HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it
Cervical cancer remains a leading cause of morbidity and mortality amongst females in Latin America (LATAM). Cervical cancer is a preventable disease and HPV vaccination is a main key strategy towards its elimination. This study analyzes HPV vaccine implementation current status and the main barrier...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.984449/full |
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| author | Angélica Nogueira-Rodrigues Matheus Gonçalves Flores Avelar Oliveira Macedo Neto Lucélia Antunes Coutinho Braga Carolina Martins Vieira Renata Maria de Sousa-Lima Diocésio Alves Pinto de Andrade Karime Kalil Machado Andrea Paiva Gadelha Guimarães |
| author_facet | Angélica Nogueira-Rodrigues Matheus Gonçalves Flores Avelar Oliveira Macedo Neto Lucélia Antunes Coutinho Braga Carolina Martins Vieira Renata Maria de Sousa-Lima Diocésio Alves Pinto de Andrade Karime Kalil Machado Andrea Paiva Gadelha Guimarães |
| author_sort | Angélica Nogueira-Rodrigues |
| collection | DOAJ |
| description | Cervical cancer remains a leading cause of morbidity and mortality amongst females in Latin America (LATAM). Cervical cancer is a preventable disease and HPV vaccination is a main key strategy towards its elimination. This study analyzes HPV vaccine implementation current status and the main barriers to achieve adequate coverage in the region. Data from the nineteen sovereign states of LATAM (comprised of all Portuguese and Spanish-speaking nations located south of the United States) were collected, including year of HPV vaccine implementation, gender and age targets, the number of doses included in the public program and coverage by dose. Sixteen out of the 19 evaluated countries have already implemented HPV vaccination programs. However, despite its proven efficacy and safety, HPV vaccine uptake in LATAM has been lower than expected. There is an evident decline in adhesion, mainly regarding the second dose. Several reasons are probably involved, of note: limited knowledge of HPV and HPV vaccine, misguided safety concerns, high cost, cultural barriers, and the Covid19 pandemic. Proper strategies to overcome these barriers are needed to ensure successful uptake. Effective policies are: adopting the one dose schedule, delivering the vaccine on both health center and schools, and advising health professionals to recommend the vaccine. Further research regarding HPV vaccine hesitancy in Latin America is needed. |
| first_indexed | 2024-04-12T14:31:20Z |
| format | Article |
| id | doaj.art-381e89a8a5034585ada0290eae9025b7 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-12T14:31:20Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-381e89a8a5034585ada0290eae9025b72022-12-22T03:29:16ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.984449984449HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome itAngélica Nogueira-Rodrigues0Matheus Gonçalves Flores1Avelar Oliveira Macedo Neto2Lucélia Antunes Coutinho Braga3Carolina Martins Vieira4Renata Maria de Sousa-Lima5Diocésio Alves Pinto de Andrade6Karime Kalil Machado7Andrea Paiva Gadelha Guimarães8Department of Internal Medicine, Federal University of Minas Gerais, Belo Horizontel, BrazilFederal University of Minas Gerais, Belo Horizontel, BrazilFederal University of Minas Gerais, Belo Horizontel, BrazilFundação Oswaldo Cruz (FIOCRUZ) Minas, Belo Horizontel, BrazilClinical Oncologist at Oncoclinicas, Belo Horizontel, BrazilClinical Oncologist at Oncoclinicas, Belo Horizontel, BrazilBrazilian Gynecologic Oncology Group, EVA, São Paulo, BrazilBrazilian Gynecologic Oncology Group, EVA, São Paulo, BrazilBrazilian Gynecologic Oncology Group, EVA, São Paulo, BrazilCervical cancer remains a leading cause of morbidity and mortality amongst females in Latin America (LATAM). Cervical cancer is a preventable disease and HPV vaccination is a main key strategy towards its elimination. This study analyzes HPV vaccine implementation current status and the main barriers to achieve adequate coverage in the region. Data from the nineteen sovereign states of LATAM (comprised of all Portuguese and Spanish-speaking nations located south of the United States) were collected, including year of HPV vaccine implementation, gender and age targets, the number of doses included in the public program and coverage by dose. Sixteen out of the 19 evaluated countries have already implemented HPV vaccination programs. However, despite its proven efficacy and safety, HPV vaccine uptake in LATAM has been lower than expected. There is an evident decline in adhesion, mainly regarding the second dose. Several reasons are probably involved, of note: limited knowledge of HPV and HPV vaccine, misguided safety concerns, high cost, cultural barriers, and the Covid19 pandemic. Proper strategies to overcome these barriers are needed to ensure successful uptake. Effective policies are: adopting the one dose schedule, delivering the vaccine on both health center and schools, and advising health professionals to recommend the vaccine. Further research regarding HPV vaccine hesitancy in Latin America is needed.https://www.frontiersin.org/articles/10.3389/fonc.2022.984449/fullHPVvaccineLatin Americacoveragecervical cancerimplementation |
| spellingShingle | Angélica Nogueira-Rodrigues Matheus Gonçalves Flores Avelar Oliveira Macedo Neto Lucélia Antunes Coutinho Braga Carolina Martins Vieira Renata Maria de Sousa-Lima Diocésio Alves Pinto de Andrade Karime Kalil Machado Andrea Paiva Gadelha Guimarães HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it Frontiers in Oncology HPV vaccine Latin America coverage cervical cancer implementation |
| title | HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it |
| title_full | HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it |
| title_fullStr | HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it |
| title_full_unstemmed | HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it |
| title_short | HPV vaccination in Latin America: Coverage status, implementation challenges and strategies to overcome it |
| title_sort | hpv vaccination in latin america coverage status implementation challenges and strategies to overcome it |
| topic | HPV vaccine Latin America coverage cervical cancer implementation |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.984449/full |
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