Efficiency of the Anti-HPV Vaccination Campaign

Efficiency of the Anti-HPV Vaccination CampaignWas the anti HPV vaccination campaign sufficiently organized? overturnThe fight against cervical arseholecer through vaccination and screening brings an important long-term benefit in controlling and decreasing this type of cancer. The purposes and objectives of the research were followed by a questionnaire composed of 6 questions that follows the aw areness on primordial prevention through vaccination of cervical cancer, of 484 parents whose children were suggested to get vaccinations. The results highlighted that although people did not know the benefits, contraindications, realistic adverse re attains, and also the international use of the vaccinum in a big number, they participated in taking a decision about vaccination of their throw children anyway. The faulty organisation of these campaigns bring prejudicial actions of the vaccination campaigns, generally by forcing people to take decisions without the adequate cultivatio n.IntroductionThe increased incidence of the neoplastic derange occurrences, the high rate of their complications, their medical-surgical emergency appearance that they have and last but not least , the high cost of the treatment and the likelihood of recurrence that are aspects that highlight the medical world. Therefore, in recent years, efforts have been directed towards determining the precise pathogenesis, detection of the jeopardy factors and the application of effective methods of prevention1-4. There are devil elements of the application of effective prophylaxis against cervical cancer screening, through early identification of dysplastic changes and vaccination, which together lead to a cumulative reduction in the risk of cervical cancer up to 94%, fact that is calculated on advanced mathematical models . 5 The fight against cervical cancer has an advant sequence represented by the discovery and involvement in the etiology of this type of cancer Human papilloma virus inf ection (HPV). The knowledge of one of the etiological factors of this condition can lead us to implement an effective prevention strategy that brings significant long-term benefits in controlling and decreasing number of cases of cervical cancer. Because vaccination actions rent to have a significant impact on the population, it is indispensable to fulfil two conditions first, vaccination should include a larger number of people and secondary, the existence of a competent immune system in people vaccinated, enabling the production of a effective titer of antibodies anti HPV.6,7. At the same time, the achievement of a vaccination campaign can be reflected in the number of people who approved the vaccination and is even more(prenominal) successful if there was a full and proper public information about the importance of this medical act that is performed.8The purpose and objectives of the researchThe research is aimed to evaluate the level of awareness of primary prevention by va ccinating for cervical cancer of people, that, at a certain point, were put in position to take a decision for administering it to their children or not.Material and MethodsTo accomplish this work, we developed a number of 6 questions grouped in a questionnaire, which was applied to a sample of 484 people, respectively parents of schoolgirls in grades V-IX, in January June 2010. The questionnaire was used to collect data relating to the information held by the interviewees on the primary prevention of cervical cancer vaccination. The batch included people of the city of Brasov, from frequent School no. 12 and from Nicolae Titulescu High School, but also from the rural areas from the General School of Hlchiu and General School of Satu Nou. The respondents were chosen randomly, every threesome person being selected from the ones that attended the parent meetings of those years. At the beginning of the meeting, people were instructed on how to properly complete the questionnaire. In itially 492 questionnaires were completed, of which we selected 484, 8 of them being excluded for various reasons (incomplete, unclear, unlysed).Results portrait study groupFrom the sample studied, 308(64%) were female and 176(36%) remaining were males, as shown in interpret 1. cypher 1. STRUCTURE OF THE ANALYSED GROUP BY GENDERThe average age of the group is 45 years, with minimum 30 years and maximum of 60 years. Framing parents in the age groups mentioned in the questionnaire can be viewed in jut 2. elaborate 2. STRUCTURE OF THE ANALYSED GROUP BY AGEMost parents of students in classes V to IX have elementary education, respectively 310 of them, and solely one third base have completed high school. The remaining 16 have a university degree. Graphical format depending on education level is found in Figure 3.Figure 3. STRUCTURE OF THE ANALYSED GROUP BASED ON THE EDUCATION LEVELOf the 484 people surveyed, 246(51%) of them are from urban areas and 238(49%) in rural areas, aspect il lustrated in Figure 4Figure 4. STRUCTURE OF THE ANALYSED GROUP BASED ON THE DOMICILEThe results of the completed questionnaireIn taking a decision, it is extremely important to understand the action and the purpose of the action, so the answers on this issue in the perspective of parents are shown in Table 1 and Figure 5Table 1. THE GOALS OF vaccination IN THE PERSPECTIVE OF PARENTSRegarding the awareness of the parents about the international use of the vaccine, 291(60,1%) of the respondents were not informed about it and 3(0,6%) parents have failed to respond to results, results found in Figure 6.Figure 6. THE consciousness OF THE PARENTS ABOUT INTERNATIONAL USE OF THE VACCINERegarding the knowledge of the benefits of vaccination of the parents surveyed 148(30,5%) responded affirmative, 321(66,3%) negative and 15(3,2%) gave no response, these issues are exposed in Figure 7.Figure 7. KNOWLEDGE OF THE BENEFITS OF VACCINATIONContraindications and adverse reactions following vaccina tion, after evaluating the results of the questionnaire were listed as respondents as unknown by 392(81%), known by 89(18%), and three parents(1%) who avoided to respond as shown in Figure 8.Figure 8. KNOWLEDGE OF CONTRAINDICATIONS AND ADVERSE REACTIONSA further question is aimed to outline a personal assessment on the perception of the level of knowledge on the surmount of the anti-HPV vaccination. Most people surveyed, precisely 412 parents(85%) letted that they do not have enough information to take a decision on HPV vaccination, 72(15%) felt they possess the necessary knowledge as shown in Figure 9.Figure 9. THE LEVEL OF KNOWLEDGE ON THE SUBJECT OF THE ANTI-HPV VACCINATIONThe last question was aimed at identifying the number of respondents who would recommend carrying out the vaccination of their children. 256(53%) of the respondents refused vaccination, while 222(46%) took part in the vaccination campaign, 6(1%) of them abstained or failed to respond, aspect illustrated in Fi gure 10.Figure 10. THE INTENTION OF CARRYING OUT THE VACCINATION OF THEIR CHILDRENDiscussionsThe military rank of the responses of the parents of the schoolgirls classes V to IX have highlighted a clear disparity between the quantity and quality of information held by them in respect of the anti-HPV vaccine and the decision, practically un favorable to participate in the vaccination campaign. The lot that was questioned consisted predominantly of women (64%), the average age of the group is 45 years, half residing in rural areas and half in urban areas.The aim of vaccination was found to protect against a deadly disease and vaccine testing in a proportion of 42% and 46%, which reveals from the beginning that the true objective of performing a vaccination campaign, namely the protection of persons target is unknown by the public. Moreover, for the respondent it is unknown that before merchandise a vaccine and releasing it to the general public, there are carried out numerous clini cal studies beforehand, whose results support or on contrary, they preclude the type of vaccine widely targeted populations for whom it is addressed. To not neglect the view of 10% of the respondents con aspectr that it is strictly a business of the Ministry of Health.The fact that the vaccine is already used internationally is only known by 39% of its respondents. Knowing this was a beneficial aspect by example, illustrating the fact that other countries administers this vaccine for several years.The knowledge of the characteristics of a vaccine and related benefits, contraindications and / or possible side effects associated with vaccination could cause people to whom it is addressed pertinent to make a decision in favour of or against its implementation. The group to whom questions were addressed regarding this issue, has shown that up to 66% did not know the beneficial aspects of implementation of the vaccine and 81% were not informed of any contraindications and side effects th at may occur.The questions were intended to highlight if the population that was asked to take a decision to consider vaccination that is sufficiently informed or not. 84% of respondents admit they do not have sufficient arguments for or against vaccinations.The last question was aimed to highlight the proportion of people who recommend vaccinating their own children in the circumstance of knowing more or less the vaccination aspects. Interpretation of the results highlighted that 53% of the people do not wish to participate in the campaign.ConclusionIn general, the aspects of vaccination are little known and this is more clear in the context of a fast ongoing campaign with lack of adequate information by any means (media, fliers, specialists). The group surveyed demonstrated that although they did not know the benefits, contraindications, adverse reactions possible, the international use of the vaccine, in a big proportion , they participated in taking a decision about immunizing their children. The success of such campaigns are ensured only through a rigorous organization involving all those entitled (specialists, family physicians, media) that result pertinent information related to all aspects associated to the medical vaccination so that the decisions (positive or negative) are being acknowledged. In the opposite event it is a guaranteed failure, parents are forced to take important decisions about the future health of their children, without having minimum knowledge related to vaccination. Paradoxically, the majority of the parents surveyed refused vaccination, although they acknowledged that their decision is not based on medical reasons. A organisation like this one may have faulty remote effects and in time to see an increase that is more accentuated (because it is already manifesting) and the refusal of vaccinations in general.