Strategies to vaccinate against cancer of the cervix: Feasibility of a school-based HPV vaccination program in Peru

被引:37
作者
Penny, Mary [1 ]
Bartolini, Rosario [1 ]
Rocio Mosqueira, N. [1 ]
Scott LaMontagne, D. [2 ]
Ana Mendoza, Maria [4 ]
Ramos, Irma [3 ]
Winkler, Jennifer L. [2 ]
Villafana, Jose [4 ]
Janmohamed, Amynah [2 ]
Jumaan, Aisha O. [2 ]
机构
[1] Inst Invest Nutr, Lima, Peru
[2] PATH, Seattle, WA USA
[3] PATH, Lima, Peru
[4] Estrategia Sanitaria Nacl Immunizac, Lima, Peru
关键词
Cervical cancer; HPV vaccination; Peru; RANDOMIZED CONTROLLED-TRIAL; HEPATITIS-B VACCINATION; HUMAN-PAPILLOMAVIRUS; PARTICLE VACCINE; EFFICACY;
D O I
10.1016/j.vaccine.2011.04.078
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Operational research using a mixed method, cross-sectional, case-study approach assessed the feasibility and health system impact of large-scale implementation of human papillomavirus (HPV) vaccination into routine vaccine delivery by the Ministry of Health in Peru. The strategy was school-based vaccination of fifth grade girls in 527 primary schools in Piura region. Our evaluation showed that school-based HPV vaccination is feasible without major changes in existing health systems. This was reflected in the opinions of health personnel, the lack of impact on other vaccine coverage, and the high HPV vaccine coverage documented in routine records and by an independent community-based survey. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:5022 / 5030
页数:9
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