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Table 3 Reasons for accepting or rejecting HPV vaccination reported in surveys in 8 countriesa

From: Social mobilisation, consent and acceptability: a review of human papillomavirus vaccination procedures in low and middle-income countries

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
  1. aFregnani JHTR, 2013; Kury CMH, 2013; Wamai RG, 2012; Wamai RG, 2012; Vermandere H, 2014; Botha MH, 2014; Watson Jones D, 2012; Katagwa, 2014; Galagan, 2013
  2. bThe most common reason cited within each survey was given a score of 3, the second most common scored 2 and the third most common reason scored 1. Reasons were then pooled with their scores to indicate the most commonly cited reasons across all surveys