HPV vaccine introduction at the local level in a developing country: attitudes and criteria among key actors

Detalhes bibliográficos
Autor(a) principal: Piñeros,Marion
Data de Publicação: 2010
Outros Autores: Wiesner,Carolina, Cortés,Claudia, Trujillo,Lina María
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.
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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
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