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Table 2 Baseline program characteristics and sensitisation methods of programs according to vaccine uptake rate (VUR) and D3-D1 adherence to HPV-vaccination, Gardasil Access Program, 2009–2013 (N = 21 programs)

From: Performance of 21 HPV vaccination programs implemented in low and middle-income countries, 2009–2013

  Mean VUR (SD) % p Mean D3-D1* adherence to vaccination (SD) % p
Managing institution     
MoH (n = 13) 87.2 (10.7) 0.05 90.8 (7.1) 0.99
NGO (n = 8) 96.0 (7.4)   90.8 (8.1)  
Institution services Cancer management     
Presence (n = 14) 91.6 (11.3) 0.51 91.7 (7.8) 0.43
Absence (n = 7) 88.4 (8.5)   89.0 (6.5)  
Health care services     
Presence (n = 16) 89.8 (10.6) 0.56 90.2 (7.8) 0.51
Absence (n = 5) 93.0 (10.3)   92.8 (5.5)  
Vaccination services     
Presence (n = 20) 91.1 (10.3) 0.25 90.9 (77.5) 0.87
Absence (n = 1) 80.2 (-)   89.9 (-)  
Vaccination delivery model     
HC (n = 5) 89.8 (13.6)   90.1 (9.5)  
Schools (n = 12) 93.1 (8.8) 0.30 92.5 (7.3) 0.52
Mixed (n = 4) 83.8 (9.7)   87.9 (5.1)  
Community involvement actions
Communication key messages definition     
Yes (n = 11) 94.1 (11.4) 0.27 92.5 (7.5) 0.29
No (n = 10) 88.8 (9.2)   89.0 (7.0)  
Girls follow-up     
Yes (n = 13) 95.4 (9.4) 0.05 91.4 (7.5) 0.67
No (n = 8) 86.1 (10.8)   89.9 (7.4)  
Vaccination sessions announcement     
Yes (n = 11) 93.0 (9.4) 0.28 89.3 (9.2) 0.35
No (n = 10) 88.8 (11.5)   92.4 (4.3)  
Girls recruitment     
Yes (n = 14) 89.3 (10.7) 0.44 90.3 (8.3) 0.62
No (n = 7) 93.1 (9.9)   92.0 (5.3)  
Number of community involvements actions     
0 (n = 3) 88.0 (12.1)   90.4 (4.2)  
1-2 (n = 7) 85.7 (10.0) 0.20 89.1 (7.6) 0.72
3-4 (n = 11) 94.4 (9.5)   92.1 (8.0)  
At least one community involvement action     
0 (n = 3) 88.0 (12.1) 0.56 90.4 (4.2) 0.92
> = 1 (n = 18) 92.0 (10.7)   90.9 (7.8)  
Communication key messages and methods
Vaccine administration modalities     
Yes (n = 13) 89.4 (10.2) 0.65 90.3 (8.2) 0.70
No (n = 8) 92.4 (10.2)   91.6 (6.0)  
Vaccine safety and efficacy     
Yes (n = 15) 93.3 (9.1) 0.05 92.3 (6.9) 0.15
No (n = 6) 83.6 (10.8)   87.2 (7.6)  
HPV and link to cancer     
Yes (n = 15) 88.4 (10.3) 0.13 88.8 (7.3) 0.04
No (n = 6) 95.9 (8.9)   95.9 (4.6)  
  1. MoH: Ministry of Health. NGO: non-governmental organization.
  2. *Vaccine adherence between the third and the first dose.