The feasibility of universal HPV vaccination program in Shenzhen of China: a health policy analysis
| العنوان: | The feasibility of universal HPV vaccination program in Shenzhen of China: a health policy analysis |
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| المؤلفون: | Eliza Wong, Ruirui Chen |
| المصدر: | BMC Public Health BMC Public Health, Vol 19, Iss 1, Pp 1-10 (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, China, Adolescent, 030209 endocrinology & metabolism, Context (language use), Health administration, 03 medical and health sciences, 0302 clinical medicine, Universal Health Insurance, medicine, Stakeholder analysis, Humans, 030212 general & internal medicine, Papillomavirus Vaccines, Policy Making, Health policy, HPV vaccination, business.industry, Immunization Programs, Public health, lcsh:Public aspects of medicine, Health Policy, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Public relations, Local government, Accountability, Feasibility Studies, Female, Universal coverage, Thematic analysis, business, Research Article |
| الوصف: | Background HPV vaccination for the prioritized adolescent girls is well accepted and implemented in developed countries as an effective measure for cervical cancer prevention and control with increasing population-level effectiveness evidence accumulated. This study is to assess the feasibility of universal HPV vaccination among adolescent girls to inform strategies to manage political dimensions of policy-making process in Shenzhen, China, offering insights for other low- and middle-income countries undergoing HPV vaccine introduction. Methods Document review and in-depth interviews with identified stakeholders were conducted. The framework of Health Policy Triangle was adapted to guide data collection and analysis in terms of context, actors, process and content. Stakeholder analysis examining actors’ position, power, role and interest and thematic analysis focusing on data coding and theme development were used. Results Shenzhen’s contextual factors include legislative authority under a unitary political system, economic developments and cultural values on immunization and sexuality. Stakeholders’ position and power could be explained by their role and interest in the Top-down health administration. Mothers could be potential bystanders if having little knowledge on HPV vaccination. Themes in policy-making process were problem definition, advocacy activities to promote HPV vaccination, HPV vaccine demand and access, the role of media and political attention on evidence-informed policy-making in Shenzhen. These stakeholders also discussed different aspects of program planning prospectively. Conclusions Shenzhen witnesses a possibility of demonstration projects for local government’s horizontal accountability but no potential advocates were identified at local level for fragmented organization of public health facilities and health professionals’ lacking mobilization skills. A cervical cancer prevention expert could be a policy entrepreneur. Despite of these challenges, the recommendations to enhance the feasibility include multi-participation to engage non-governmental organizations, pharmaceuticals, target girls and their mothers, power enforcement along governing system, as well as better use of the media. |
| تدمد: | 1471-2458 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fedd3b8d3fffadcac77b61934e4998ddTest https://pubmed.ncbi.nlm.nih.gov/31221112Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fedd3b8d3fffadcac77b61934e4998dd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712458 |
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