- Title
- Opportunities to increase rates of human papillomavirus vaccination in the New South Wales school program through enhanced catch-up
- Creator
- Staples, Christine; Butler, Michelle; Nguyen, Jennifer; Durrheim, David N.; Cashman, Patrick; Brotherton, Julia M. L.
- Relation
- Sexual Health Vol. 13, Issue 6, p. 536-539
- Publisher Link
- http://dx.doi.org/10.1071/SH15132
- Publisher
- CSIRO Publishing
- Resource Type
- journal article
- Date
- 2016
- Description
- Background: The National Human Papillomavirus (HPV) Vaccination Program provides HPV vaccine to high school students through school-based vaccination. We aimed to: 1) assess the vaccine completion rates achieved when general practice is used for completing doses missed at school; 2) estimate the extent of under-notification by general practices of vaccine doses administered; and 3) assess the reasons reported by parents of students for non-completion of HPV vaccination. Methods: A postal survey was conducted of parents and carers of students and identified, using school-program records, as incompletely vaccinated in a large regional area of northern NSW vaccinated during 2010. Information about additional HPV vaccine doses received or reasons for non-completion were sought. Responses were analysed and records cross-checked against the National HPV Vaccination Program Register. Results: Of 660 parents or carers contacted, 207 (31.4%) responded. We found: 1) completion rates increased, an additional 122/207 (45.2%) students had completed all three doses of HPV through their general practitioner (GP); 2) under-notification of GP doses to the National HPV Vaccination Program Register was an issue with only 5/165 (3.0%) reported; 3) the main reason for non-completion was being unaware of the opportunity to catch-up at a GP. Conclusions: Underreporting by GPs of HPV vaccine doses administered and failure to complete courses identifies two opportunities to increase HPV vaccine coverage. These could be addressed by extending provision of catch-up HPV doses in school and by developing practice software solutions for automatic notification of doses from GPs. Reasons given by parents for non-completion, mostly logistical barriers, indicate a high degree of acceptance of HPV vaccination.
- Subject
- Australia; HPV; immunisation
- Identifier
- http://hdl.handle.net/1959.13/1328250
- Identifier
- uon:25854
- Identifier
- ISSN:1448-5028
- Language
- eng
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