The Acceptability of Pharmacy-Based HPV Vaccination in Western Kenya among Pharmacy Clients and Providers.

The Acceptability of Pharmacy-Based HPV Vaccination in Western Kenya among Pharmacy Clients and Providers.
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DOI:
10.3390/vaccines11121808
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发表时间:
2023-12-02
期刊:
影响因子:
7.8
通讯作者:
Ortblad KF
Ortblad KF
中科院分区:
医学3区
文献类型:
--
作者:
Zhang S;Kwach B;Omollo V;Asewe M;Malen RC;Shah PD;Odoyo J;Mugo N;Ngure K;Bukusi EA;Ortblad KF

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人类乳头瘤病毒(HPV)疫苗覆盖率在全球范围内仍然很低,需要采用差异化的疫苗接种模式来扩大接种范围。基于药物的HPV疫苗接种模型可能会使可能受益的女性参与其中。我们评估了这种模式的可接受性之间的药房客户和供应商在基苏穆县,肯尼亚的20家私人药房。在问卷调查中,参与者(≥18岁)被问及他们对评估可接受性理论框架(TFA)中概述的不同可接受性组成结构的陈述的同意程度(5分量表)。于2022年3月至6月,1500名药房客户及40名供应商参与并完成问卷调查。大多数来访者喜欢干预(TFA:情感态度; 96%,1435/1500),并不认为很难获得(TFA:负担; 93%,1399/1500)。所有提供者都同意干预可以减少HPV感染(TFA:感知有效性),并对他们能够提供干预(TFA:自我效能)感到有信心。在已经接受或计划在未来接受HPV疫苗的客户中,一半(50%,178/358)更喜欢基于药店的HPV疫苗接种。在这项研究中,大多数肯尼亚药房客户和供应商认为药房提供的HPV疫苗接种是高度可接受的;然而,需要更多的研究来测试这种新型疫苗在非洲的可行性和有效性。
Vaccine coverage for the human papillomavirus (HPV) remains low globally, and differentiated models of vaccine delivery are needed to expand access. Pharmacy-based models of the HPV vaccination may engage women who could benefit. We assessed the acceptability of such a model among pharmacy clients and providers at 20 private pharmacies in Kisumu County, Kenya. In questionnaires, participants (≥18 years) were asked the extent they agreed (5-point scale) with statements that assessed different acceptability component constructs outlined in the Theoretical Framework of Acceptability (TFA). From March to June 2022, 1500 pharmacy clients and 40 providers were enrolled and completed questionnaires. Most clients liked the intervention (TFA: affective attitude; 96%, 1435/1500) and did not think it would be hard to obtain (TFA: burden; 93%, 1399/1500). All providers agreed the intervention could reduce HPV infection (TFA: perceived effectiveness) and felt confident they could deliver it (TFA: self-efficacy). Among the clients who had received or were planning to receive the HPV vaccine in the future, half (50%, 178/358) preferred a pharmacy-based HPV vaccination. In this study, most Kenyan pharmacy clients and providers perceived a pharmacy-delivered HPV vaccination as highly acceptable; however, more research is needed to test the feasibility and effectiveness of this novel vaccine delivery model in Africa.
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影响因子: 5.2
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