Exploring Barriers and Facilitators in Parents’ Decision-Making Regarding HPV Vaccination for Their Daughters: A Qualitative Study

Abstract

Introduction: Human papillomavirus (HPV) is a sexually transmitted infection associated with cervical cancer. Effective vaccination can prevent HPV-related diseases. Parents play a pivotal role in their daughters’ health decisions, including HPV vaccination. Objective: This qualitative study explores the barriers and facilitators influencing parents’ decisions regarding HPV vaccination for their daughters against cervical cancer. Methods: This qualitative study employed an in-depth, open-ended, and semi-structured interview guide, complemented by potential probes. The study was conducted in two private schools in Addis Ababa from December 2023 to February 2024. The study employed a purposive sampling technique with snowball sampling methods after selecting initial participants through the school informants. A voice recording was utilized to ensure accurate data capture. The data were transcribed, and translated for thematic analysis using NVivo 14 software (version 14.23.2). Result: This qualitative study reveals that parents’ decisions regarding HPV vaccination for their daughters against cervical cancer are influenced by varying risk perception, severity awareness, and confidence levels in vaccine efficacy. Ethical considerations, which examine the moral and ethical aspects related to HPV vaccination decisions, play a crucial role. Additionally, safety concerns and myths also contribute significantly. Addressing misconceptions and promoting early education are crucial for informed decision-making. Conclusion and Recommendation: This study identifies key factors influencing parents’ decisions on HPV vaccination for their daughters against cervical cancer. To enhance vaccine acceptance, targeted interventions are crucial. Recommendations include strengthening health education campaigns, improving communication between healthcare providers and parents, and considering mandatory HPV vaccination within childhood immunization programs. Keywords: HPV, HPV vaccination decision-making, barriers, facilitators, Cervical Cancer.

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