Behavioural and social drivers of HPV vaccine uptake in Tonga: a mixed-methods study using the WHO BeSD framework and Talanoa in a Pacific Island setting.

Mohammad Alamgir¹, Johary Randimbivololona², Patelisio N Patelisio³, Ofa Tukia⁴, Seini Toumoua Fifita⁵, Sione Tukia Kafoa⁶, Erma Manoncourt⁷

¹Social & Behaviour Change Specialist, UNICEF Pacific, UN Joint Presence Office, Royko Building, Fatafehi Road, Nuku'alofa, Tonga.. Electronic address: moalamgir@unicef.org.

²Social & Behaviour Change Manager, UNICEF Pacific, FDB Building, 360 Victoria Parade, Suva, Fiji.. Electronic address: jrandimbivololona@unicef.org.

³Head, Health Promotion Unit, Ministry of Health, Vaiola Hospital, Taufa'ahau Road, Nuku'alofa, Tonga.. Electronic address: ppatelisio@health.gov.to.

⁴Chief Medical Officer-Public Health. Ministry of Health. Vaiola Hospital, Taufa'ahau Road, Nuku'alofa, Tonga.. Electronic address: otukia@health.gov.to.

⁵Head, School of Nursing & Health Sciences, Tonga National University, Fatafehi Road, Pahu, Nuku'alofa, Tonga.. Electronic address: seini.fifita@tnu.edu.to.

⁶Lecturer, School of Nursing & Health Sciences, Tonga National University, Fatafehi Road, Pahu, Nuku'alofa, Tonga.. Electronic address: sione.kafoa@tnu.edu.to.

⁷Adjunct Faculty (retired), Sciences Po Paris School of International Affairs; Senior Guest Lecturer, New York University School of Global Public Health, United States.. Electronic address: erma.manoncourt@sciencespo.fr.

PubMed DOI

Abstract

BACKGROUND: Small Pacific Island nations sustain a disproportionate cervical cancer burden. Despite an excellent routine immunization program, HPV vaccine coverage in Tonga remains consistently low after a decade of programming. We used the WHO Behavioural and Social Drivers (BeSD) framework to identify drivers of HPV vaccine uptake among caregivers and to examine the underlying contextual mechani…

Create a free account to keep reading

Free members get 10 full research views every month across publications, clinical trials, FDA clearances, adverse events, and NIH grants. No credit card required.

Create Free Account Sign In

Want unlimited research access? See Pro plans

Data Accuracy Notice: Research intelligence on Health AI Central is aggregated from public sources (PubMed, ClinicalTrials.gov, FDA, NIH, CMS, and others) and refreshed nightly. Classifications and derived metrics are produced by automated methods described in our Methodology. We recommend verifying critical data points against the primary sources before making decisions.