Voluntary School-Based Human Papillomavirus Vaccination: An Efficient and Acceptable Model for Achieving High Vaccine Coverage in Adolescents

Message Framing and Parents' Intentions to have their Children Vaccinated Against HPV

“…These low uptake rates are not isolated to Canada; rates of vaccination also are low in other countries including the U.S. (Brabin et al, 2008;Nelson, 2010;Rosenthal et al, 2008). Recently, voluntary school-based programs have been identified as one of the most acceptable ways to achieve high uptake of the HPV vaccine (Skinner & Cooper Robbins, 2010). However, for voluntary school-based mass vaccination programs to be successful in Canada, parental consent must be obtained.…”

Implementation and Evaluation of a School-Based Human Papillomavirus Vaccination Program in Rural Kentucky

“…[9][10][11][12][13][14][15][16] Other countries have achieved impressive increases in adolescent HPV vaccination rates by using schools as the primary delivery method for vaccination. 14,[17][18][19][20][21][22][23][24][25] In the U.S., however, HPV vaccination policies vary, and school-based vaccination initiatives often require partnerships among public health departments, school officials, and academic researchers.…”

“…8,9,12,13,26,[29][30][31] Moreover, school programs can provide students, parents, and school administration with vaccine education. 8,10,[32][33][34] However, school immunization programs are not without challenges. For example, obtaining school leadership support and parental consent may prove difficult; education of school personnel is required; billing for services when children are ineligible for the Vaccines for Children (VFC) program is problematic; developing and maintaining vaccination tracking systems is necessary for medical record keeping and project evaluation purposes; and sustainability is challenging.…”

Opportunities for Increasing Human Papillomavirus Vaccine Provision in School Health Centers

“…School health centers are associated with increased rates of adolescent vaccination, especially for adolescents who are under‐ or uninsured or those who interact less frequently with more traditional health care venues . Both parents and physicians have favorable attitudes toward vaccination at school sites, and most school health centers (84%) already have the refrigeration equipment, staff, and billing systems to provide adolescent vaccines . However, school health centers often focus on basic health services rather than more resource‐intensive preventive health services, such as vaccines, and expanding school health centers' services requires local commitment in terms of budget and health priorities .…”

“…23 Both parents 24 and physicians 25 have favorable attitudes toward vaccination at school sites, and most school health centers (84%) already have the refrigeration equipment, staff, and billing systems to provide adolescent vaccines. 22,26 However, school health centers often focus on basic health services rather than more resource-intensive preventive health services, such as vaccines, 27 and expanding school health centers' services requires local commitment in terms of budget and health priorities. 28 Improving interventions aimed at delivering vaccines through existing school health centers in the United States could boost support for school health centers as well as increase rates of HPV vaccine initiation and completion.…”