Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review

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dc.contributor.authorDeignan, Caroline
dc.contributor.authorSwartz, Alison
dc.contributor.authorCooper, Sara
dc.contributor.authorColvin, Christopher J
dc.date.accessioned2021-10-12T14:16:59Z
dc.date.available2021-10-12T14:16:59Z
dc.date.issued2021-05-12
dc.date.updated2021-05-24T15:10:28Z
dc.description.abstractCervical cancer rates in Sub-Saharan Africa (SSA) are amongst the highest worldwide. All three of the Human Papillomavirus (HPV) vaccines (9-valent, quadrivalent and bivalent HPV vaccine) provide primary protection against the most common cancer-causing strains of HPV (types 16 and 18) that are known to cause 70% of cervical cancers. Over the last five years, there has been an increase in Sub-Saharan African countries that have introduced the HPV vaccine. The majority of research has been conducted on supply-side barriers and facilitators to HPV vaccination uptake in SSA, yet little research has been conducted on demand-side or end-user perspectives of, and decisions around, HPV vaccination. In order to complement existing research, and inform current and future HPV vaccination implementation approaches, this qualitative systematic review explored Stakeholders’ understandings of HPV vaccination in SSA. This review searched the following databases: Embase (via Scopus), Scopus, MEDLINE (via PubMed), PubMed, EBSCOhost, Academic Search Premier, Africa-Wide Information, CINAHL, PsycARTICLES, PsycINFO, SocINDEX, Web of Science, and the Cochrane Controlled Register of Trials (CENTRAL) and found a total of 259 articles. Thirty-one studies were found eligible for inclusion and were analyzed thematically using Braun and Clarke’s methods for conducting a thematic analysis. The quality of included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklist. Three major themes emerged from this analysis; knowledge of HPV vaccination and cervical cancer is intertwined with misinformation; fear has shaped contradictory perceptions about HPV vaccination and gender dynamics are relevant in how stakeholders understand HPV vaccination in SSA.en_US
dc.identifier10.3390/vaccines9050496
dc.identifier.apacitationDeignan, C., Swartz, A., Cooper, S., & Colvin, C. J. (2021). Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review. <i>Vaccines</i>, 9(5), 496. http://hdl.handle.net/11427/35214en_ZA
dc.identifier.chicagocitationDeignan, Caroline, Alison Swartz, Sara Cooper, and Christopher J Colvin "Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review." <i>Vaccines</i> 9, 5. (2021): 496. http://hdl.handle.net/11427/35214en_ZA
dc.identifier.citationDeignan, C., Swartz, A., Cooper, S. & Colvin, C.J. 2021. Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review. <i>Vaccines.</i> 9(5):496. http://hdl.handle.net/11427/35214en_ZA
dc.identifier.ris TY - Journal Article AU - Deignan, Caroline AU - Swartz, Alison AU - Cooper, Sara AU - Colvin, Christopher J AB - Cervical cancer rates in Sub-Saharan Africa (SSA) are amongst the highest worldwide. All three of the Human Papillomavirus (HPV) vaccines (9-valent, quadrivalent and bivalent HPV vaccine) provide primary protection against the most common cancer-causing strains of HPV (types 16 and 18) that are known to cause 70% of cervical cancers. Over the last five years, there has been an increase in Sub-Saharan African countries that have introduced the HPV vaccine. The majority of research has been conducted on supply-side barriers and facilitators to HPV vaccination uptake in SSA, yet little research has been conducted on demand-side or end-user perspectives of, and decisions around, HPV vaccination. In order to complement existing research, and inform current and future HPV vaccination implementation approaches, this qualitative systematic review explored Stakeholders’ understandings of HPV vaccination in SSA. This review searched the following databases: Embase (via Scopus), Scopus, MEDLINE (via PubMed), PubMed, EBSCOhost, Academic Search Premier, Africa-Wide Information, CINAHL, PsycARTICLES, PsycINFO, SocINDEX, Web of Science, and the Cochrane Controlled Register of Trials (CENTRAL) and found a total of 259 articles. Thirty-one studies were found eligible for inclusion and were analyzed thematically using Braun and Clarke’s methods for conducting a thematic analysis. The quality of included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklist. Three major themes emerged from this analysis; knowledge of HPV vaccination and cervical cancer is intertwined with misinformation; fear has shaped contradictory perceptions about HPV vaccination and gender dynamics are relevant in how stakeholders understand HPV vaccination in SSA. DA - 2021-05-12 DB - OpenUCT DP - University of Cape Town IS - 5 J1 - Vaccines LK - https://open.uct.ac.za PY - 2021 T1 - Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review TI - Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review UR - http://hdl.handle.net/11427/35214 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/35214
dc.identifier.vancouvercitationDeignan C, Swartz A, Cooper S, Colvin CJ. Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review. Vaccines. 2021;9(5):496. http://hdl.handle.net/11427/35214.en_ZA
dc.language.isoenen_US
dc.publisher.departmentDepartment of Public Health and Family Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.sourceVaccinesen_US
dc.source.journalissue5en_US
dc.source.journalvolume9en_US
dc.source.pagination496en_US
dc.source.urihttps://www.mdpi.com/journal/vaccines
dc.titleStakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Reviewen_US
dc.typeJournal Articleen_US
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