HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors
AUTOR(ES)
Piñeros, Marion, Wiesner, Carolina, Cortés, Claudia, Trujillo, Lina María
FONTE
Cadernos de Saúde Pública
DATA DE PUBLICAÇÃO
2010-05
RESUMO
In most developing countries, HPV vaccines have been licensed but there are no national policy recommendations, nor is it clear how decisions on the introduction of this new vaccine are made. Decentralization processes in many Latin American countries favor decision-making at the local level. Through a qualitative study we explored knowledge regarding the HPV vaccine and the criteria that influence decision-making among local health actors in four regions of Colombia. We conducted a total of 14 in-depths interviews with different actors; for the analysis we performed content analysis. Results indicate that decision-making on the HPV vaccine at the local level has mainly been driven by pressure from local political actors, in a setting where there is low technical knowledge of the vaccine. This increases the risk of initiatives that may foster inequity. Local decisions and initiatives need to be strengthened technically and supported by national-level decisions, guidelines and follow-up.
Documentos Relacionados
- The evolution of modern medicine in a developing country: Ghana 1880–1960
- Prevalence of dementia subtypes in a developing country: a clinicopathological study
- The establishment of an academic health sciences library in a developing country: a case study.
- An economic study of neuro-oncological patients in a large developing country: a cost analysis
- Knowledge and acceptability of HPV vaccine among HPV-vaccinated and unvaccinated adolescents at Western Amazon