Health systems and immunization financing for human papillomavirus vaccine introduction in low-resource settings

被引:32
作者
Biellik, Robin [2 ]
Levin, Carol
Mugisha, Emmanuel [3 ]
LaMontagne, D. Scott [1 ]
Bingham, Allison
Kaipilyawar, Satish [4 ]
Gandhi, Sanjay [5 ]
机构
[1] PATH, Reprod Hlth, Seattle, WA 98107 USA
[2] PATH, CH-1278 La Rippe, Switzerland
[3] PATH, Kampala, Uganda
[4] PATH, Commissionerate Family Welf, Hyderabad 500095, Andhra Pradesh, India
[5] PATH, Bombay 400093, Maharashtra, India
基金
比尔及梅琳达.盖茨基金会;
关键词
HPV vaccine; Health system; Vaccine delivery; PARTICLE VACCINE; YOUNG-WOMEN; DOUBLE-BLIND; EFFICACY; TYPE-18; INFECTION; ISSUES;
D O I
10.1016/j.vaccine.2009.08.003
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This descriptive qualitative study synthesizes health system and immunization financing assessments performed through formative research in India, Peru, Uganda, and Vietnam using a non-probability sample of national and sub-national stakeholders; and recommends appropriate and effective strategies for HPV vaccine delivery in low-resource settings. We conclude that maximum feasibility and acceptability and lowest cost for delivering HPV vaccine can be achieved by implementing through national immunization programs; by partnering with other sectors, such as education and maternal-child health; by strengthening existing human resources and cold chain infrastructures where needed; and finally, by considering schools for reaching the target population. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:6203 / 6209
页数:7
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