Monday, April 1, 2019
Efficiency of the Anti-HPV Vaccination Campaign
Efficiency of the Anti-HPV Vaccination CampaignWas the anti HPV inoculation campaign sufficiently organized?AbstractThe stir against cervical malignant neop plumpic disease through vaccination and screening brings an authorized long benefit in controlling and decreasing this type of crab lo apply. The purposes and objectives of the seek were followed by a questionnaire represent of 6 questions that follows the awareness on primary cake through vaccination of cervical cancer, of 484 parents whose children were recommended to get vaccinations. The results highlighted that although sight did not know the benefits, contraindications, possible indecorous reactions, and also the international use of the vaccinum in a monolithic turn of events, they participated in taking a decision about vaccination of their get children anyway. The faulty organisation of these campaigns bring prejudicial actions of the vaccination campaigns, gener every last(predicate)y by forcing mass to take decisions without the suitable knowledge.IntroductionThe increased incidence of the neoplastic disorder occurrences, the high rate of their complications, their medical-surgical emergency appearance that they befuddle and last but not least , the high cost of the treatment and the likelihood of recurrence that are aspects that highlight the medical world. Therefore, in recent years, efforts dedicate been directed towards determining the precise pathogenesis, detection of the risk factors and the application of utile methods of prevention1-4. There are two elements of the application of effective prophylaxis against cervical cancer screening, through early identification of dysplastic changes and vaccination, which together ply to a cumulative reduction in the risk of cervical cancer up to 94%, fact that is calculated on advanced mathematical models . 5 The fight against cervical cancer has an advantage represented by the discovery and interest group in the etiology o f this type of cancer Human papilloma computer virus infection (HPV). The knowledge of one of the etiological factors of this condition can lead us to implement an effective prevention strategy that brings significant long-term benefits in controlling and decreasing number of cases of cervical cancer. Because vaccination actions rent to have a significant impact on the population, it is necessary to encounter two conditions first, vaccination should include a larger number of battalion and secondary, the existence of a competent immune system in mess vaccinated, enabling the production of a effective titer of antibodies anti HPV.6,7. At the same time, the achievement of a vaccination campaign can be reflected in the number of people who approved the vaccination and is even more successful if there was a full and proper public in data formation about the importance of this medical act that is performed.8The purpose and objectives of the researchThe research is aimed to evaluat e the level of awareness of primary prevention by immunise for cervical cancer of people, that, at a certain point, were put in position to take a decision for administering it to their children or not.Material and MethodsTo litigate this work, we developed a number of 6 questions grouped in a questionnaire, which was applied to a sample of 484 people, respectively parents of schoolgirls in grades V-IX, in January June 2010. The questionnaire was employ to collect data relating to the entropy held by the interviewees on the primary prevention of cervical cancer vaccination. The batch included people of the city of Brasov, from world(a) School no. 12 and from Nicolae Titulescu High School, but also from the artless areas from the General School of Hlchiu and General School of Satu Nou. The respondents were chosen randomly, every third person creation selected from the ones that attended the parent meetings of those years. At the outset of the meeting, people were instructed on how to properly complete the questionnaire. Initially 492 questionnaires were correct, of which we selected 484, 8 of them being excluded for various reasons (incomplete, un have, unlysed).ResultsCharacterization study groupFrom the sample studied, 308(64%) were female and 176(36%) be were males, as shown in enroll 1. run across 1. STRUCTURE OF THE ANALYSED conference BY GENDERThe average age of the group is 45 years, with minimum 30 years and maximum of 60 years. Framing parents in the age groups mentioned in the questionnaire can be viewed in Figure 2.Figure 2. STRUCTURE OF THE ANALYSED GROUP BY AGE just about parents of students in classes V to IX have elementary education, respectively 310 of them, and only one third have completed high school. The remaining 16 have a university degree. Graphical format depending on education level is found in Figure 3.Figure 3. STRUCTURE OF THE ANALYSED GROUP BASED ON THE EDUCATION LEVELOf the 484 people surveyed, 246(51%) of them are fr om urban areas and 238(49%) in rural areas, aspect illustrated in Figure 4Figure 4. STRUCTURE OF THE ANALYSED GROUP BASED ON THE houseThe results of the completed questionnaireIn taking a decision, it is extremely important to bring in the action and the purpose of the action, so the answers on this issue in the posture of parents are shown in turn off 1 and Figure 5Table 1. THE GOALS OF VACCINATION IN THE PERSPECTIVE OF PARENTSRegarding the awareness of the parents about the international use of the vaccine, 291(60,1%) of the respondents were not informed about it and 3(0,6%) parents have failed to respond to results, results found in Figure 6.Figure 6. THE AWARENESS OF THE PARENTS AB come forward INTERNATIONAL USE OF THE vaccineRegarding the knowledge of the benefits of vaccination of the parents surveyed 148(30,5%) responded affirmative, 321(66,3%) negative and 15(3,2%) gave no response, these issues are exposed in Figure 7.Figure 7. familiarity OF THE BENEFITS OF VACCINATIO NContraindications and adverse reactions following vaccination, by and by evaluating the results of the questionnaire were listed as respondents as unknown by 392(81%), known by 89(18%), and iii parents(1%) who avoided to respond as shown in Figure 8.Figure 8. KNOWLEDGE OF CONTRAINDICATIONS AND unfavorable REACTIONSA further question is aimed to outline a personal sagaciousness on the perception of the level of knowledge on the subject of the anti-HPV vaccination. Most people surveyed, precisely 412 parents(85%) admitted that they do not have enough information to take a decision on HPV vaccination, 72(15%) felt they possess the necessary knowledge as shown in Figure 9.Figure 9. THE LEVEL OF KNOWLEDGE ON THE SUBJECT OF THE ANTI-HPV VACCINATIONThe last question was aimed at identifying the number of respondents who would recommend carrying out the vaccination of their children. 256(53%) of the respondents refused vaccination, while 222(46%) took part in the vaccination campaign, 6(1%) of them abstained or failed to respond, aspect illustrated in Figure 10.Figure 10. THE INTENTION OF CARRYING OUT THE VACCINATION OF THEIR CHILDRENDiscussionsThe evaluation of the responses of the parents of the schoolgirls classes V to IX have highlighted a clear disparity between the quantity and quality of information held by them in respect of the anti-HPV vaccine and the decision, often unfavourable to participate in the vaccination campaign. The lot that was questioned consisted predominantly of women (64%), the average age of the group is 45 years, half residing in rural areas and half in urban areas.The aim of vaccination was found to protect against a deadly disease and vaccine exam in a proportion of 42% and 46%, which reveals from the beginning that the unfeigned objective of performing a vaccination campaign, namely the protection of persons cigarette is unknown by the public. Moreover, for the respondent it is unknown that before marketing a vaccine and releas ing it to the general public, there are carried out numerous clinical studies beforehand, whose results support or on contrary, they preclude the type of vaccine widely targeted populations for whom it is addressed. To not neglect the view of 10% of the respondents consider that it is rigorously a business of the Ministry of Health.The fact that the vaccine is already used internationally is only known by 39% of its respondents. Knowing this was a honorable aspect by example, illustrating the fact that other countries administers this vaccine for several years.The knowledge of the characteristics of a vaccine and related benefits, contraindications and / or possible side effectuate associated with vaccination could cause people to whom it is addressed pertinent to make a decision in favour of or against its implementation. The group to whom questions were addressed regarding this issue, has shown that up to 66% did not know the beneficial aspects of implementation of the vaccine a nd 81% were not informed of any contraindications and side effects that may occur.The questions were think to highlight if the population that was asked to take a decision to consider vaccination that is sufficiently informed or not. 84% of respondents admit they do not have sufficient arguments for or against vaccinations.The last question was aimed to highlight the proportion of people who recommend vaccinating their own children in the context of sharp more or less the vaccination aspects. Interpretation of the results highlighted that 53% of the people do not wish to participate in the campaign.ConclusionIn general, the aspects of vaccination are little known and this is more clear in the context of a fast ongoing campaign with lack of adequate information by any means (media, fliers, specialists). The group surveyed demonstrated that although they did not know the benefits, contraindications, adverse reactions possible, the international use of the vaccine, in a large propor tion , they participated in taking a decision about immunizing their children. The success of such campaigns are ensured only through a rigorous organic law involving all those entitled (specialists, family physicians, media) that provide pertinent information related to all aspects associated to the medical vaccination so that the decisions (positive or negative) are being acknowledged. In the opposite event it is a guaranteed failure, parents are forced to take important decisions about the future health of their children, without having minimum knowledge related to vaccination. Paradoxically, the bulk of the parents surveyed refused vaccination, although they acknowledged that their decision is not based on medical reasons. A organisation like this one may have faulty removed(p) effects and in time to see an increase that is more accentuated (because it is already manifesting) and the refusal of vaccinations in general.
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