title: Formative research to shape HPV vaccine introduction strategies in Peru.
abstract: OBJECTIVE
  To understand the sociocultural environment, health systems' capacities, and policy processes related to cervical cancer and HPV vaccines in order to inform HPV vaccine introduction.
  
  
  METHODS
  Mixed-method formative research using qualitative and quantitative data collection techniques. Participants included girls, parents, community leaders, health and education officials, and policymakers.
  
  
  RESULTS
  Respondents, including policymakers, generally supported HPV vaccine introduction, due partly to appreciation for the benefits of vaccination and the desire to prevent cancer. Community-level concerns regarding safety and quality of services will need to be addressed. The immunization system in Peru is strong and has capacity for including the HPV vaccine.
  
  
  CONCLUSIONS
  Formative research provides key insights to help shape an effective program for HPV vaccine introduction.
authors.affiliation: Instituto de Investigación Nutricional, Lima, Perú
authors.forename: Rosario M
authors.initials: RM
authors.lastname: Bartolini
authors.forename: Jennifer Kidwell
authors.initials: JK
authors.lastname: Drake
authors.forename: Hilary M
authors.initials: HM
authors.lastname: Creed-Kanashiro
authors.forename: Margarita M
authors.initials: MM
authors.lastname: Díaz-Otoya
authors.forename: Nelly Rocío
authors.initials: NR
authors.lastname: Mosqueira-Lovón
authors.forename: Mary E
authors.initials: ME
authors.lastname: Penny
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Winkler
authors.forename: D Scott
authors.initials: DS
authors.lastname: LaMontagne
authors.forename: Allison
authors.initials: A
authors.lastname: Bingham
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006266:Health Education; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000150:complications / Q000517:prevention & control; D053918:Papillomavirus Vaccines; D010290:Parents; D010568:Peru; D011634:Public Health; D036301:Qualitative Research; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control / Q000821:virology; D014611:Vaccination
chemical_list: D053918:Papillomavirus Vaccines