Research Department, African Institute for Development Policy, Nairobi, Kenya
Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
BMJ Open. 2023 Apr 3;13(4):e067164. doi: 10.1136/bmjopen-2022-067164.
Developing countries face the greatest cervical cancer disease burden and mortality with suboptimal immunisation uptake. This review explores the communication strategies adopted, successes, challenges and lessons learnt in sub-Saharan countries to enhance human papillomavirus (HPV) immunisation.
Systematic review and meta-analysis.
PubMed, Hinari, Cochrane Library, Trip database, CINAHL, Web of Science, Scopus and seven grey resources were searched through May 2022.
We included observational studies addressing communication strategies for HPV immunisation uptake.
Two independent reviewers used standardised methods to search, screen and code included studies. Data extraction and assessment of risk of bias were done in duplicate to enhance validity of the results. Meta-analysis was conducted using the random-effects model. Findings were summarised and synthesised qualitatively.
Communication intervention to facilitate decision-making achieved uptake rate of 100% (95% CI 0.99% to 1.00%), followed by intervention to enable communication, which achieved 92% (95% CI 0.92% to 0.92%). Communication intervention to inform and educate achieved 90% (95% CI 0.90% to 0.90%).Targeting both healthcare workers and community leaders with the communication intervention achieved 95% (95% CI 0.91% to 0.98%), while teachers and school boards achieved 92% (95% CI 0.84% to 1.01%). Targeting policymakers achieved 86% (95% CI 0.78% to 0.93%).Based on the method of communication intervention delivery, use of training achieved an uptake rate of 85% (95% CI 0.84% to 0.87%); similarly, drama and dance achieved 85% (95% CI 0.84% to 0.86%). However, use of information, education and communication materials achieved 82% (95% CI 0.78% to 0.87%).
HPV vaccine communication is critical in ensuring that the community understands the importance of vaccination. The most effective communication strategies included those which educate the population about the HPV vaccine, facilitate decision-making on vaccine uptake and community ownership of the vaccination process immunisation.
CRD42021243683.
发展中国家面临着最大的宫颈癌疾病负担和死亡率，免疫接种率不理想。本综述探讨了撒哈拉以南非洲国家为提高人乳头瘤病毒（HPV）疫苗接种率而采用的沟通策略、成功经验、挑战和经验教训。
系统评价和荟萃分析。
通过 2022 年 5 月在 PubMed、Hinari、Cochrane 图书馆、Trip 数据库、CINAHL、Web of Science、Scopus 和七个灰色资源进行了搜索。
我们纳入了探讨 HPV 疫苗接种率的沟通策略的观察性研究。
两名独立评审员使用标准化方法进行搜索、筛选和编码纳入的研究。数据提取和偏倚风险评估均重复进行，以提高结果的有效性。使用随机效应模型进行荟萃分析。总结和综合定性结果。
促进决策的沟通干预措施实现了 100%（95%CI 0.99%至 1.00%）的接种率，其次是促进沟通的干预措施，实现了 92%（95%CI 0.92%至 0.92%）。沟通干预措施以告知和教育为目的，实现了 90%（95%CI 0.90%至 0.90%）的接种率。针对卫生保健工作者和社区领导的沟通干预措施达到了 95%（95%CI 0.91%至 0.98%），而针对教师和学校董事会的干预措施达到了 92%（95%CI 0.84%至 1.01%）。针对决策者的干预措施达到了 86%（95%CI 0.78%至 0.93%）。根据沟通干预措施的实施方法，培训的使用实现了 85%（95%CI 0.84%至 0.87%）的接种率；同样，戏剧和舞蹈也达到了 85%（95%CI 0.84%至 0.86%）。然而，使用信息、教育和通信材料的接种率达到了 82%（95%CI 0.78%至 0.87%）。
HPV 疫苗接种沟通对于确保社区了解疫苗接种的重要性至关重要。最有效的沟通策略包括那些教育民众了解 HPV 疫苗、促进疫苗接种决策以及社区对疫苗接种过程的自主管理的策略。
PROSPERO 注册号：CRD42021243683。
