A RETROSPECTIVE REVIEW OF THE SCHOOL-BASED HUMAN PAPILLOMAVIRUS (HPV) IMMUNIZATION PROGRAM: EVALUATING THE EFFECTS OF PUBLIC HEALTH NURSING ENGAGEMENT STRATEGIES WITH SCHOOLS, PARENTS AND YOUTH ON HPV VACCINE UPTAKE IN GREATER HALIFAX

Abstract

BACKGROUND: Nova Scotia has the highest rate of cervical cancer, predominantly attributed to the Human Papillomavirus (HPV). In 2007, the HPV vaccine was approved and a successful school-based program was implemented. Little is known however, which strategies used by public health nurses (PHNs) helps improve vaccine uptake.

METHODS: A retrospective, exploratory correlation study examined the relationship between school-based PHN strategies, and uptake of HPV vaccine.

RESULTS: HPV vaccine initiation was significantly associated with PHNs providing reminder calls for: consent return (p = .017) and missed school clinic (p = .004); HPV education to teachers (p < .001), and a thank-you to teachers (p < .001). Completion of the HPV series was associated with consents being returned to the students' teacher (p = .003), and a PHN being assigned to a school (p = .025).

CONCLUSIONS: These findings will help guide PHN’s best practice for optimal uptake of the HPV vaccine.