DSpace Comunidad :http://repositorio.cedes.org/handle/123456789/23472026-05-30T17:52:46Z2026-05-30T17:52:46ZHealth Care Provider Perceptions of Facilitators and Barriers to Human Papillomavirus Vaccination Delivery in Five CountriesMorgan, KarenDe Sanjose, SilviaSmith, Jennifer SRamos, SilvinaKim, Chan JooRichter, Karin LGurbani, ArshyaIslam, Jessica YVielot, Nadja Ahttp://repositorio.cedes.org/handle/123456789/48492026-05-28T20:26:15Z2021-08-01T00:00:00ZTítulo : Health Care Provider Perceptions of Facilitators and Barriers to Human Papillomavirus Vaccination Delivery in Five Countries
Autor : Morgan, Karen; De Sanjose, Silvia; Smith, Jennifer S; Ramos, Silvina; Kim, Chan Joo; Richter, Karin L; Gurbani, Arshya; Islam, Jessica Y; Vielot, Nadja A
Resumen : [ABSTRACT]: Background
National human papillomavirus (HPV) vaccination programs could reduce global cervical cancer morbidity and mortality with support from health care providers. We assessed providers' perceptions of HPV vaccination in 5 countries.
Methods
We identified providers from 5 countries where national HPV vaccination programs were at various stages of implementation: Argentina, Malaysia, South Africa, South Korea, and Spain. Providers authorized to administer adolescent vaccines completed an in-depth survey, reporting perceptions of barriers and facilitators to initiating and completing HPV vaccination, and logistical challenges to HPV vaccination.
Results
Among 151 providers, common barriers to HPV vaccination initiation across all countries were parents' lack of awareness (39%), concerns about vaccine safety or efficacy (33%), and cost to patients (30%). Vaccination education campaign (70%) was the most commonly cited facilitator of HPV vaccination initiation. Common barriers to series completion included no reminder system or dosing schedule (37%), loss to follow-up or forgetting appointment (29%), and cost to patients (25%). Cited facilitators to completing the vaccine series were education campaigns (45%), affordable vaccination (32%), and reminder/recall systems (22%). Among all countries, high cost of vaccination was the most common logistical challenge to offering vaccination to adolescents (33%).
Conclusions
Incorporating provider insights into future HPV vaccination programs could accelerate vaccine delivery to increase HPV vaccination rates globally.
Descripción : Fil: Ramos S. Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina2021-08-01T00:00:00ZA health systems resilience research agenda: moving from concept to practicede Savigny, DonCanila, CarmelitaSuarez, PatriciaSaulnier, Dell DWernli, DidierPeytremann-Bridevaux, IsabelleWyss, KasparBlanchet, KarlRidde, ValeryDal Zennaro, LiviaGarcia, FernandoStern, BarbaraTeddy, GinaCobos Muñoz, DanielTediosi, FabrizioKwamie, AkuPoroes, CamilleGrimm, Pauline YongeunMaceira, DanielDurski, Kara NMarten, RobertSeematter, Laurencehttp://repositorio.cedes.org/handle/123456789/48482026-05-29T04:20:44Z2021-08-01T00:00:00ZTítulo : A health systems resilience research agenda: moving from concept to practice
Autor : de Savigny, Don; Canila, Carmelita; Suarez, Patricia; Saulnier, Dell D; Wernli, Didier; Peytremann-Bridevaux, Isabelle; Wyss, Kaspar; Blanchet, Karl; Ridde, Valery; Dal Zennaro, Livia; Garcia, Fernando; Stern, Barbara; Teddy, Gina; Cobos Muñoz, Daniel; Tediosi, Fabrizio; Kwamie, Aku; Poroes, Camille; Grimm, Pauline Yongeun; Maceira, Daniel; Durski, Kara N; Marten, Robert; Seematter, Laurence
Resumen : [ABSTRACT]: Health system resilience, known as the ability for health systems to absorb, adapt or transform to maintain essential functions when stressed or shocked, has quickly gained popularity following shocks like COVID-19. The concept is relatively new in health policy and systems research and the existing research remains mostly theoretical. Research to date has viewed resilience as an outcome that can be measured through performance outcomes, as an ability of complex adaptive systems that is derived from dynamic behaviour and interactions, or as both. However, there is little congruence on the theory and the existing frameworks have not been widely used, which as diluted the research applications for health system resilience. A global group of health system researchers were convened in March 2021 to discuss and identify priorities for health system resilience research and implementation based on lessons from COVID-19 and other health emergencies. Five research priority areas were identified: (1) measuring and managing systems dynamic performance, (2) the linkages between societal resilience and health system resilience, (3) the effect of governance on the capacity for resilience, (4) creating legitimacy and (5) the influence of the private sector on health system resilience. A key to filling these research gaps will be longitudinal and comparative case studies that use cocreation and coproduction approaches that go beyond researchers to include policy-makers, practitioners and the public.
Descripción : Fil: Maceira D. Center for the Study of State and Society (CEDES), Buenos Aires, Argentina.2021-08-01T00:00:00Z“Me sentí enfermar”: percepciones y comprensión de las mujeres del resultado positivo de un test de virus del papiloma humano en Jujuy, ArgentinaSzwarc, LucilaArrossi, SilvinaPaolino, MelisaSánchez Antelo, Victoriahttp://repositorio.cedes.org/handle/123456789/48472026-05-29T04:20:39Z2021-08-23T00:00:00ZTítulo : “Me sentí enfermar”: percepciones y comprensión de las mujeres del resultado positivo de un test de virus del papiloma humano en Jujuy, Argentina
Autor : Szwarc, Lucila; Arrossi, Silvina; Paolino, Melisa; Sánchez Antelo, Victoria
Resumen : [RESUMEN]: Con el objetivo de analizar las percepciones y clasificar las modalidades de
comprensión sobre un resultado positivo del test de virus del papiloma humano (VPH+),
en 2016 realizamos 38 entrevistas en profundidad a mujeres con diagnóstico de VPH+
(prueba de Papanicolaou normal y anormal), realizado en el sistema público de salud de
Jujuy. Se elaboró una tipología que delimita perfiles de mujeres en función del tipo de
comprensión del resultado: 1) comprensión; 2) no-comprensión, a) subestimación, b) sobreestimación, y c) confusión. Entre aquellas que no comprendían, las entrevistadas que
confundían el resultado relataron percepciones contradictorias con relación al VPH y su
gravedad; quienes lo subestimaban tendían a mencionar ausencia de síntomas y a expresar escasa preocupación; mientras que aquellas que lo sobreestimaban se consideraban
enfermas y expresaban preocupación, relato de una ruptura biográfica y dolores físicos.
Los hallazgos confirman la necesidad de mejorar los mecanismos de entrega e información sobre los resultados para disminuir el impacto psicosocial en las mujeres y aumentar
la adherencia al seguimiento sugerido.
Descripción : Fil: Fil: Szwarc L. Centro de Estudios de Estado y Sociedad/Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina2021-08-23T00:00:00Z"I'm neither here, which would be bad, nor there, which would be good": the information needs of HPV+ women. A qualitative study based on in-depth interviews and counselling sessions in Jujuy, ArgentinaSzwarc, LucilaArrossi, SilvinaPaolino, MelisaSánchez Antelo, Victoriahttp://repositorio.cedes.org/handle/123456789/48462026-05-29T04:21:07Z2021-12-01T00:00:00ZTítulo : "I'm neither here, which would be bad, nor there, which would be good": the information needs of HPV+ women. A qualitative study based on in-depth interviews and counselling sessions in Jujuy, Argentina
Autor : Szwarc, Lucila; Arrossi, Silvina; Paolino, Melisa; Sánchez Antelo, Victoria
Resumen : [ABSTRACT]: The objective of this qualitative study was to explore the information needs of HPV+ women. We conducted 38 in-depth interviews with HPV+ women in the province of Jujuy, Argentina. The interviews included a counselling session to respond to women’s concerns and questions. Women perceived the information provided as good, despite having several doubts and misconceptions after receiving results of an HPV+ test. They expressed difficulties in formulating questions during the consultation due to shame, excess of information provided or lack of familiarity with technical language. They valued emotional support and being treated kindly by professionals. The perceived information needs that emerged as most important were: (1) the meaning of an HPV+ result and its relationship with cervical cancer evolution and severity; (2) continuity and timing of the care process; (3) information on the sexual transmission of the virus; (4) explanation of the presence or absence of symptoms. Women’s primary unperceived information needs were: (1) detailed information about colposcopy, biopsy and treatments and their effects (including fertility consequences); and (2) deconstructing the association of sexual transmission with infidelity. Sources of information included: (1) the health care system; (2) the internet; and (3) social encounters (close friends and relatives). It is crucial to strengthen the processes for delivering results, with more thorough information, improved emotional support and active listening focused on the patient, as well as to conceive new formats to provide information in stages and/or gradually, in order to facilitate women’s access to the health care system and the information they need.
Descripción : Fil: Szwarc L. Centro de Estudios de Estado y Sociedad/Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina2021-12-01T00:00:00Z