Reasons to explain the reduction in coverage of HPV vaccine in Colombia

Abstract

HPV infection is considered one of the main causes of neoplasia and preneoplasiaassociated with infectious processes. It represents public healthproblems in developed countries, but especially in those which are developing.In response to this, since 2008, the HPV vaccine has been introducedin vaccination schemes and it is currently in more than 120 countries. Oncethe vaccine was implemented by the Immunization Program in Colombia,its coverage was the best in the world, nevertheless what occurred in 2014,in Bolivar Department it impacted negatively. This article, based on the useof the Theories of Decision and Perception, tackles the process performedby the parents for election of non-vaccination as the most beneficial actionconsidered. The health authority must deal three facts that determine its acceptance by parents and adolescents: first, to manage the uncertainty generatedby the vaccine because of doubts about its safety. Second, the impact of communicationin the Information Age. Third, the inclusion of Gender equality in terms of beliefs,desires and interpretations about sexuality, reproduction, HPV and in general in dailylife in order to end with the disparity between women and men in the exercise ofpower and decision making process at all levels.