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Barriers to the HPV vaccination program in the Eastern Mediterranean region: a narrative review
Hakimi, Sevil; Lami, Faris; Allahqoli, Leil; Alkatout, Ibrahim.
Afiliación
  • Hakimi S; Tabriz University of Medical Science, Research Center of Psychiatry and Behavioral Sciences, Tabriz, Iran
  • Lami F; Department of Family and Community Medicine, College of Medicine, University of Baghdad, Baghdad, Iraq
  • Allahqoli L; Ministry of Health and Medical Education, Tehran, Iran
  • Alkatout I; Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany
J Turk Ger Gynecol Assoc ; 24(1): 48-56, 2023 03 15.
Article en En | MEDLINE | ID: mdl-36583290
Objective: The human papillomavirus (HPV) vaccine is regarded as one of the most effective ways of preventing cervical cancer. Despite the massive burden of this disease, only two countries in the Eastern Mediterranean Region (EMR) have implemented a national HPV vaccination program. The aim of the present study was to assess the main barriers to the integration of HPV vaccination in the national vaccination programs of EMR countries. Material and Methods: We performed a narrative review with no inclusion and exclusion criteria. The electronic databases we searched included Medline, Scopus, Embase, and Web of Science (last update; December 2021). The search was not subject to any limitation in terms of time or method. Studies that dealt with the obstacles or the needs of vaccination programs in EMR countries were included in the investigation. Results: After a full-text screening, the report comprised of 31 studies from 15 EMR countries. All of the studies were descriptive. The most common barriers to HPV vaccination are the following: a) lack of knowledge and awareness, b) economic barriers in terms of the cost-effectiveness of the HPV vaccination program, c) social insecurity in conflict zones, d) cultural norms and religion. Conclusion: EMR countries should focus on modifiable barriers to the vaccination program. Steps to improve HPV vaccination coverage in these countries should include enhancing social awareness and mobilization, ensuring the support of the Global Alliance for Vaccines and Immunization in eligible countries, using national resources in an optimal way, and addressing HPV vaccination in undergraduate medicine and paramedic curriculums.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Implementation_research Idioma: En Revista: J Turk Ger Gynecol Assoc Año: 2023 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Implementation_research Idioma: En Revista: J Turk Ger Gynecol Assoc Año: 2023 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Turquía