PDF(Pubmed)
Abstract：
Barriers to successful implementation of the human papillomavirus vaccination exist. However, there is limited evidence on implementation strategies in sub-Saharan Africa (SSA). Therefore, this scoping review aimed to identify implementation strategies used in SSA to increase HPV vaccination uptake for adolescent girls. This scoping review was guided by Joanna Briggs Institute guidelines for scoping reviews and an a priori protocol and reported based on the Preferred Reporting Items for Systematic Reviews and Metanalysis for Scoping Reviews (PRISMA-ScR). We searched PubMed, EMBASE, CINAHL, Scopus, Google Scholar, and gray literature. Two independent reviewers screened article titles and abstracts for possible inclusion, reviewed the full text, and extracted data from eligible articles using a structured data charting table. We identified strategies as specified in the Expert Recommendation for Implementing Change (ERIC) and reported their importance and feasibility. We retrieved 246 articles, included 28 of these, and identified 63 of the 73 ERIC implementation strategies with 667 individual uses, most of which were highly important and feasible. The most frequently used discrete strategies included the following: Build a coalition and change service sites 86% (24/28), distribute educational materials and conduct educational meetings 82% (23/28), develop educational materials, use mass media, involve patients/relatives and families, promote network weaving and stage implementation scale up 79% (22/28), as well as access new funding, promote adaptability, and tailor strategies 75% (21/28). This scoping review shows that implementation strategies of high feasibility and importance were frequently used, suggesting that some strategies may be cross-cutting, but should be contextualized when planned for use in any region.
摘要：
存在成功实施人乳头瘤病毒疫苗接种的障碍。然而,关于撒哈拉以南非洲(SSA)实施战略的证据有限。因此,本范围审查旨在确定在SSA中使用的实施策略,以提高青春期女孩的HPV疫苗接种率.此范围审查由JoannaBriggsInstitute的范围审查指南和先验协议指导，并根据系统审查的首选报告项目和范围审查的元分析（PRISMA-ScR）进行报告。我们搜索了PubMed,EMBASE,CINAHL,Scopus,谷歌学者，灰色文学两名独立审稿人筛选了文章标题和摘要，以便可能包含在内，回顾全文，并使用结构化数据图表表从符合条件的文章中提取数据。我们确定了专家实施变更建议（ERIC）中指定的策略，并报告了其重要性和可行性。我们检索了246篇文章,包括其中的28个，并确定了73项ERIC实施策略中的63项，有667项单独用途，其中大多数是非常重要和可行的。最常用的离散策略包括：建立联盟并更改服务站点86％（24/28），分发教育材料和举办教育会议82%(23/28)，开发教育材料，使用大众媒体，涉及患者/亲属和家属，促进网络编织和阶段实施规模增长79%(22/28)，以及获得新的资金，促进适应性，和定制策略75%(21/28)。这项范围审查表明，高度可行性和重要性的实施策略被频繁使用，表明一些策略可能是交叉的，但当计划在任何地区使用时，都应将其上下文化。
