PDF(Pubmed)
Abstract：
Cervical cancer can be prevented, primarily by the administration of the human papillomavirus (HPV) vaccine. Healthcare workers (HCWs) and teachers play important roles when schools are used for vaccine delivery; however, challenges exist. This study aimed to understand the barriers and facilitators to HPV vaccination that are perceived by HCWs and teachers. Guided by the consolidated framework for implementation research (CFIR), key informant interviews were conducted in Lusaka district between June 2021 and November 2021 using a semi-structured questionnaire. Recorded interviews were transcribed verbatim and imported into NVIVO 12 for data management and analysis. We coded transcripts inductively and deductively based on the adapted CFIR codebook. We reached saturation with 23 participants. We identified barriers and facilitators across the five CFIR domains. Facilitators included offering the HPV vaccine free of charge, HPV vaccine effectiveness, stakeholder engagement, and timely planning of the HPV vaccination. Barriers included vaccine mistrust due to its perceived novelty, low levels of parental knowledge, myths and misinformation about the vaccine, lack of parental consent to vaccinate daughters, lack of transport for vaccination outreach, lack of staff incentives, and inadequate sensitisation. Using the CFIR as a guiding framework, we have identified implementation barriers and facilitators to HPV vaccination among HCWs and teachers. Most of the identified barriers are modifiable, hence it is prudent that these are addressed for a high HPV vaccine uptake.
摘要：
宫颈癌是可以预防的,主要通过施用人乳头瘤病毒（HPV）疫苗。当学校用于疫苗接种时，医护人员(HCWs)和教师发挥着重要作用；然而，挑战存在。这项研究旨在了解HCWs和教师认为的HPV疫苗接种障碍和促进因素。在实施研究综合框架(CFIR)的指导下，2021年6月至2021年11月,在卢萨卡地区使用半结构化问卷进行了关键线人访谈.记录的访谈被逐字转录并导入到NVIVO12中进行数据管理和分析。我们基于自适应的CFIR码本对转录本进行归纳和演绎编码。我们达到了23名参与者的饱和。我们确定了五个CFIR领域的障碍和促进者。主持人包括免费提供HPV疫苗，HPV疫苗的有效性，利益相关者参与，及时规划HPV疫苗接种。障碍包括疫苗由于其新颖性而不信任，父母知识水平低，关于疫苗的神话和错误信息，没有父母同意给女儿接种疫苗，缺乏疫苗接种推广的运输，缺乏员工激励，和不充分的敏感性。使用CFIR作为指导框架，我们已经在HCWs和教师中确定了HPV疫苗接种的实施障碍和促进因素.大多数已确定的障碍都是可修改的，因此,谨慎的做法是,针对高HPV疫苗摄入量来解决这些问题.
