Toward universal human papillomavirus vaccination for adolescent girls in Hong Kong: a policy analysis

Abstract

Studies have assessed early population-level impact of human papillomavirus (HPV) vaccination programs for preventing cervical cancer. Through a case study in Hong Kong we examined stakeholder engagement and interactions to promote a universal HPV vaccination program using the Health Policy Triangle framework for structured health policy analysis. Using data from a document review and semi-structured in-depth interviews, we used thematic and stakeholder analyses to describe the process of policy formation. Given Hong Kong's political and health system, and a mix of Chinese and Western values, stakeholders judged legitimacy of the process differently. We discuss their varied ethical stances and the role of research evidence for informing policy-making. For effective HPV vaccination policy and promotion of universal free HPV vaccination among adolescent girls, new strategies are needed to broaden acceptance of the process, to frame policies in terms of facts and values, and to connect research to policy-making and improve coalition-building.

Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis

“…Then, we adjusted self-reported power by using the interpretation of other stakeholders as to the level of influence of the others to increase the validity of the scale. Also, we adjusted these judgments based on secondary data from the documents we reviewed [ 36 ].…”

Policy Analysis of Gastrointestinal Cancer Prevention in Iran: A Framework Based on a Qualitative Study

“…We adopted Walt and Gilson's (Walt et al, 2008) “Policy triangle framework” approach that focuses on content, context, process, and actors (see Figure 1). This model is widely utilized in analyzing health sector policies in different countries (Chen, Wong Wu, & Zhu, 2020; Doshmangir, Moshiri, Mostafavi, Sakha, & Assan, 2019; Munabi‐Babigumira, Nabudere, Asiimwe, Fretheim, & Sandberg, 2019). Also, the model was useful in obtaining the objectives of the current study. Context: refers to political, economic, and social factors that may influence health policy. Content: refers to the detail of the policy and its constituent parts. Process: involves how policies are initiated, developed, negotiated, implemented, and evaluated. Actors: refers to individuals, organizations, and governments who influence policy (Buse, Mays, & Walt, 2012).…”

Why should I vaccinate? The role of mindfulness and health-protective behaviours during the COVID-19 pandemic

“…In TPB, this is perceived behavioral control, while in EPPM, it is referred to as self-efficacy [40] . A recent TPB research connects self-efficacy to perceived behavioral control [41] . Meanwhile, self-efficacy is positively linked to the intention to vaccinate [5] .…”

“…The negative emotion of fear was fundamental in changing human behavior [42] . For example, a study shows that female participants were more likely to obtain an HPV vaccine after experiencing heightened anxiety from reading narrative messages [41] . It is imperative also to note that excessive fear might hinder individuals from acting because they may ignore the threat associated with the action [19] .…”