Table 2 Strategies used, obstacles, and difficulties reported by the institutions, Gardasil Access Program 2009-2014 (N = 23)
Number | Percent | |
|---|---|---|
Vaccination sensitization strategies | ||
No sensitization conducted | 1 | 4.3 |
At least one sensitization conducted | 22 | 95.7 |
Sensitizations conducted | ||
Meetings in the communities | 22 | 100 |
Meetings with girls to be vaccinated | 22 | 100 |
Media campaigns (radio, TV, newspapers) | 17 | 77.2 |
Meetings with mothers at time of cervical cancer screening | 13 | 59.1 |
Obstacles for vaccination reported by the parents | ||
No obstacle reported | 4 | 17.4 |
At least one obstacle reported | 19 | 82.6 |
Obstacles reported | ||
Vaccination is a way to sterilize the girls | 11 | 57.9 |
Vaccine is not safe | 8 | 42.1 |
Vaccination only for girls and not for boys | 7 | 36.8 |
Vaccination is a family planning medication | 5 | 26.3 |
Girls aged 9 years are too young to receive vaccination | 5 | 26.3 |
Vaccination is not effective in preventing HPV infection and cervical cancer | 4 | 21.1 |
Vaccination gives girls permission to have sex | 3 | 15.8 |
Strategies to reach girls lost to follow-up | ||
No strategy implemented | 0 | 0 |
At least one strategy implemented | 23 | 100 |
Strategies implemented | ||
Teachers and school administration contact | 17 | 73.9 |
Phone calls to girls or family | 15 | 65.2 |
Community leader contact | 13 | 56.5 |
Visit to girl at home | 8 | 34.8 |
Religious leader contact | 2 | 8.7 |
Girls’ peers | 2 | 8.7 |
Obstacles for girls’ follow-up | ||
No challenge reported | 3 | 13.0 |
At least one obstacle reported | 20 | 87.0 |
Obstacles reported | ||
Girls have changed schools or move away | 16 | 80.0 |
School vacation or examination | 11 | 55.0 |
Incorrect reporting or lack of details on identity | 8 | 40.0 |
Limited transportation vehicles available | 7 | 35.0 |
Limited financial resources available | 7 | 35.0 |
Limited human resources available | 5 | 25.0 |
Difficulties of supply chain management | ||
No difficulty reported | 10 | 43.5 |
At least one difficulty reported | 13 | 56.5 |
Difficulties reported | ||
Vaccines reached expiration date | 6 | 46.2 |
Difficulties in transporting unused vaccines from sites | 5 | 38.5 |
Projections of vaccine needed on site did not match number of girls in the field | 3 | 23.1 |
Insufficient storage capacity at site level | 1 | 7.7 |
Vaccines damaged during transportation to site | 1 | 7.7 |
Difficulty of data management | ||
No difficulty reported | 7 | 30.4 |
At least one difficulty reported | 16 | 69.6 |
Difficulties reported | ||
Reports from vaccination sites were not received in time | 14 | 87.5 |
Reports from vaccination sites were incomplete or incorrect | 7 | 43.8 |
The system in place was time-intensive and cumbersome | 3 | 18.8 |