International Journal of Health Planning and Management最新文献

{"title":"Can Health Insurance Mandates and Tax Credits Reduce Coverage Gaps and Out of Pocket Cost in Small Island Developing States? Modelling the Eastern Caribbean","authors":"Dalano DaSouza","doi":"10.1002/hpm.70101","DOIUrl":"10.1002/hpm.70101","url":null,"abstract":"<div>\u0000 \u0000 <p>Rising out-of-pocket (OOP) health expenditures in the Eastern Caribbean Currency Union (ECCU) underscore persistent gaps in health insurance coverage. This paper develops a Health Insurance Policy Simulation Model (HIPSM) to assess the potential impact of employer health insurance mandates and health insurance tax credits (HITCs) across five small island developing states (SIDS): Antigua and Barbuda, Dominica, Grenada, St. Lucia, and St. Vincent and the Grenadines (SVG). Using social security and insurance data, the model estimates coverage gains, fiscal costs, and labour market effects under varying thresholds and tax credit levels. Results show that employer mandates and HITCs can reduce coverage gaps and OOP expenditure in these countries but are highly sensitive to design characteristics. The findings offer important guidance for SIDS exploring scalable pathways towards universal health coverage through private insurance mechanisms, particularly in the absence of comprehensive public healthcare financing systems.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"914-926"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘I Took TB Medicine for Six Months Without Having TB’: Personal and Institutional Factors Affecting Trust in Healthcare Among African Immigrants in Florida, United States","authors":"Gashaye Melaku Tefera,&nbsp;Asli Cennet Yalim,&nbsp;Shelby Varol,&nbsp;Ponsiano Ngondwe","doi":"10.1002/hpm.70097","DOIUrl":"10.1002/hpm.70097","url":null,"abstract":"<div>\u0000 \u0000 <p>The lack of healthcare trust is strongly associated with low rates of access and utilization of care, adherence to medical advice, and adverse health outcomes, especially among vulnerable populations. We used a descriptive qualitative design and employed thematic analysis to examine the contributing factors to the lack of trust in healthcare among African immigrants in Florida, US. We conducted in-depth interviews with 19 participants selected through purposive and snowball sampling. The interviews were audio-recorded, transcribed verbatim, and thematically analysed using Nvivo14 software. The findings revealed two overarching themes: (a) personal and (b) institutional factors of lack of healthcare trust. Personal factors included language and communication challenges, lack of knowledge, past negative healthcare experiences, fear of losing legal status, and the use of traditional medicine and prayer as a substitute for modern medicine. Institutional factors included providers' lack of knowledge, wrong assumptions and ignorance, lack of diversity in healthcare, repeated tests and burdensome documentation, malpractice, lack of financial transparency and unfair cost, over-medicalisation, racial divide and discrimination, and unfavourable policy conditions. The findings suggest a holistic approach that involves improving healthcare navigation skills among African immigrants; adopting a patient-centred approach; enhancing health literacy; strengthening cultural competency training and education on tropical medicine for healthcare providers; promoting diversity within the healthcare workforce; and engaging in anti-racism practices that ensure provider accountability. It is also critical to promote policies that ensure financial transparency and coordinated care, reduce unnecessary testing and documentation, and promote safe and equitable access to healthcare for African immigrants.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"846-862"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic Impact Evaluation of COVID-19 Public Health Management Across Countries","authors":"Yunhao Wang,&nbsp;Yixuan Liu,&nbsp;Dongping Bai,&nbsp;Zhe Hu,&nbsp;Zhaoyang Shang,&nbsp;Wei Gao","doi":"10.1002/hpm.70089","DOIUrl":"10.1002/hpm.70089","url":null,"abstract":"<div>\u0000 \u0000 <p>COVID-19 crisis has significantly impacted global economic growth. Assessing the economic impacts of various policies is crucial to better public health management (PHM). To incorporate specific PHM policies into a unified framework, prevention and control intensity (PCI) is introduced to quantify the intensity of PHM. Under different PCI, we construct a statistical framework to estimate each economy's counterfactual output, thereby providing two indicators to assess the effectiveness of PHM adopted by certain economies. Empirical analysis measures the effectiveness of PHM in each of the 137 economies during COVID-19 in 2020. Further analysis is conducted through robustness tests and regression discontinuity design. Aggregated results from 137 economies indicate that COVID-19 may have caused global economic losses far exceeding 5.47 trillion US dollars in 2020. Statistical indicators reveal that 39 economies reduced economic loss through PHM, while 25 economies achieved relatively ideal economic output targets. These findings suggest that moderate prevention and control measures can significantly reduce economic losses and highlight the necessity for most countries to strengthen their PHM strategies to enhance economic resilience and recovery.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"796-808"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Streamlining Hospital Planning: A User-Friendly Decision Support Tool for Enhanced Healthcare Delivery","authors":"Eren Demir","doi":"10.1002/hpm.70120","DOIUrl":"10.1002/hpm.70120","url":null,"abstract":"<p>Healthcare providers worldwide face challenges in maintaining a delicate balance between rising demand and limited resources. Decision-makers often struggle with planning and implementing new services, leading to costly consequences and hindering efficiency, patient outcomes, and staff well-being. Current systems lack a comprehensive modelling approach that encompasses all aspects of the hospital and fails to generate crucial outputs. Moreover, these tools often require expert modelers, limiting their usability for end users such as service managers, clinicians, and management. To address this gap, a user-friendly decision support tool (DST) is developed that empowers key decision-makers to assess the impact of interventions across all hospital operations. Our DST utilises a discrete event simulation model, encompassing specialties and interconnections among hospital services. The model incorporates a dataset of 360 input parameters and statistical distributions, providing a holistic understanding of operations. Through scenarios from 2023–2027, our DST generated diverse outputs, including activity levels, bed and clinic requirements, theatre utilization, and financial implications. Notably, implementing a virtual ward reduced patient backlogs and eased strain on resources from 113% to 80%. Our adaptable DST enables informed decision-making, enhancing patient outcomes and optimising resource utilization. This user-friendly tool revitalises hospital operations for improved efficiency and effectiveness.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"967-981"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Socio-Economic Toll of Non-Communicable Diseases in Low-Resource Settings: Novel Evidence From Mozambique","authors":"Maria Verykiou,&nbsp;Paolo Belardi,&nbsp;Sandra Loureiro,&nbsp;Paolo Massaro,&nbsp;Fernando Chenene,&nbsp;Celina Mate,&nbsp;Celeste Amado,&nbsp;Armindo Daniel Tiago,&nbsp;Giovanni Putoto,&nbsp;Aleksandra Torbica","doi":"10.1002/hpm.70091","DOIUrl":"10.1002/hpm.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The socio-economic burden of increasingly prevalent non-communicable diseases (NCDs) in low-income countries is substantial and widely recognised. This study aimed to fill the remaining evidence gap for type 2 diabetes (T2DM) and hypertension (HTN) patients in selected health facilities across two provinces in Mozambique.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional cost-of-illness study was conducted measuring the societal costs incurred by patients enroled in an integrated disease management programme. Direct healthcare and non-healthcare costs, and indirect costs, were reported in current US$ ($) values per month per patient. The dimensions across which the costs were analysed from an equity lens were disease groups, location, sex, and income groups using the World Bank's poverty line thresholds for Mozambique.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Programme costs amounted to $1.2 M ($3.2 per patient visited), while the recurrent costs averaged $49.8 per month per patient, with direct non-healthcare costs as the main driver at 74% of the total recurrent costs. Higher costs across all cost categories were consistently reported by T2DM patients, males, and patients from the upper-income group. Higher direct but lower indirect costs were reported by patients from rural rather than urban locations. The costs of the lowest-income group accounted for the majority of their reported monthly income, while 3% of the sample reported that their income is insufficient to cover the costs of managing their disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The socio-economic burden was disproportionately higher in the lowest income group. The study highlighted the need for policies and interventions such as targeting the financing of managing chronic diseases, including potential increases in funding, the introduction of patient cost-sharing mechanisms, and effective intersectoral coordination to mitigate economic strain in low-income settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"809-821"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Practices of Healthcare Practitioners During the Implementation of a Healthy Eating Policy","authors":"Laura J. Kennedy,&nbsp;Jeanna Parsons Leigh,&nbsp;Sara F. L. Kirk,&nbsp;Meaghan Sim,&nbsp;Catherine L. Mah","doi":"10.1002/hpm.70102","DOIUrl":"10.1002/hpm.70102","url":null,"abstract":"<p>Health promotion policy is an effective way to improve population health and reduce the burden of chronic disease, yet how implementation of health promotion at policy levels occurs within healthcare remains unclear. Healthcare organizations, on the one hand, aim to improve population health and ‘upstream’ health determinants through the Quintuple Aim, but, on the other, are complex and dynamic organizations, with a particular emphasis on downstream clinical care services. Many types of practitioners interpret health promotion policies within the healthcare setting and must implement them in their everyday work: policy implementation as an everyday occurrence. Healthy eating policies focused on creating supportive food environments (e.g., cafeterias, cafes) are being adopted by healthcare organizations as a way to improve diets and reduce the burden of chronic disease. An examination of healthy eating policy implementation is essential to better understand how health promotion is integrated into healthcare organizations. This qualitative phenomenological study uses organizational social theory on street-level bureaucrats to interpret the implementation of a healthy eating policy within healthcare food retail services and the relationships between street-level bureaucrats. We conducted 12 in-depth policy key informant interviews and analysed findings using directed content analysis. The findings showed a shift in priorities from leadership to allocate resources for health promotion tasks to make food more accessible and available to staff. Participants considered context as they implemented the policy using local knowledge arising from informal and formal networks and identified other opportunities to influence healthy eating. Studying the actions of healthcare practitioners in everyday policymaking provides essential context and insight into how policy implementation unfolds. Although standards for health promotion are lacking, practitioners can engage in quality improvement initiatives to challenge the status quo and improve food environments.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"903-913"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine Learning Analysis of Maternal Mortality Determinants in Nigeria: An Exploratory Study","authors":"Abimbola Olaniran,&nbsp;Olumuyiwa Adesanya Ojo,&nbsp;Tope Olubodun,&nbsp;Maryam Al-Mujtaba,&nbsp;Linda Babalola,&nbsp;Grace Oloruntobi Olaniran,&nbsp;Abhinav Kothapalli,&nbsp;Ogochukwu Christiana Nwamata,&nbsp;Aduragbemi Banke-Thomas","doi":"10.1002/hpm.70114","DOIUrl":"10.1002/hpm.70114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nigeria confronts an ongoing maternal mortality crisis, accounting for 28.7% of global maternal deaths from 2.9% of the world's population. While proximate clinical causes are well characterised, the relative importance of distal socioeconomic and health system determinants remains poorly quantified, limiting evidence-informed prioritisation of scarce resources. <b>Objectives</b>: To explore the predictive influence of individual, population, and health system factors on maternal mortality in Nigeria using machine learning approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This exploratory ecological study used annual national-level data spanning Nigeria's independence to the most recently available dataset (1960–2024). XGBoost and Random Forest ensemble algorithms were applied to examine associations between multidimensional determinants and the maternal mortality ratio. Missing data were addressed using exponential triple smoothing, and model stability was assessed via 5-fold cross-validation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Female tertiary education and service-sector employment showed the strongest and most stable associations with lower maternal mortality ratios. Early marriage, vulnerable employment, rural residence, and relative poverty were associated with a higher mortality ratio. Determinants of health-system financing were largely unstable; government per capita expenditure was associated with a lower maternal mortality ratio, whereas external funding dependency was associated with higher mortality ratio.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study challenges traditional perspectives on determinants of maternal mortality while highlighting key areas for policy intervention. Future research should examine the relationships between education, employment, and maternal mortality ratio through a longitudinal study to inform strategic investments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"982-999"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Pairing Assistance Under Medical Alliance Policy on Healthcare Utilization for Patients With Chronic Diseases in Rural China","authors":"Mingyue Li,&nbsp;He Zhu,&nbsp;Haoqing Tang,&nbsp;Xiaoran Cheng,&nbsp;Xiaoyun Liu","doi":"10.1002/hpm.70119","DOIUrl":"10.1002/hpm.70119","url":null,"abstract":"<div>\u0000 \u0000 <p>Pairing assistance (PA) of health professionals between county hospitals and township health centres is one of the key components of the reform of medical alliances in China to strengthen the development of health workforce in primary health care (PHC). This study aims to examine the effect of PA on healthcare utilization for patients with chronic diseases in rural areas. Two waves of National Health Services Survey (2013 and 2018) were used. A total of 13,893 and 22,725 rural residents with chronic diseases were included in the 2013 and 2018 waves, respectively. Multiple logistic regressions were used to examine the associations between PA and outpatient and inpatient service utilization in PHC. Chow test was used to examine the difference between PA in two models. Among rural patients with chronic diseases, 2-week outpatient visits increased from 22.69% to 27.54%, and annual hospitalisation admission increased from 20.72% in 2013 to 25.44%. PA was associated with a significant decrease in outpatient visits (<i>p</i> &lt; 0.001) in 2018 after controlling for individual and county characteristics. Patients in PA counties were 1.45 times (95% CI 1.10–1.90) more likely to use PHC outpatient care in 2013, but the difference disappeared in 2018 (OR = 0.85, 95% CI 0.71–1.01). PA did not reverse the downward trend in the share of PHC outpatient visits. The potential monopoly of county hospitals should be prevented in the future.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"1000-1008"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forecasting and Capacity Planning in Prehospital Emergency Medical Services: The Case of Ankara","authors":"Elif Erbay,&nbsp;Çağdaş Erkan Akyürek","doi":"10.1002/hpm.70116","DOIUrl":"10.1002/hpm.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Time savings in prehospital emergency medical services are vital for human life. Ensuring that these services can meet potential demands is essential for successful delivery. This study aimed to forecast the demand for ambulance services within prehospital emergency medical services and to plan the capacity of ambulance stations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this descriptive, cross-sectional, and analytical study, the population consists of 943,412 cases directed by 139 ambulance stations in the capital of Türkiye. The forecasting was carried out at the district level with a particular focus on seven districts. Various forecasting methods such as Holt-Winters, ARIMA, MLP, NNAR, and LSTM were employed. The optimal number of ambulances required at various stations to meet response time targets was identified using Monte Carlo simulations to account for uncertainties in call volumes and response times.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 943,412 calls were directed to ambulances. The annual distributions showed slight increases each year. Forecasting performance of various methods was evaluated based on RMSE, MAE, and MAPE metrics, with the ARIMA and NNAR models generally showing the best performance. The study also identified the optimal number of ambulances required at various stations to meet response time targets.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study underscores the importance of accurate demand forecasting and capacity planning for ambulance services in ensuring timely and effective prehospital emergency medical services. By addressing critical response time targets and optimising ambulance capacity, the findings contribute to improving the quality and accessibility of emergency health services, ultimately enhancing human life and health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"1022-1031"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.70116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Knowledge About Human Papillomavirus and Vaccination Among Women Screened for Cervical Cancer","authors":"Hatice Kucukceran,&nbsp;Nur Demirbas,&nbsp;Nazan Karaoglu,&nbsp;Fatma Goksin Cihan,&nbsp;Fatma Kilic Hamzaoglu,&nbsp;Emine Turen Demir","doi":"10.1002/hpm.70094","DOIUrl":"10.1002/hpm.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In Turkiye, every sexually active woman between the ages of 30 and 65 is screened for cervical cancer free of charge every five years. However, the Human papillomavirus (HPV) vaccine has not yet been included in the national vaccination calendar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to determine the knowledge of women screened for cervical cancer about HPV and the HPV vaccine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, a questionnaire consisting of a demographic information form, HPV vaccination status, and the HPV Knowledge Scale was administered to women aged 30–65. The scale has three subscales: ‘General HPV Knowledge’, ‘HPV Test Knowledge’, and ‘HPV Vaccine Knowledge’. Data analysis included the Chi-square test for categorical data and the Mann-Whitney <i>U</i> test for numerical data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the women involved in the study, 482 in number, 55.6% of them (<i>n</i> = 268) had been previously screened for cervical cancer. Only 1.9% (<i>n</i> = 9) had the HPV vaccine, and insufficient information was the most frequent reason for not being vaccinated (73.4%; <i>n</i> = 354). Among those who had previously been screened for HPV, 83.6% (<i>n</i> = 224) reported receiving information about HPV, and 67.5% (<i>n</i> = 181) reported receiving information about the HPV vaccine. General HPV and HPV test knowledge subscale scores were higher among those who had been screened (<i>p</i> &lt; 0.001), but there was no difference in HPV vaccine knowledge subscale scores between those who had been screened and those who had not (<i>p</i> = 0.977).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cervical cancer screening did not appear to have affected the level of knowledge regarding HPV vaccination. Subsequent studies can investigate the impact of providing standard HPV vaccine information during screening on vaccination rates.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 5","pages":"822-829"},"PeriodicalIF":2.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}