Conference abstract
Factors associated with low adherence of childrenʼs parents to human papillomavirus vaccine in Nkolndongo health district
Pan African Medical Journal - Conference Proceedings. 2023:17(124).04
Jun 2023.
doi: 10.11604/pamj-cp.2023.17.124.1509
Archived on: 04 Jun 2023
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Keywords: Factors, parents of children, HPV vaccine, Human Papillomavirus
Oral presentation
Factors associated with low adherence of childrenʼs parents to human papillomavirus vaccine in Nkolndongo health district
Ketchaji Alice1, Njajou Omer1, Liapeumeu Marina Sendrale1,&
1Directorate for Disease Control, Epidemics and Pandemics, Yaoundé, Cameroon
&Corresponding author
Introduction: Human Papillomavirus (HPV) is the most common cause of viral infection of the reproductive tract and causes a wide range of conditions in both women and men, including pre-cancerous lesions that can progress to cancer. To reduce the incidence of these infections, three vaccines have been proposed, but it is clear that adherence to them is low in the Nkolndongo health district. This is why we set ourselves the objective of identifying the factors associated with low adherence to the anti-HPV vaccine among parents of children in the Nkolndongo health district.
Methods: this was a cross-sectional study combining qualitative and quantitative approaches that was conducted in the Nkolndongo Health District over a period of 7 months from December 2021 to July 2022. The primary study population consisted of parents of children aged 9 years and older and the head of the Nkolndongo health district, the EPI focal point of the Nkolndongo health district, and immunization managers as secondary targets. Non-probability sampling by convenience was conducted, including individual interviews. Quantitative data were collected using a questionnaire and qualitative data using an individual interview guide. The quantitative data were collected in Excel, and Word and analyzed with SPSS software. A logistic regression was used to estimate the odds ratios.
Results: during this study, 422 parents of children and 9 health personnel were interviewed. The results show that the level of knowledge of parents of children about HPV infections is acceptable (95.7%) but very low with regard to HPV vaccination (29.1%). The significant factors associated with the low adherence of the children's parents were: Vaccine price (OR=0.98; [95%CI 0.97 - 0.99]; p-value =0.00020), religious beliefs (OR=0.99; [95%CI 0.98-0.99]; p-value =0.03634), culture (lack of knowledge (OR=0 .81; [95%CI 0.81-0.82]; p-value =0.00, negative knowledge (OR=0.95; [95%CI 0.93-0.98]; p-value = 0.00163), lack of access to health facilities (OR=0.98; [95%CI0.97-0.99]; p-value =0.02239). Other factors related to the health system include insufficient communication, the large number of vaccine doses, lack of training and unavailability of vaccines.
Conclusion: in view of the above findings, there is a need to develop safe and effective communication and outreach methods to increase adherence to the HPV vaccine.
Factors associated with low adherence of childrenʼs parents to human papillomavirus vaccine in Nkolndongo health district
Ketchaji Alice1, Njajou Omer1, Liapeumeu Marina Sendrale1,&
1Directorate for Disease Control, Epidemics and Pandemics, Yaoundé, Cameroon
&Corresponding author
Introduction: Human Papillomavirus (HPV) is the most common cause of viral infection of the reproductive tract and causes a wide range of conditions in both women and men, including pre-cancerous lesions that can progress to cancer. To reduce the incidence of these infections, three vaccines have been proposed, but it is clear that adherence to them is low in the Nkolndongo health district. This is why we set ourselves the objective of identifying the factors associated with low adherence to the anti-HPV vaccine among parents of children in the Nkolndongo health district.
Methods: this was a cross-sectional study combining qualitative and quantitative approaches that was conducted in the Nkolndongo Health District over a period of 7 months from December 2021 to July 2022. The primary study population consisted of parents of children aged 9 years and older and the head of the Nkolndongo health district, the EPI focal point of the Nkolndongo health district, and immunization managers as secondary targets. Non-probability sampling by convenience was conducted, including individual interviews. Quantitative data were collected using a questionnaire and qualitative data using an individual interview guide. The quantitative data were collected in Excel, and Word and analyzed with SPSS software. A logistic regression was used to estimate the odds ratios.
Results: during this study, 422 parents of children and 9 health personnel were interviewed. The results show that the level of knowledge of parents of children about HPV infections is acceptable (95.7%) but very low with regard to HPV vaccination (29.1%). The significant factors associated with the low adherence of the children's parents were: Vaccine price (OR=0.98; [95%CI 0.97 - 0.99]; p-value =0.00020), religious beliefs (OR=0.99; [95%CI 0.98-0.99]; p-value =0.03634), culture (lack of knowledge (OR=0 .81; [95%CI 0.81-0.82]; p-value =0.00, negative knowledge (OR=0.95; [95%CI 0.93-0.98]; p-value = 0.00163), lack of access to health facilities (OR=0.98; [95%CI0.97-0.99]; p-value =0.02239). Other factors related to the health system include insufficient communication, the large number of vaccine doses, lack of training and unavailability of vaccines.
Conclusion: in view of the above findings, there is a need to develop safe and effective communication and outreach methods to increase adherence to the HPV vaccine.
