Health systems and immunization financing for human papillomavirus vaccine introduction in low-resource settings.
This descriptive qualitative study synthesizes health system and immunization financing assessments performed through formative research in India, Peru, Uganda, and Vietnam using a non-probability sample of national and sub-national stakeholders; and recommends appropriate and effective strategies for HPV vaccine delivery in low-resource settings. We conclude that maximum feasibility and acceptability and lowest cost for delivering HPV vaccine can be achieved by implementing through national immunization programs; by partnering with other sectors, such as education and maternal-child health; by strengthening existing human resources and cold chain infrastructures where needed; and finally, by considering schools for reaching the target population.
Biellik
Robin
R
PATH, Tranchepied 10, 1278 La Rippe, Switzerland.
Levin
Carol
C
Mugisha
Emmanuel
E
LaMontagne
D Scott
DS
Bingham
Allison
A
Kaipilyawar
Satish
S
Gandhi
Sanjay
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care; D003906:Developing Countries / Q000191:economics; D005260:Female; D017048:Health Care Costs; D006291:Health Policy; D006801:Humans; D017589:Immunization Programs / Q000191:economics*; D007194:India; D007223:Infant; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000191:economics*; D010568:Peru; D011314:Preventive Health Services / Q000458:organization & administration*; D015397:Program Evaluation; D014454:Uganda; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014744:Vietnam
D053918:Papillomavirus Vaccines