | 1 (3) | 0 | 0 | 0 | 4 (5) | 0 | 3 (18) | 0 | 0 | 0 | |||||
| Impact on fertility | 1 (1) | 0 | 1 (3) | 1 (< 1) | 1 (< 1) | 10 (12) | 0 | 0 | 0 | 0 | 1 (< 1) | |||||
| Insufficient information about the vaccine | 5 (5) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| Fear of injections | 8 (8) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 (2) | 52 (11) | |||||
| Do not believe vaccine is good for health | 0 | 0 | 0 | 0 | 0 | 27 (32) | 2 (18) | 1 (6) | 0 | 12 (4) | 4 (1) | |||||
| Allergic to vaccines | 23 (23) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| Followed the advice of others | 20 (20) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| Vaccine encourages early sexual activity | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
NA, not available.
a More than one response was allowed. Only the most frequently reported responses are presented and non-responses are not included. As a result, totals may not add to 100% of all responses.
b Full vaccination was defined as the receipt of all three vaccine doses.