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 |