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Uptake of three doses of HPV vaccine by primary school girls in Eldoret, Kenya : a prospective cohort study in a malaria endemic setting

(2018) BMC CANCER. 18.
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Abstract
Background: All women are potentially at risk of developing cervical cancer at some point in their life, yet it is avoidable cause of death among women in Sub- Saharan Africa with a world incidence of 530,000 every year. It is the 4th commonest cancer affecting women worldwide with over 260,000 deaths reported in 2012. Low resource settings account for over 75% of the global cervical cancer burden. Uptake of HPV vaccination is limited in the developing world. WHO recommended that 2 doses of HPV vaccine could be given to young girls, based on studies in developed countries. However in Africa high rates of infections like malaria and worms can affect immune responses to vaccines, therefore three doses may still be necessary. The aim of this study was to identify barriers and facilitators associated with uptake of HPV vaccine. Methods: A cross-sectional survey was conducted at Eldoret, Kenya involving 3000 girls aged 9 to 14 years from 40 schools. Parents/guardians gave consent through a questionnaire. Results: Of all 3083 the school girls 93.8% had received childhood vaccines and 63.8% had a second HPV dose, and 39. 1% had a third dose. Administration of second dose and HPV knowledge were both strong predictors of completion of the third dose. Distance to the hospital was a statistically significant risk factor for non-completion (P: 0.01). Conclusions: Distance to vaccination centers requires a more innovative vaccine-delivery strategy and education of parents/guardians on cervical screening to increase attainment of the HPV vaccination.
Keywords
Kenya, Gardasil, HPV vaccination, Determinants, Parents/guardians, Malaria, HUMAN-PAPILLOMAVIRUS, DEVELOPING-COUNTRIES, CERVICAL-CANCER, ACCEPTABILITY, RESPONSES, IMMUNOGENICITY, IMMUNIZATION, INFECTIONS, AFRICA, BCG

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Chicago
Mabeya, Hillary, Sonia Menon, Steven Weyers, Violet Naanyu, Emily Waleghwa Mwaliko, Elijah Kirop, Omenge Orango, Heleen Vermandere, and Davy Vanden Broeck. 2018. “Uptake of Three Doses of HPV Vaccine by Primary School Girls in Eldoret, Kenya : a Prospective Cohort Study in a Malaria Endemic Setting.” Bmc Cancer 18.
APA
Mabeya, H., Menon, S., Weyers, S., Naanyu, V., Mwaliko, E. W., Kirop, E., Orango, O., et al. (2018). Uptake of three doses of HPV vaccine by primary school girls in Eldoret, Kenya : a prospective cohort study in a malaria endemic setting. BMC CANCER, 18.
Vancouver
1.
Mabeya H, Menon S, Weyers S, Naanyu V, Mwaliko EW, Kirop E, et al. Uptake of three doses of HPV vaccine by primary school girls in Eldoret, Kenya : a prospective cohort study in a malaria endemic setting. BMC CANCER. 2018;18.
MLA
Mabeya, Hillary, Sonia Menon, Steven Weyers, et al. “Uptake of Three Doses of HPV Vaccine by Primary School Girls in Eldoret, Kenya : a Prospective Cohort Study in a Malaria Endemic Setting.” BMC CANCER 18 (2018): n. pag. Print.
@article{8561959,
  abstract     = {Background: All women are potentially at risk of developing cervical cancer at some point in their life, yet it is avoidable cause of death among women in Sub- Saharan Africa with a world incidence of 530,000 every year. It is the 4th commonest cancer affecting women worldwide with over 260,000 deaths reported in 2012. Low resource settings account for over 75\% of the global cervical cancer burden. Uptake of HPV vaccination is limited in the developing world. WHO recommended that 2 doses of HPV vaccine could be given to young girls, based on studies in developed countries. However in Africa high rates of infections like malaria and worms can affect immune responses to vaccines, therefore three doses may still be necessary. The aim of this study was to identify barriers and facilitators associated with uptake of HPV vaccine. 
Methods: A cross-sectional survey was conducted at Eldoret, Kenya involving 3000 girls aged 9 to 14 years from 40 schools. Parents/guardians gave consent through a questionnaire. 
Results: Of all 3083 the school girls 93.8\% had received childhood vaccines and 63.8\% had a second HPV dose, and 39. 1\% had a third dose. Administration of second dose and HPV knowledge were both strong predictors of completion of the third dose. Distance to the hospital was a statistically significant risk factor for non-completion (P: 0.01). 
Conclusions: Distance to vaccination centers requires a more innovative vaccine-delivery strategy and education of parents/guardians on cervical screening to increase attainment of the HPV vaccination.},
  articleno    = {557},
  author       = {Mabeya, Hillary and Menon, Sonia and Weyers, Steven and Naanyu, Violet and Mwaliko, Emily Waleghwa and Kirop, Elijah and Orango, Omenge and Vermandere, Heleen and Vanden Broeck, Davy},
  issn         = {1471-2407},
  journal      = {BMC CANCER},
  keyword      = {Kenya,Gardasil,HPV vaccination,Determinants,Parents/guardians,Malaria,HUMAN-PAPILLOMAVIRUS,DEVELOPING-COUNTRIES,CERVICAL-CANCER,ACCEPTABILITY,RESPONSES,IMMUNOGENICITY,IMMUNIZATION,INFECTIONS,AFRICA,BCG},
  language     = {eng},
  pages        = {7},
  title        = {Uptake of three doses of HPV vaccine by primary school girls in Eldoret, Kenya : a prospective cohort study in a malaria endemic setting},
  url          = {http://dx.doi.org/10.1186/s12885-018-4382-x},
  volume       = {18},
  year         = {2018},
}

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