Management in Health, Vol 19, No 3 (2015)

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KNOWLEDGE, PRACTICES, AND BARRIERS TO VACCINATION AGAINST HUMAN PAPILLOMA VIRUS INFECTION: ADDRESSING A GROUP OF DOCTORS IN ROMANIA

Septimiu VOIDĂZAN, Monica TARCEA, Silviu Horia MORARIU, Claudia Andreea NISTOR, Cosmina UZUN, Minodora DOBREANU

Abstract


INTRODUCTION: Cervical cancer is a serious disease, the cause of which, overwhelmingly, is represented by infection with oncogenic strains of Human Papilloma Virus (HPV). Romania ranks first in Europe in terms of mortality from cervical cancer (10.77%000), over 6 times higher than the mean of the European Union (EU).

PURPOSE: The assessment of knowledge of specialist physicians (general practitioners, gynecologists, and pediatricians) about HPV infection and HPV vaccination, patient awareness about cervical cancer, HPV infection prevention, and the identification of barriers to the implementation of a vaccination strategy.

METHODS: We performed a cross-sectional study by using a selfadministered questionnaire to physicians from the Central Region of Romania, covering six counties. The questionnaire was aimed at identifying the knowledge of physicians about HPV infection and HPV vaccination, the level of information, as well as the barriers to HPV vaccination, the importance of a vaccination program and the manner of its implementation.

RESULTS: Approximately 50% of the respondents reported a good level of knowledge about HPV infection/HPV vaccination. The two main sources of information on HPV infection/HPV vaccination was the study of books or

journals (67.8%/64.2%), and participation in postgraduate courses (39.8%/39.4%). Ninety-three percent of physicians considered a new vaccination program against HPV infection in Romania to be useful, on condition that accurate information is provided to the patients and physicians involved.

CONCLUSIONS: In order to implement an effective program to increase the absorption rate of HPV vaccination such educational strategies are required which would target both physicians and parents, by providing clear and transparent information about the safety and effectiveness of HPV vaccine.

Keywords: HPV infection, cervical cancer, HPV vaccination, questionnaire, general practitioner.


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