Pathways and processes to adopting or switching to a single-dose HPV vaccination schedule in low- and middle-income countries: a qualitative study.

ABSTRACT: The World Health Organization (WHO) recently endorsed a single-dose human papillomavirus vaccination (HPVV) schedule, but adoption of the revised immunization schedule has not been uniform, notably in low- and middle-income countries (LMICs) with outsized cervical cancer burdens. We sought to characterize the sequence of events, as well as actors/institutions involved, that facilitate or impede country-level decision-making related to the HPVV schedule. From September 2023 to February 2024, we conducted 66 semi-structured interviews with national immunization stakeholders from 19 LMICs in Africa and Asia, sampled purposively by the maturity of the HPVV program and HPVV schedule. Using purposive text analysis to synthesize emerging insights from interviews, we qualitatively discerned a sequ

SUBMITTER: Roy S 

PROVIDER: S-EPMC11798430 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature