TY - JOUR
T1 - HPV vaccination in Papua New Guinea to prevent cervical cancer in women
T2 - Gender, sexual morality, outsiders and the de-feminization of the HPV vaccine
AU - Kelly-Hanku, Angela
AU - Newland, Jamee
AU - Aggleton, Peter
AU - Ase, Sophie
AU - Aeno, Herick
AU - Fiya, Voletta
AU - Vallely, Lisa M.
AU - Toliman, Pamela J.
AU - Mola, Glen DL
AU - Kaldor, John M.
AU - Vallely, Andrew J.
PY - 2019/12
Y1 - 2019/12
N2 - Papua New Guinea has among the highest estimated burden of cervical cancer globally, but currently lacks national cervical screening or human papillomavirus (HPV) vaccination programmes. The Papua New Guinean government is committed to introducing the HPV vaccine for primary prevention, but locally-relevant research evidence is not available to guide implementation. Experience from earlier Papua New Guinean health programmes suggests that appropriate engagement with local health cosmologies and cultures for health/wellbeing, illness/disease, and recognition of the role of �outsiders� in preventing, promoting or contributing to sickness, are essential to the successful introduction of biomedical interventions in this setting. We describe findings from a multi-site qualitative study undertaken in three provinces in Papua New Guinea (2012-14). Twenty-one gender specific focus group discussions and 82 semi-structured interviews, with a total of 208 participants, were conducted. There was strong community support for the introduction of the HPV vaccine for cervical cancer prevention in Papua New Guinea. Significantly, and despite being officially discussed in the context of a planned future intervention focusing on vaccinating young girls to prevent cervical cancer, the intervention was de-feminised, where both girls and boys were supported to be vaccinated in any HPV programme in Papua New Guinea.
AB - Papua New Guinea has among the highest estimated burden of cervical cancer globally, but currently lacks national cervical screening or human papillomavirus (HPV) vaccination programmes. The Papua New Guinean government is committed to introducing the HPV vaccine for primary prevention, but locally-relevant research evidence is not available to guide implementation. Experience from earlier Papua New Guinean health programmes suggests that appropriate engagement with local health cosmologies and cultures for health/wellbeing, illness/disease, and recognition of the role of �outsiders� in preventing, promoting or contributing to sickness, are essential to the successful introduction of biomedical interventions in this setting. We describe findings from a multi-site qualitative study undertaken in three provinces in Papua New Guinea (2012-14). Twenty-one gender specific focus group discussions and 82 semi-structured interviews, with a total of 208 participants, were conducted. There was strong community support for the introduction of the HPV vaccine for cervical cancer prevention in Papua New Guinea. Significantly, and despite being officially discussed in the context of a planned future intervention focusing on vaccinating young girls to prevent cervical cancer, the intervention was de-feminised, where both girls and boys were supported to be vaccinated in any HPV programme in Papua New Guinea.
UR - http://www.scopus.com/inward/record.url?scp=85067695257&partnerID=8YFLogxK
U2 - 10.1016/j.pvr.2019.100171
DO - 10.1016/j.pvr.2019.100171
M3 - Article
SN - 2666-6790
VL - 8
JO - Papillomavirus Research
JF - Papillomavirus Research
M1 - 100171
ER -