title: Evaluation of human papilloma virus (HPV) vaccination strategies and vaccination coverage in adolescent girls worldwide.
abstract: OBJECTIVE
  An analysis of HPV vaccination strategies and vaccination coverage in adolescent girls worldwide for the last eight years with regard to potential improvement of vaccination coverage rates in Poland.
  
  
  METHODS
  Literature search, covering the period 2006-2014, was performed using Medline. Comparative analysis of HPV vaccination strategies and coverage between Poland and other countries worldwide was conducted.
  
  
  RESULTS
  In the last eight years, a number of countries introduced HPV vaccination for adolescent girls to their national immunization programmes. Vaccination strategies differ, consequently affecting vaccination coverage, ranging from several percent to more than 90%. Usually, there are also disparities at national level. The highest HPV vaccination coverage rates are observed in countries where vaccines are administered in school settings and funded from the national budget. Poland is one of the eight EU countries where HPV vaccination has not been introduced to mandatory immunization programme and where paid vaccination is only provided in primary health care settings. HPV vaccination coverage in adolescent girls is estimated at 7.5-10%.
  
  
  CONCLUSIONS
  Disparities in HPV vaccination coverage rates in adolescent girls worldwide may be due to different strategies of vaccination implementation between countries. Having compared to other countries, the low HPV vaccination coverage in Polish adolescent girls may result from the lack of funding at national level and the fact that vaccines are administered in a primary health care setting. A multidimensional approach, involving the engagement of primary health care and school personnel as well as financial assistance of government at national and local level and the implementation of media campaigns, particularly in regions with high incidence of cervical cancer, could result in an increase of HPV vaccination coverage rates in Poland.
authors: Multispecialty Hospital in Zgorzelec.
authors: Barbara
authors: B
authors: Owsianka
authors: Department of Public Health, Pomeranian Medical University in Szczecin.
authors: Maria
authors: M
authors: Gańczak
mesh_terms: D000293:Adolescent; D005260:Female; D014943:Global Health; D054625:Healthcare Disparities; D006801:Humans; D017589:Immunization Programs / Q000191:economics / Q000458:organization & administration*; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D009313:National Health Programs / Q000458:organization & administration; D030361:Papillomavirus Infections / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000191:economics; D011044:Poland; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014611:Vaccination / Q000191:economics / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines