Behavioural and Social Drivers (BeSD) of HPV vaccination in Zimbabwe: A Rapid Scoping Review of Literature.

Q2 Medicine

Asian Pacific Journal of Cancer Prevention Pub Date : 2025-03-01 DOI:10.31557/APJCP.2025.26.3.775

Denford Munyaradzi Chuma, Ransom Machacha, Alex O Adjagba, James January

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引用次数: 0

Abstract

Background: Regardless of the World Health Organization's recommendation for human papillomavirus (HPV) vaccination, Zimbabwe still faces challenges in achieving optimal vaccination coverage among female adolescents and young adults.

Objectives: This rapid scoping review of literature aims to identify the behavioural and social drivers (BeSD) influencing HPV vaccination uptake in Zimbabwe over the past ten-year period.

Methods: A scoping review of published and grey literature from 2014 to 2024 was conducted. Data analysis was guided by theoretical frameworks.

Eligibility criteria: English language published and grey literature relevant to public health, vaccination, and social and behavioural sciences from Zimbabwe from 2014 to 2024.

Sources of evidence: Ministry of Health & Child Care archives, African Journals Online, PubMed, Google Scholar, Scopus, and Web of Science.

Charting methods: Tables with author information, year of publication, and relevant findings were used to chart the results.

Results: Twenty-eight articles and grey literature sources were included. Key themes encompassed knowledge and attitudes, costs, vaccine uptake, healthcare provider perspectives, and feasibility of delivery methods. High knowledge levels regarding HPV and vaccination coexisted with misinformation and fears, impacting uptake. Socioeconomic factors and religious beliefs influenced HPV vaccination decisions. School-based vaccination was deemed feasible but faced challenges such as misinformation. Communication strategies, including a "Communication for Development" (C4D) approach, were crucial for addressing barriers and fostering community engagement.

Discussion: The findings align with numerous theoretical frameworks including the Health Belief Model, Theory of Planned Behaviour, and Social Ecological Model. Addressing barriers at multiple levels, promoting cultural competence, and integrating HPV vaccination into existing healthcare activities are recommended.

Conclusion: To enhance HPV vaccination uptake in Zimbabwe, tailored health literacy campaigns, leveraging existing healthcare infrastructure, increased political commitment, and integration into national immunization programmes are crucial. Implementation should draw on existing policies and guidelines to ensure sustainability and equity in vaccination efforts.

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来源期刊

Asian Pacific Journal of Cancer Prevention 医学-肿瘤学

CiteScore

2.80

自引率

0.00%

发文量

779

审稿时长

3 months

期刊介绍： Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation. The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally. The APJCP publishes original research results under the following categories: -Epidemiology, detection and screening. -Cellular research and bio-markers. -Identification of bio-targets and agents with novel mechanisms of action. -Optimal clinical use of existing anti-cancer agents, including combination therapies. -Radiation and surgery. -Palliative care. -Patient adherence, quality of life, satisfaction. -Health economic evaluations.