Low coverage of HPV vaccination in the national immunization programme in Brazil: Parental vaccine refusal or barriers in health-service based vaccine delivery?
William Mendes LobãoFernanda Gross DuarteJordan Danielle BurnsCarlos Antonio de Souza Teles SantosMaria Conceição Chagas de AlmeidaArthur ReingoldEdson Duarte MoreiraPublished in: PloS one (2018)
One year after introduction in the NIP, most parents surveyed in Brazil accepted HPV vaccination for their daughters and sons. Low coverage in the NIP seemed to be due to challenges in adolescent vaccine delivery and HPV vaccination barriers at health-care centers, rather than to vaccine refusal.