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SRP. 2019; 10(1): 81-86

Knowledge, Attitudes and Barriers towards Human Papillomavirus (HPV) Vaccination in Developing Economies Countries of South-East Asia Region: A Systematic Review

Susi Ari Kristina, Ni Putu Ayu Linda Permitasari.


Cervical cancer is the fourth most common cancer among women worldwide with South-East Asian countries jointly contributes to nearly one-third of the global cervical cancer burden. The objective of this study is to review
and determine the knowledge, attitude, also barriers among people in
developing countries of South East Asia region towards human papillomavirus (HPV) vaccination against cervical cancer. We performed a literature
search for published articles in English that reported about knowledge,
attitudes and barriers towards HPV vaccination in developing countries of
South-East Asia on UN World Economic Situation and Prospects 2018
classification, prior to recent years (2008-2018). Terms and keywords relevant
to knowledge attitudes towards HPV vaccination were used in a search of the electronic database. A total of 120 studies were initially identified and
10 studies were finally selected that met all eligibility criteria. The percentage
of knowledge on availability of HPV vaccine to protect women against
cervical cancer was varied from 7.8–97.5%. Meanwhile the positive
attitude percentage ranged from 36.1–92.1%. Some barriers of taking
HPV vaccination were because of afraid by the side effects, needle and/or any other safety issues, believed that the vaccine needed only when symptom appears, embarrassment and unaffordable price. Our study find even while levels of knowledge are generally low, individuals are still willing to receive vaccination against HPV. The barriers reflect the importance of immediate implementation of educational campaigns before vaccination is made available through a national HPV vaccination program. It may improve uptake of vaccination and its effectiveness to people in each country.

Key words: Cervical cancer, Human papillomavirus, HPV vaccine, Knowledge, South-East Asia.

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