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

Health Policy and Planning
Deborah Watson-JonesDavid A Ross

Abstract

Human 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. A 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. Fourteen 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...Continue Reading

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Citations

Feb 8, 2020·International Journal of Adolescent Medicine and Health·Marni SommerVenkatraman Chandra-Mouli
Nov 14, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Somesh KumarPaul Bloem
Jul 17, 2019·Gynecologic Oncology Reports·Ava S RungeKrishnansu S Tewari
Jul 27, 2021·Tropical Medicine & International Health : TM & IH·Hilary WhitworthDeborah Watson-Jones
Dec 26, 2021·The International Journal of Health Planning and Management·Albino KaloloStephen M Kibusi

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