Success of community approach to HPV vaccination in school-based and non-school-based settings in Haiti

PLoS One. 2021 Jun 24;16(6):e0252310. doi: 10.1371/journal.pone.0252310. eCollection 2021.

Abstract

Objectives: To assess the success of a human papillomavirus (HPV) vaccination program among adolescent girls aged 9-14 years in Haiti and to understand predictors of completion of a two-dose HPV vaccination series.

Methods: Data collection was conducted during HPV vaccination campaigns in Port-au-Prince between August 2016 and April 2017. Descriptive statistics and logistic regression models were used to examine characteristics associated with vaccination series completion of school based and non-school based vaccination delivery modalities.

Results: Of the 2,445 adolescent girls who participated in the awareness program, 1,994 participants (1,307 in non-school program, 687 in school program) received the first dose of the vaccine; 1,199 (92%) in the non-school program and 673 (98%) in the school program also received the second dose. Menarche (OR: 1.87; 95% CI, 1.11-3.14), if the participant was a prior patient at the GHESKIO clinics (OR: 2.17; 95% CI, 1.32-3.58), and participating in the school-based program (OR: 4.17; 95% CI, 2.14-8.12) were significantly associated with vaccination completion.

Conclusions: Vaccination in school- and non-school-based settings was successful, suggesting that a nationwide HPV vaccination campaign using either approach would be successful using either approach.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Community Health Services
  • Female
  • Haiti / epidemiology
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Immunization Programs / methods*
  • Male
  • Middle Aged
  • Papillomaviridae / drug effects*
  • Papillomaviridae / immunology
  • Papillomavirus Infections / epidemiology
  • Papillomavirus Infections / prevention & control*
  • Papillomavirus Infections / virology
  • Papillomavirus Vaccines / administration & dosage*
  • Patient Acceptance of Health Care*
  • Schools / statistics & numerical data*
  • Vaccination / statistics & numerical data*
  • Young Adult

Substances

  • Papillomavirus Vaccines