Human papillomavirus (HPV) vaccination among school girls aged 9 to 13 years in Obosi, Idemili North Local Government Area, Anambra State, Nigeria

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Nwankwo Nonyelum Stella
Nwankwo Chiamaka Cynthia

Abstract

Human Papillomavirus (HPV) infection remains a primary etiological factor in the development of cervical cancer, posing a major public health threat in low- and middle-income countries. This study examined the factors influencing HPV vaccination uptake among girls aged 9 to 13 years in Obosi, Idemili North Local Government Area, Anambra State, Nigeria. A descriptive cross-sectional design was adopted covering a target population of 1,000 girls aged 9–13 years across the five villages of Obosi. Using Nwana’s Rule of Thumb, a sample of 100 respondents was selected via multistage random sampling. Data were collected using the validated Factors Influencing the Uptake of Human Papillomavirus Vaccination Questionnaire (FIHPVVQ, test-retest r ? 0.70) and analyzed using descriptive statistics in SPSS version 23. Findings revealed low HPV vaccine uptake: only 34.0% completed the full vaccination schedule, 18.0% received partial doses, and 48.0% remained unvaccinated. Key socio-economic factors influencing uptake included parental awareness of HPV (90.0%), easy access to healthcare facilities (84.0%), parental education (82.0%), household income (76.0%), parental occupation (69.0%), and religious beliefs (65.0%). Major barriers were lack of awareness (88.0%), fear of side effects (74.0%), high vaccination cost (72.0%), lack of healthcare worker recommendation (70.0%), religious misconceptions (63.0%), cultural taboos (60.0%), and distance to facilities (57.0%).

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