Reasons for acceptance stated by parents/guardians | Scoreb | Surveys (n) |
Protection from cancer | 23 | 8 |
Vaccination is good for health | 22 | 8 |
Perceived cervical cancer risk or susceptibility | 8 | 3 |
Convincing information | 6 | 3 |
Vaccine is safe | 5 | 2 |
Following others’ advice | 5 | 3 |
Protection from infection | 5 | 4 |
Informed about the programme | 4 | 2 |
Vaccine is free | 3 | 2 |
To avoid shame/stigma of an STI infection | 2 | 2 |
Interest in HPV vaccine and education | 2 | 1 |
Heard of cancer/knowledge of someone with cancer | 1 | 1 |
Perceived severity of infection and consequences | 1 | 1 |
Provided at school to every child | 1 | 1 |
Reasons for not starting stated by parents/guardians | ||
Lack of motivation | ||
Fear of adverse effects on fertility and vaccine safety | 16 | 8 |
Girls or parents do not want vaccine | 6 | 3 |
May encourage early sex | 4 | 2 |
Cancer considered low severity/low risk | 3 | 1 |
Concern about vaccine effectiveness | 3 | 1 |
Undisclosed reasons | 2 | 1 |
Perceived low risk of infection | 2 | 1 |
Not good for a child | 1 | 1 |
Lack of information | ||
Not aware of the programme | 13 | 6 |
Insufficient information | 8 | 4 |
Systems barriers | ||
Absenteeism | 15 | 7 |
Difficult to determine age eligibility | 9 | 7 |
Location and time not convenient | 2 | 1 |
Health provider didn’t recommend | 1 | 1 |