title: Implementation of the Australian HPV vaccination program for adult women: qualitative key informant interviews.
abstract: This study sought to evaluate the early implementation of Australia's national HPV vaccination program for adult women aged 18-26 years. We conducted qualitative in-depth interviews with 24 program managers and primary care providers in key roles of implementation across the country. While participants had generally positive beliefs about the vaccine, some questioned the cost-effectiveness for women aged 18-26 years. A short timeframe for implementing a unique and complex program raised particular challenges including ensuring providers and consumers received timely access to information. Media attention helped and hindered implementation. Existing primary care systems and close coordination between players helped overcome these issues. Although challenging, delivery of HPV vaccination to adult women is achievable and the Australian experience provides useful information for countries commencing HPV vaccination programs in this population.
authors.affiliation: National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Westmead, NSW 2145, Australia. JulieL3@chw.edu.au
authors.forename: Julie
authors.initials: J
authors.lastname: Leask
authors.forename: Cath
authors.initials: C
authors.lastname: Jackson
authors.forename: Lyndal
authors.initials: L
authors.lastname: Trevena
authors.forename: Kirsten
authors.initials: K
authors.lastname: McCaffery
authors.forename: Julia
authors.initials: J
authors.lastname: Brotherton
mesh_terms: D001315:Australia; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D015397:Program Evaluation; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014611:Vaccination / Q000523:psychology
chemical_list: D053918:Papillomavirus Vaccines