Table 5.

Provider's views supporting and opposing school-based provision of HPV vaccines.

SUPPORTING SCHOOL-LOCATED VACCINATION	Improve vaccination coverage (n=12) “It would definitely lead to higher immunization rates and I think when you have these adolescents, it's just hard to deliver a preventative service to adolescents in general, and for the school to participate in that process, I think would be helpful” –Physician, public practice
	Decrease barriers/increase access (n=4) “I think anything you can do to make it easier. I would offer it at the YMCA, I would offer it any of a number of places” –Physician, public practice
	Captive audience (n=3) “I think all vaccines should be given in schools, I think it would be wonderful, a captive population.” –Physician, private practice
	Positive Peer Influence (n=2) “I think that actually might help, knowing that your peers are getting it.” –Physician, private practice
OPPOSING SCHOOL-BASED PROVISION	Concern of inadequate documentation (n=5) “The record-keeping so that it comes back to the doctor is a nightmare. How would I know then know who's getting it in the schools, who isn't, what the dates are, did they get all 3, they did the kids move?” –Physician, private practice “It's hard to do if you don't have good information exchange, because for a nurse with confidence to know that you haven't received the vaccine is important, because they don't want to over immunize, and so registries and things like that are really important.” –Physician, public practice
	Waiting period/Lack of backup in case of serious reaction (n=5) “I think the thing is you don't have the back up if you ever have a reaction to anything”—Nurse, public practice “Logistically if you have to do this, you know, it's unlike a flu where you give it and you can just walk out the door. You're supposed to wait 15 minutes and that's you know, you have this line up of 40 you know, 12 y olds, 14 y olds whatever it is waiting there with a nurse and then a secretary, I mean you have, it's logistically very difficult I would think to give a large volume in a school where you have all these kids who are sitting in the nurse's office for 15 minutes and checking them before they leave” – Physician, private practice
	Increase burden on schools (n=2) “It would create work for schools. The nurses would have to do more work to document completely.”– Physician, public practice
	Erode primary care (n=2) “I'm sure it would be more cost effective if all vaccines were given in schools but at the same time there's so much that pediatricians do for families in terms of anticipatory guidance and support and not just medical, I mean we also examine the child, it's very important to rule out all kinds of things that can happen in childhood.”—Physician, private practice
	HPV shouldn't be treated differently than other vaccines (n= 2) “I'd have to know why, what would be the reason for doing this particular one in the school, as opposed to the DTaP or the Menactra or anything else?—Physician, private practice

^*Total numbers of quotes do not equal total numbers of respondents as some respondents gave more than one reason, while others answered yes or no to questions but did not explain their reasoning.