Preparing for human papillomavirus vaccine introduction in Kenya: implications from focus-group and interview discussions with caregivers and opinion leaders in Western Kenya

摘要: Cervical cancer claims the lives of 275,000 women each year; most these deaths occur in low-or middle-income countries. In Kenya, cervical is leading cause cancer-related mortality among reproductive age. Kenya’s Ministry Public Health and Sanitation has developed a comprehensive strategy to prevent cancer, which includes plans for vaccinating preteen girls against human papillomavirus (HPV) by 2015. To identify HPV vaccine communication mobilization needs, this research sought understand vaccine-related perceptions concerns male female caregivers community leaders four rural communities western Kenya. We conducted five focus groups with (n = 56) 12 key-informant interviews opinion explore knowledge, attitudes beliefs, as well acceptability vaccination 9–12 year-old girls. Four researchers independently reviewed data codes based on questions interview guides topics that emerged organically, before comparing reconciling results through group consensus process. was not commonly recognized, though it understood generally terms its symptoms. By association genital/reproductive organs, feared stigmatized. Overall prevents high, so long endorsed trusted agencies were sensitized first. Some related safety (e.g., impact fertility), program intent, health equity. For successful introduction there need efforts raise awareness; prompt demand vaccination; address equity stigma; minimize potential resistance. Visible endorsement government influencers can provide reassurance vaccine’s safety, efficacy benefits communities. Involvement leadership, parents champions may also be critical combatting stigma making relevant Kenyan These findings underscore adequate planning resources information, education prior introduction. Specific recommendations social-marketing strategies are made.