“I just signed”: Factors influencing decision-making for school-based HPV vaccination of adolescent girls.

2010 ◽  
Vol 29 (6) ◽  
pp. 618-625 ◽  
Author(s):  
Spring Chenoa Cooper Robbins ◽  
Diana Bernard ◽  
Kirsten McCaffery ◽  
Julia M. L. Brotherton ◽  
S. Rachel Skinner
2021 ◽  
pp. 1-46
Author(s):  
Eric Edmonds ◽  
Ben Feigenberg ◽  
Jessica Leight

Abstract More than 98 million adolescent girls are not in school. Can girls inuence their schooling without changes in their family's economic environment? In Rajasthan, India, we examine the impact of a school-based life skills program that seeks to address low aspirations, narrow societal roles for girls and women, restricted networks of social support, and limited decision-making power. We find the intervention causes a 25 percent decline in school dropout that persists from seventh grade through the transition to high school. Improvements in socioemotional support among girls exposed to the intervention seem especially important in their decision to stay in school.


2020 ◽  
Vol 20 (4) ◽  
pp. 270-281
Author(s):  
Grace Saul ◽  
Aïssa Diarra ◽  
Andrea J. Melnikas ◽  
Sajeda Amin

This article uses qualitative data from Niger to examine adolescent girls’ perceptions of their own agency in marriage decisions and contextual factors influencing these perceptions. We find that girls make marital decisions within a context that stresses parental consent and community approval, places a high value on obedience, and is constrained by limited opportunities, gendered distribution of labor, and dominant social norms promoting an early and narrow ‘window of opportunity’ for marriage. Findings demonstrate that interventions aiming to delay marriage in Niger must work to influence both community norms supporting child marriage and girls’ own motivations in martial decision-making.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252310
Author(s):  
Cynthia Riviere ◽  
Tatiana Bell ◽  
Yonie Cadot ◽  
Christian Perodin ◽  
Benedict Charles ◽  
...  

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.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e13056-e13056
Author(s):  
Dilyara Kaidarova ◽  
Zhanna Chingissova ◽  
Zaure Dushimova ◽  
Yerlan Kukubassov ◽  
Alma Zhylkaidarova ◽  
...  

e13056 Background: Cervical cancer (CC) is the second most frequent cancer of women after breast cancer. Prophylactic vaccines for human papillomavirus (HPV) are being introduced in many countries more than 10 years ago. The standardized incidence of СС in Kazakhstan (KZ) in 2017 was 17.1 per 100,000 women. From 2013 to 2016, there was a pilot project of school-based HPV vaccination of adolescent girls in four districts of KZ. Vaccination was carried out with two vaccines (Gardasil and Cervarix) on the choice of parents in a three-dose regimen. Due to the high rejection of vaccination, this program was completed in 2016. Aim of study was to analyze the results of HPV vaccination in KZ. Methods: The results of vaccination of adolescent girls from 9 to 15 years old were evaluated. We analyzed database registry of Kazakhstani vaccinated girls to evaluate vaccine coverage in four district of KZ. Results: A total 11,648 adolescent girls were fully vaccinated during the pilot program for 2013-2016. The average age of the vaccinated is 12.67 ± 1.04. In 2013, immunization was performed for 1,816 girls aged 11–13 years. In 2014, the age range of the target group was expanded to 15 years. The number of vaccinated girls increased to 5,699 adolescent girls. 7,136 girls were fully vaccinated in 2015. 10,004 girls have not received full doses of vaccine. Overall coverage rates of fully vaccinated were 14.8%. The majority of coverage results was stastically similar except for Almaty, where coverage was higher than the average coverage (17.9% vs. 14.8%, p < 0.05). Conclusions: Pilot project of vaccination in Kazakhstan was declared unsuccessful. This situation is associated with a lack of information campaigns on vaccination. This findings highlights the need for phased implementation of vaccination through an educational campaign of parents.


2020 ◽  
Vol 7 (2) ◽  
pp. 213-222
Author(s):  
Nonik Ayu Wantini ◽  
Novi Indrayani

Infeksi HPV dan pre kanker serviks (sel-sel abnormal pada leher rahim yang dapat menyebabkan kanker) telah menurun secara signifikan sejak vaksin HPV digunakan.Cakupan vaksinasi HPV masih rendah di Indonesia.Orang tua adalah pemegang tanggung jawab dan kewajiban utama di dalam penjaminan pemenuhan hak dasar anak untuk mendapatkan vaksinasi. Tujuan penelitian adalah untuk mengetahui faktor yang berhubungan (sikap, kepercayaan, dukungan orang tua) dengan kesediaan vaksinasi pada remaja putri. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak dan SMPN 1 Berbah, Sleman pada Mei-Juli 2019. Jumlah sampel 127 remaja putri beserta orang tuanya dipilih dengan accidental sampling. Instrumen kuesioner dan telah dilakukan uji validitas. Analisis bivariat dengan uji chi square (dukungan instrumen, emosional, kepercayaan orang tua) dan uji fisher exact (dukungan informasi dan sikap). Hasil penelitian menunjukkan 92,9% orang tua tidak memberikan dukungan informasi, 85% tidak memberikan dukungan instrumen, 75,6% memberikan dukungan emosional kepada putrinya terkait vaksinasi. Faktor yang berhubungan dengan kesediaan vaksinasi adalah dukungan instrumen (p-value = 0,048). Faktor yang menjadi pertimbangan terbanyak orang tua untuk mengijinkan anaknya di vaksinasi adalah keamanan vaksin (81,1%). Kesimpulan: Ada hubungan dukungan instrumen orang tua dengan kesediaan vaksinasi HPV pada remaja putri. HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since HPV vaccine has been in use. HPV vaccination coverage is still low in Indonesia. Parents are the main responsibility and obligation in guaranteeing the fulfillment of the child's basic rights to get a vaccination. The purpose of this study was to determine the related factors (attitudes, beliefs, parental support) with the willingness to participate in HPV vaccination among adolescent girls. This type of the study was analytic survey with cross sectional approach. The study was conducted at SD Muhammadiyah Macanan, Ngemplak and SMPN 1 Berbah, Sleman in May-July 2019. The sample was 127 adolescent girl and their parents selected by accidental sampling. The instrument used questionnaire and already undergone validity test. The bivariate analysis used chi square test (instrument and emotional support, parental trust) and fisher exact test (information support and attitude). The results showed 92.9% of parents did not provide information support, 85% did not provide instrument support, 75.6% provided emotional support to their daughters related to vaccination. Factors related to the willingness of vaccinations were instrument support (p-value = 0.048). The factor that was considered by most parents to allow their children to be vaccinated was vaccine safety (81.1%). Conclusion: There was a correlation between parental instrument support and HPV vaccination willingness of adolescent girls.


Author(s):  
Thu T. Do

This chapter presents an overview of aspects that may influence women and men religious on their religious vocational decision during their childhood with their family and parish, their attendance of primary and secondary school, their participation in parish life, and their college years. The influential aspects addressed are: attending Mass regularly and devotional practices, having the opportunity to discuss and receive encouragement from others to discern a religious vocation, the witness of men and women religious, and being engaged in youth and voluntary ministry programs. The chapter concludes that while not every individual religious has opportunities to experience these activities in various environments before he or she decides to enter religious life, all the aspects complement one another and have an impact on religious vocational discernment and decision-making.


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