|Reported rumours||Management approaches (preventative and reactionary)|
HPV vaccine is experimental/untested|
(Countries 3, 12, 24)
• Rumours resulted from opt-in consent, which was changed to opt-out;|
• Government and experts immediately addressed rumours.
HPV vaccination causes fertility problems|
(Countries 8, 17, 21, 24, 31, 16, 28)
• Mobilisation was started very early and messages built into parent-teacher meetings;|
• High-level advocacy using parliamentarians from the beginning of the programme;
• Intense mobilisation targeted anti-vaccination lobbyists;
• A reactive crisis response was organised, including meeting with communities.
Vaccine causes long-term adverse events, e.g., death, cancer|
(Countries 28, 33, 35, 26)
|• Adverse events were investigated and guardians reassured that it was not due to vaccination.|
There is another cure for cervical cancer other than vaccination|
|• Rumours were tackled immediately with email newsletter and/or parent meetings.|
|Institutional refusals related to the vaccine||Management approaches|
(Countries 23, 24, 31, 35, 37)
• Sensitization through the community and targeted mobilisation using influencers;|
• Media access to correct information so communities could obtain HPV vaccine information from an independent source.
(Countries 3, 28, 37)
|• Increased face-to-face, community, and religious leaders’ meetings.|
(Countries 1, 5, 6, 10, 14, 18, 23)
• Identified groups opposing vaccination were provided with more information;|
• Frequent repetition of messages;
• Involved leaders and managed vaccination through government system;
• Provided additional training and information to health-workers and teachers.
Anti-vaccination lobbyists, human rights groups, academics|
(Countries 12, 30)
|• Provided additional media information and internet-based information campaigns.|
Teacher and health-worker reluctance to vaccinate girls|
(Countries 6, 23)
|• Provided additional training to healthworkers and used peers to trace missing and out-of-school girls.|