Mental Model of Mothers of Adolescent Girls and Health Service Providers on HPV Vaccination in Urban Slum Areas of Dhaka, Bangladesh: A Mixed-Method Study
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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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doi
open access

Published: 08 October 2022

Mental Model of Mothers of Adolescent Girls and Health Service Providers on HPV Vaccination in Urban Slum Areas of Dhaka, Bangladesh: A Mixed-Method Study

Fariha Haseen, Hridi, Sadia Akter Sony, Dilip Kumar Basak, Md Monirul Islam, Sharlin Akther,
Syed Shariful Islam

Bangabandhu Sheikh Mujib Medical University (Bangladesh), Toronto Metropolitan University (Canada), BioDev Serviced (Bangladesh), Rural Reconstruction Foundation (Bangladesh), Bangladesh Business & Disability Network (Bangladesh)

journal of social and political sciences
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doi

10.31014/aior.1994.05.04.240

Pages: 1-11

Keywords: HPV Vaccination, Cervical Cancer, Mothers, Service Providers, Bangladesh

Abstract

Background: The study aimed to explore the perception of mothers of adolescent girls and health service providers in urban slums toward HPV vaccination. Methodology: A cross-sectional mixed-method study in the slums of Rayer Bazaar, Kamlapur and Mohakhali was conducted. The quantitative part included a household survey of mothers (n=150) and service providers (n=30) through a semi-structured pre-tested questionnaire and qualitative interviews included in-depth interviews (IDI) with mothers (n=10) and key-informant interviews (KII) with service providers (n=10). Results: Around 96% of mothers had never heard of HPV, and 98% were unaware that the virus's transmission could be halted. Only 3.3% of mothers were aware that HPV can cause cervical cancer, although, during IDI, it was seen that the majority of mothers said that cervical cancer is a communicable disease. Nearly 98% of mothers wanted their daughters to get vaccinated. Service providers had a good understanding of HPV, HPV vaccine, and cervical cancer. All service providers during KII agreed that if they had received adequate training on HPV vaccination and cervical cancer, they could have treated their patients better. Conclusion: The findings of this study have important implications for the design and advocacy of HPV immunization programs in Bangladesh.

References

  1. Adams, A. M., Islam, R., & Ahmed, T. (2015). Who serves the urban poor? A geospatial and descriptive analysis of health services in slum settlements in Dhaka, Bangladesh. Health Policy and Planning, 30(suppl 1), i32–i45. https://doi.org/10.1093/heapol/czu094

  2. Bangladesh. (2020). https://gco.iarc.fr/today/data/factsheets/populations/50-bangladesh-fact-sheets.pdf

  3. Bathija, G., Mallesh, S., & Gajula, M. (2016). A study on awareness of cervical cancer among women of reproductive age group in urban slums of old Hubli, Karnataka, India. International Journal of Community Medicine and Public Health, 2579–2583. https://doi.org/10.18203/2394-6040.ijcmph20163076

  4. Braun, V., & Clarke, V. (2006). Using thematic Analysis in Psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

  5. Chawla, Pc., Chawla, A., & Chaudhary, S. (2016). Knowledge, attitude & practice on human papillomavirus vaccination: A cross-sectional study among healthcare providers. Indian Journal of Medical Research, 144(5), 741. https://doi.org/10.4103/ijmr.ijmr_1106_14

  6. Chen, H., Zhang, X., Wang, W., Zhang, R., Du, M., Shan, L., Li, Y., Wang, X., Liu, Y., Zhang, W., Li, X., Qiao, Y., Ma, J., Zhou, J., & Li, J. (2020). Effect of an educational intervention on human papillomavirus (HPV) knowledge and attitudes towards HPV vaccines among healthcare workers (HCWs) in Western China. Human Vaccines & Immunotherapeutics, 17(2), 443–450

  7. Directorate General of Health Services, Ministry of Health and Family Welfare. (2017). National Strategy for Cervical Cancer Prevention and Control Bangladesh 2017-2022

  8. Ebu, N. I., Abotsi-Foli, G. E., & Gakpo, D. F. (2021). Nurses’ and midwives’ knowledge, attitudes, and acceptance regarding human papillomavirus vaccination in Ghana: a cross-sectional study. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-020-00530-x

  9. Ezenwa, B., Balogun, & Okafor. (2013). Mothers’ human papillomavirus knowledge and willingness to vaccinate their adolescent daughters in Lagos, Nigeria. International Journal of Women’s Health, 371. https://doi.org/10.2147/ijwh.s44483

  10. Global strategy to accelerate the elimination of cervical cancer as a public health problem. (2020). www.who.int. Retrieved August 28, 2022, from Cervical Cancer Elimination Initiative (who. int)

  11. Haseen, F., & Sony, S. A. (2017). Cervical Cancer and Ethical issues in HPV Vaccination. Bangladesh Journal of Bioethics, 8(2), 31–37. https://doi.org/10.3329/bioethics.v8i2.35364

  12. Haseen, F., Chowdhury, S., Ferdous, J., Sharmin, S., Hassan, M., Akter. N., Akhter, S., Worthy, R, T., Islam, S.S. (2020). Prevention and Management of Cervical Cancer; A Gender-Lens Review of Programmatic and Sociocultural Dimensions. Protocol of Cervical Cancer (portal.gov.bd)

  13. Haseen, F., Sony, S, A., Basak, D, K. (2017). Knowledge and attitude towards HPV among School-going female adolescents in selected communities of Bangladesh

  14. Hridi, H., Haseen, F., Sharmin, T., Bristy, S., Akter, N., Haney, U., Biswas, B., Ali, M., Rahman, Z., & Islam, S. S. (2022). Assessment of Reproductive Health Status and Quality of Life of Female Adolescents Living in the Slums of Dhaka, Bangladesh During COVID-19 Pandemic Situation: A Mixed-Method Study. Journal of Health and Medical Sciences, 5(3). https://doi.org/10.31014/aior.1994.05.03.224

  15. Islam, J. Y., Khatun, F., Alam, A., Sultana, F., Bhuiyan, A., Alam, N., Reichenbach, L., Marions, L., Rahman, M., & Nahar, Q. (2018). Knowledge of cervical cancer and HPV vaccine in Bangladeshi women: a population-based, cross-sectional study. BMC Women’s Health, 18(1). https://doi.org/10.1186/s12905-018-0510-7

  16. Khan, S, Z., & Haseen, F. (2019). Assessment of Knowledge of Cervical Cancer Transmission and Prevention among the mothers of Daughters Aged Below 10 Years. Journal of Pulmonology Research & Reports, 1–6. https://doi.org/10.47363/jprr/2019(1)101

  17. Madhivanan, P., Li, T., Srinivas, V., Marlow, L., Mukherjee, S., & Krupp, K. (2014). Human papillomavirus vaccine acceptability among parents of adolescent girls: Obstacles and challenges in Mysore, India. Preventive Medicine, 64, 69–74. https://doi.org/10.1016/j.ypmed.2014.04.002

  18. Markowitz, L. E., Hariri, S., Lin, C., Dunne, E. F., Steinau, M., McQuillan, G., & Unger, E. R. (2013). Reduction in Human Papillomavirus (HPV) Prevalence Among Young Women Following HPV Vaccine Introduction in the United States, National Health and Nutrition Examination Surveys, 2003–2010. The Journal of Infectious Diseases, 208(3), 385–393. https://doi.org/10.1093/infdis/jit192

  19. Montgomery, M. P., Dune, T., Shetty, P. K., & Shetty, A. K. (2014). Knowledge and Acceptability of Human Papillomavirus Vaccination and Cervical Cancer Screening among Women in Karnataka, India. Journal of Cancer Education, 30(1), 130–137. https://doi.org/10.1007/s13187-014-0745-4

  20. Olubodun, T., Odukoya, O. O., & Balogun, M. R. (2019). Knowledge, attitude and practice of cervical cancer prevention, among women residing in an urban slum in Lagos, South West, Nigeria. Pan African Medical Journal, 32. https://doi.org/10.11604/pamj.2019.32.130.14432

  21. Salwa, M., & Abdullah Al-Munim, T. (2018). Ethical issues related to human papillomavirus vaccination programs: an example from Bangladesh. BMC Medical Ethics, 19(S1). https://doi.org/10.1186/s12910-018-0287-0

  22. Singh, S., Sahu, D., Agrawal, A., & Vashi, M. D. (2018). Ensuring childhood vaccination among slums dwellers under the National Immunization Program in India - Challenges and opportunities. Preventive Medicine, 112, 54–60. https://doi.org/10.1016/j.ypmed.2018.04.002

  23. Strengthening vaccination coverage. (2018). www.who.int. Retrieved August 25, 2022, from https://www.who.int/bangladesh/activities/strengthening-vaccination-coverage/strengthening-vaccination-coverage

  24. Strengthening vaccination coverage. (2022). www.who.int. Retrieved August 25, 2022, from https://www.who.int/bangladesh/activities/strengthening-vaccination-coverage/strengthening-vaccination-coverage

  25. Tsu, V. D., Cernuschi, T., & LaMontagne, D. S. (2014). Lessons Learned from HPV Vaccine Delivery in Low-Resource Settings and Opportunities for HIV Prevention, Treatment, and Care Among Adolescents. JAIDS Journal of Acquired Immune Deficiency Syndromes, 66(Supplement 2), S209–S216.

  26. Watson-Jones, D., Mugo, N., Lees, S., Mathai, M., Vusha, S., Ndirangu, G., & Ross, D. A. (2015). Access and Attitudes to HPV Vaccination amongst Hard-To-Reach Populations in Kenya. PLOS ONE, 10(6), e0123701. https://doi.org/10.1371/journal.pone.0123701

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