Evidence map›Paper›PMID 26768827›Full record

ArticleHealth policy and planning2016

Feasibility and acceptability of delivering adolescent health interventions alongside HPV vaccination in Tanzania.

Deborah Watson-Jones, Shelley Lees, Joseph Mwanga, Nyasule Neke, John Changalucha, Nathalie Broutet, Ibrahim Maduhu, Saidi Kapiga, Venkatraman Chandra-Mouli, Paul Bloem and 1 more

Abstract read
In one paragraph

Article in Health policy and planning, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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  16. Acting on the call: A framework for action for rapid acceleration of access to the HPV vaccination in low- and lower-middle-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Deborah Watson-JonesFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK, Mwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, P O Box 11936, Tanzania.
Shelley LeesFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Joseph MwangaNational Institute for Medical Research, Mwanza, P O Box 1462, Tanzania.
Nyasule NekeNational Institute for Medical Research, Mwanza, P O Box 1462, Tanzania.
John ChangaluchaNational Institute for Medical Research, Mwanza, P O Box 1462, Tanzania.
Nathalie BroutetWorld Health Organization, Geneva, Switzerland.
Ibrahim MaduhuImmunization and Vaccine Development, Ministry of Health & Social Welfare, Dar es Salaam, Tanzania and.
Saidi KapigaFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK, MRC Tropical Epidemiology Group, Faculty of Epidemiology and Public Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Venkatraman Chandra-MouliWorld Health Organization, Geneva, Switzerland.
Paul BloemWorld Health Organization, Geneva, Switzerland.
David A RossMRC Tropical Epidemiology Group, Faculty of Epidemiology and Public Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.

Funding

Medical Research Council G0901756World Health Organization 001
6 · The paper itself

Abstract

backgroundHuman papillomavirus (HPV) vaccination offers an opportunity to strengthen provision of adolescent health interventions (AHI). We explored the feasibility of integrating other AHI with HPV vaccination in Tanzania.

methodsA desk review of 39 policy documents was preceded by a stakeholder meeting with 38 policy makers and partners. Eighteen key informant interviews (KIIs) with health and education policy makers and district officials were conducted to further explore perceptions of current programs, priorities and AHI that might be suitable for integration with HPV vaccination.

resultsFourteen school health interventions (SHI) or AHI are currently being implemented by the Government of Tanzania. Most are delivered as vertical programmes. Coverage of current programs is not universal, and is limited by financial, human resource and logistic constraints. Limited community engagement, rumours, and lack of strategic advocacy has affected uptake of some interventions, e.g. tetanus toxoid (TT) immunization. Stakeholder and KI perceptions and opinions were limited by a lack of experience with integrated delivery and AHI that were outside an individual's area of expertise and experience. Deworming and educational sessions including reproductive health education were the most frequently mentioned interventions that respondents considered suitable for integrated delivery with HPV vaccine.

conclusionsGiven programme constraints, limited experience with integrated delivery and concern about real or perceived side-effects being attributed to the vaccine, it will be very important to pilot-test integration of AHI/SHI with HPV vaccination. Selected interventions will need to be simple and quick to deliver since health workers are likely to face significant logistic and time constraints during vaccination visits.

Indexed as

Adolescent HealthHealth PromotionPatient Acceptance of Health CareAdolescentDelivery of Health CareFeasibility StudiesFemaleHealth PolicyHumansImmunization ProgramsPapillomavirus VaccinesSchool Health ServicesTanzaniaVaccinationPapillomavirus VaccinesAdolescenthealthHPVintegrationTanzaniavaccine

Identifiers

PMID26768827
PMCPMC4916316

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.