Table 3.
Human Papillomavirus (HPV) vaccine delivery—Health worker and school personnel responses for the HPV vaccine program community awareness, feasibility, and acceptability surveys, Tanzania, October–November 2019.
| Health Workers N = 165 | School Personnel N = 135 | |||
|---|---|---|---|---|
| HPV Vaccine Delivery | n | (%) | n | (%) |
| Where can girls receive the HPV vaccine? 1 | ||||
| Health Facility | 132 | (80) | 134 | (99) |
| Primary School | 146 | (88) | 81 | (60) |
| Secondary School | 84 | (51) | 58 | (43) |
| Community Outreach | 19 | (12) | 4 | (3) |
| Community Mobile Outreach | 19 | (12) | 6 | (4) |
| Other | 7 | (4) | 5 | (4) |
| How often does this health facility offer HPV vaccination at primary schools (health workers) or this primary school (school personnel)? 2 | ||||
| >2 times/month | 10 | (7) | 13 | (20) |
| 1–2 times/month | 77 | (53) | 28 | (44) |
| <1 time/month | 59 | (40) | 22 | (34) |
| Don’t Know | – | – | 1 | (2) |
| How often does this health facility offer HPV vaccination at a secondary school (health workers) or this secondary school (school personnel)? 3 | ||||
| >2 times/month | 3 | (4) | 2 | (6) |
| 1–2 times/month | 48 | (57) | 15 | (45) |
| <1 time/month | 33 | (39) | 16 | (49) |
| Don’t Know | – | – | 0 | (0) |
| How are you informed when HPV vaccine will be offered at this school? 1,4 | ||||
| From the school headmaster | – | – | 22 | (23) |
| From the Ministry of Education | – | – | 5 | (5) |
| From the health worker | – | – | 84 | (87) |
| Informed during previous visit of next visit | – | – | 3 | (3) |
| In your opinion, where do the majority of girls receive HPV vaccine? 5 | ||||
| Health facility | 34 | (21) | – | – |
| Primary School | 85 | (51) | – | – |
| Secondary School | 46 | (28) | – | – |
| HPV Vaccination Program Feasibility | ||||
| Did your health facility add any additional outreach effort for HPV vaccination? 5 | ||||
| Yes | 145 | (88) | – | – |
| No | 20 | (12) | – | – |
| Location added for outreach or increased frequency 1,5,6 | ||||
| Primary school | 112 | (77) | – | – |
| Secondary School | 74 | (51) | – | – |
| Community Outreach Sites | 56 | (39) | – | – |
| Mobile Clinics | 37 | (26) | – | – |
| What effect has the introduction of HPV vaccine had on your workload? 7 | ||||
| Greatly increased | 4 | (3) | 4 | (3) |
| Somewhat increased | 47 | (28) | 54 | (40) |
| No difference | 114 | (69) | 77 | (57) |
| Somewhat decreased | 0 | (0) | 0 | (0) |
| Greatly decreased | 0 | (0) | 0 | (0) |
| How well integrated is HPV vaccine into the routine immunization program? (Kilimanjaro region only; health workers, n = 36; school personnel, n = 23) | ||||
| Very integrated | 14 | (38) | 2 | (9) |
| Somewhat integrated | 11 | (31) | 10 | (43) |
| Not very integrated | 11 | (31) | 11 | (48) |
Multiple responses allowed.
Among those indicating HPV vaccine is offered at primary schools (health workers, n = 146) or at their primary school (school personnel, n = 64).
Among those indicating HPV vaccine is offered at secondary schools (health workers, n = 84) or their secondary school (school personnel, n = 33).
Question not asked of health workers; among school personnel indicating that HPV vaccine is offered at their school (n = 97).
Question not asked of school personnel.
Among those indicating that their health facility added additional outreach efforts for HPV vaccination (n = 145).
Among those who indicated that their workload has “greatly increased” or “somewhat increased since the introduction of HPV vaccine (health workers: n = 51, school personnel: n = 58), 100% reported manageable workload.