PDF(Pubmed)
Abstract：
A rapid review was conducted to explore the implementation determinants of human papillomavirus (HPV) vaccination in the World Health Organization African Region and describe their dynamic relationship. PubMed and Google Scholar were searched in October 2023 to find relevant literature. A total of 64 published studies that reported factors affecting HPV vaccination were identified. Analysis of identified factors yielded 74 implementation determinants of HPV vaccination across the five domains of the Consolidated Framework for Implementation Research (CFIR): two (2.70%) were in the innovation domain, seven (9.46%) were in the outer setting domain, 14 (18.92%) were in the inner setting domain, 37 (50%) were in the individual domain and 14 (18.92%) were in the implementation process domain. A causal loop diagram of these implementation determinants revealed four balancing and seven reinforcing loops. Applying systems lens promoted a more holistic understanding of the implementation determinants of HPV vaccination, exposing leverage points for interventions.
摘要：
进行了快速审查，以探索世界卫生组织非洲区域人乳头瘤病毒（HPV）疫苗接种的实施决定因素，并描述它们的动态关系。在2023年10月搜索了PubMed和GoogleScholar，以查找相关文献。确定了总共64项已发表的研究，这些研究报告了影响HPV疫苗接种的因素。对确定的因素的分析产生了在实施研究综合框架（CFIR）的五个领域中的74个HPV疫苗接种实施决定因素：两个（2.70％）在创新领域，七个(9.46%)在外部设置域，14人(18.92%)在内部设置领域，37（50％）在单个域中，14（18.92％）在实施过程域中。这些实现决定因素的因果循环图显示了四个平衡和七个增强循环。应用系统透镜促进了对HPV疫苗接种实施决定因素的更全面理解，暴露干预的杠杆点。
