Table 2.
Strategies used, obstacles, and difficulties reported by the institutions, Gardasil Access Program 2009-2014 (N = 23)
| Number | Percent | |
|---|---|---|
| Vaccination sensitization strategies | ||
| No sensitization conducted | 1 | 4.3 |
| At least one sensitization conducted | 22 | 95.7 |
| Sensitizations conducted | ||
| Meetings in the communities | 22 | 100 |
| Meetings with girls to be vaccinated | 22 | 100 |
| Media campaigns (radio, TV, newspapers) | 17 | 77.2 |
| Meetings with mothers at time of cervical cancer screening | 13 | 59.1 |
| Obstacles for vaccination reported by the parents | ||
| No obstacle reported | 4 | 17.4 |
| At least one obstacle reported | 19 | 82.6 |
| Obstacles reported | ||
| Vaccination is a way to sterilize the girls | 11 | 57.9 |
| Vaccine is not safe | 8 | 42.1 |
| Vaccination only for girls and not for boys | 7 | 36.8 |
| Vaccination is a family planning medication | 5 | 26.3 |
| Girls aged 9 years are too young to receive vaccination | 5 | 26.3 |
| Vaccination is not effective in preventing HPV infection and cervical cancer | 4 | 21.1 |
| Vaccination gives girls permission to have sex | 3 | 15.8 |
| Strategies to reach girls lost to follow-up | ||
| No strategy implemented | 0 | 0 |
| At least one strategy implemented | 23 | 100 |
| Strategies implemented | ||
| Teachers and school administration contact | 17 | 73.9 |
| Phone calls to girls or family | 15 | 65.2 |
| Community leader contact | 13 | 56.5 |
| Visit to girl at home | 8 | 34.8 |
| Religious leader contact | 2 | 8.7 |
| Girls’ peers | 2 | 8.7 |
| Obstacles for girls’ follow-up | ||
| No challenge reported | 3 | 13.0 |
| At least one obstacle reported | 20 | 87.0 |
| Obstacles reported | ||
| Girls have changed schools or move away | 16 | 80.0 |
| School vacation or examination | 11 | 55.0 |
| Incorrect reporting or lack of details on identity | 8 | 40.0 |
| Limited transportation vehicles available | 7 | 35.0 |
| Limited financial resources available | 7 | 35.0 |
| Limited human resources available | 5 | 25.0 |
| Difficulties of supply chain management | ||
| No difficulty reported | 10 | 43.5 |
| At least one difficulty reported | 13 | 56.5 |
| Difficulties reported | ||
| Vaccines reached expiration date | 6 | 46.2 |
| Difficulties in transporting unused vaccines from sites | 5 | 38.5 |
| Projections of vaccine needed on site did not match number of girls in the field | 3 | 23.1 |
| Insufficient storage capacity at site level | 1 | 7.7 |
| Vaccines damaged during transportation to site | 1 | 7.7 |
| Difficulty of data management | ||
| No difficulty reported | 7 | 30.4 |
| At least one difficulty reported | 16 | 69.6 |
| Difficulties reported | ||
| Reports from vaccination sites were not received in time | 14 | 87.5 |
| Reports from vaccination sites were incomplete or incorrect | 7 | 43.8 |
| The system in place was time-intensive and cumbersome | 3 | 18.8 |