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Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania: qualitative insights from stakeholders

Health policy and planning, 2023-04, Vol.38 (4), p.486-495 [Peer Reviewed Journal]

The Author(s) 2023. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2023 ;The Author(s) 2023. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. ;The Author(s) 2023. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com ;ISSN: 1460-2237 ;ISSN: 0268-1080 ;EISSN: 1460-2237 ;DOI: 10.1093/heapol/czad014 ;PMID: 36779391

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Title:
Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania: qualitative insights from stakeholders
Author: Rosen, Joseph G ; Guillaume, Dominique ; Mlunde, Linda B ; Njiro, Belinda J ; Munishi, Castory ; Mlay, Davis ; Gerste, Amelia ; Holroyd, Taylor A ; Giattas, Mary Rose ; Morgan, Christopher ; Kyesi, Furaha ; Tinuga, Florian ; Ishengoma, Joseline ; Sunguya, Bruno F ; Limaye, Rupali J
Subjects: Administrators ; Adolescent ; Adolescent Health Services ; Adolescents ; Ambition ; Commodities ; Feasibility ; Feasibility Studies ; Health care facilities ; Health education ; Health initiatives ; Health promotion ; Health services ; Human papillomavirus ; Humans ; Immunization ; Implementation ; Interest groups ; Interviews ; Ordination ; Original ; Papillomavirus Infections - prevention & control ; Public officials ; Qualitative research ; Resource mobilization ; Scaling ; School Health Services ; Schools ; Staffing ; Stakeholders ; Sustainability ; Tanzania ; Teachers ; Vaccination ; Vaccines ; Workforce ; Workloads
Is Part Of: Health policy and planning, 2023-04, Vol.38 (4), p.486-495
Description: Abstract To meet lofty human papillomavirus (HPV) immunization goals in Tanzania, the Ministry of Health integrated HPV vaccination with adolescent health services using a school-based approach. A qualitative study was conducted in June–July 2021, examining the feasibility and sustainability of an integrated service package, HPV Plus. In-depth interviews with 46 programme implementers (i.e. health-care workers and teachers) and planning stakeholders (i.e. government officials and school administrators) in Dar es Salaam and Njombe Regions explored enablers and constraints to HPV Plus programme implementation, including resource and staffing requirements. Two facilitators and three barriers to HPV Plus feasibility and sustainability were identified from thematic analysis of interviews. Interviewed stakeholders emphasized the programme’s feasibility, especially if the efficiencies offered by a school-based platform were optimized. Implementation facilitators included (1) optimized service delivery efficiency through a school-based platform and (2) resources saved by combining adolescent health services and HPV immunization into a single programme package. Key barriers to HPV Plus feasibility and sustainability were (1) time, space and resource constraints (e.g. commodity stockouts and challenges delivering the complete service package to large cohorts of students within allotted times); (2) human resource gaps and increased workloads within the health workforce and (3) insufficient referral mechanisms linking schools to health facilities. Scaling up HPV Plus will require proactive commodity procurement and security; resource mobilization to reach ambitious service delivery targets and close co-ordination of programme implementation with school administrators.
Publisher: UK: Oxford University Press
Language: English
Identifier: ISSN: 1460-2237
ISSN: 0268-1080
EISSN: 1460-2237
DOI: 10.1093/heapol/czad014
PMID: 36779391
Source: Open Access: PubMed Central
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE

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Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania: qualitative insights from stakeholders

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