HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors
Autor(a) principal: | |
---|---|
Data de Publicação: | 2010 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000500012 |
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. |
id |
FIOCRUZ-5_95cc12bf5145c483b6f6f230750fedfd |
---|---|
oai_identifier_str |
oai:scielo:S0102-311X2010000500012 |
network_acronym_str |
FIOCRUZ-5 |
network_name_str |
Cadernos de Saúde Pública |
repository_id_str |
|
spelling |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actorsPapillomavirus VaccinesUterine Cervical NeoplasmsHealth PolicyIn 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.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2010-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000500012Cadernos de Saúde Pública v.26 n.5 2010reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2010000500012info:eu-repo/semantics/openAccessPiñeros,MarionWiesner,CarolinaCortés,ClaudiaTrujillo,Lina Maríaeng2010-06-11T00:00:00Zoai:scielo:S0102-311X2010000500012Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2010-06-11T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
title |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
spellingShingle |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors Piñeros,Marion Papillomavirus Vaccines Uterine Cervical Neoplasms Health Policy |
title_short |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
title_full |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
title_fullStr |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
title_full_unstemmed |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
title_sort |
HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors |
author |
Piñeros,Marion |
author_facet |
Piñeros,Marion Wiesner,Carolina Cortés,Claudia Trujillo,Lina María |
author_role |
author |
author2 |
Wiesner,Carolina Cortés,Claudia Trujillo,Lina María |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Piñeros,Marion Wiesner,Carolina Cortés,Claudia Trujillo,Lina María |
dc.subject.por.fl_str_mv |
Papillomavirus Vaccines Uterine Cervical Neoplasms Health Policy |
topic |
Papillomavirus Vaccines Uterine Cervical Neoplasms Health Policy |
description |
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. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000500012 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000500012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2010000500012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.26 n.5 2010 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115730314362880 |