Individual Level (Parent/Patient) | Environmental Level | |
---|---|---|
Facilitators | • Internal-parental personal motivation and acceptance of HPV vaccination | • Policy-free, low cost/obligatory reporting • Policy-given at same time as required vaccines |
• External-parent motivated by provider recommendation | • Organizational-practice reminders/standing orders/appointments | |
Barriers | • Internal-parental knowledge deficits and media misinformation • Internal-parental concerns of child’s sexual activity • Internal-parental and patient/concerns of vaccine side effects | • Policy-HPV vaccine only a recommended vaccine |
• External-parental and patient/perceived financial concerns • External-parent/lack of transportation | • Organizational-Clinic reimbursement/patient affordability |