Attitude towards human papillomavirus vaccine uptake among girls aged 9-13 years in Kyenjojo Primary School, Kyenjojo district. A cross-sectional study.

Authors

  • Carolyn Ahurra Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology Author
  • Jane Namagga Kasozi Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology Author
  • Agnes Alupo Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology. Author
  • Olivia Sasirabo Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology. Author

DOI:

https://doi.org/10.64792/nx38pq73

Keywords:

Human papillomavirus (HPV), HPV vaccine uptake, adolescent girls, immunization, Kyenjojo District

Abstract

Background:

In Uganda, the burden of cervical cancer has increased significantly, partly due to low uptake of preventive measures such as HPV vaccination. This study assessed attitudes towards HPV vaccine uptake among girls aged 9–13 years at Kyenjojo Primary School in Kyenjojo District.

 Methodology:

A cross-sectional study employing quantitative methods was conducted among 70 girls aged 9–13 years. Respondents were selected using simple random sampling. Data were collected using a structured, researcher-administered questionnaire translated into Rutooro. Data were analyzed using SPSS to generate descriptive statistics, including frequencies and percentages, and results were presented in tables and charts. Ethical approval, consent, and assent were obtained prior to data collection.

 Results:

The majority of respondents (49.3%) were aged 13 years, with most being Batoro (53%) and Protestants (40.2%). Slightly more than half (52.8%) had received the HPV vaccine, indicating moderate uptake. Most vaccinations were conducted at school (39.3%). A large proportion (85%) reported no side effects following vaccination, suggesting generally positive experiences. However, 71% of respondents did not receive health education prior to vaccination, and information sources were inconsistent, with only a small proportion obtaining information from parents (14%) and health workers (17.6%). These gaps contribute to mixed attitudes, uncertainty, and hesitancy towards vaccination.

 Conclusion:

Attitudes towards HPV vaccination among adolescent girls are mixed, with both positive experiences and significant gaps in awareness and pre-vaccination education influencing uptake.

 Recommendations:

There is a need for strengthened health education programs targeting adolescents, increased involvement of parents, teachers, and healthcare workers, and improved communication strategies to foster positive attitudes and enhance HPV vaccine uptake.

Author Biographies

  • Carolyn Ahurra, Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology

    is a pediatric clinical nurse with a Master’s degree in Paediatric Clinical Nursing. She is passionate about improving child health through quality, evidence-based care, with a focus on managing childhood illnesses and promoting better health outcomes in Uganda.

  • Jane Namagga Kasozi, Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology

    is a research supervisor at the Faculty of Medicine, Department of Nursing, Mbarara University of Science and Technology.

References

1. Gao, X., Zhou, H., Li, X., & Li, X. (2014). Attitudes toward HPV vaccination among adolescent girls and their parents: A cross-sectional study. Vaccine, 32(36), 4651–4657.

2. Larson, H. J., Jarrett, C., Eckersberger, E., Smith, D. M. D., & Paterson, P. (2015). Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature. Vaccine, 33(34), 4180–4190.https://doi.org/10.1016/j.vaccine.2015.04.040

3. Lee, P. W. H. (2011). Parental attitudes and HPV vaccination: Concerns about safety and sexual behavior. Journal of Adolescent Health, 49(3), 298–300.

4. Levine, O. S., Bloom, D. E., Cherian, T., et al. (2011). The future of immunisation policy, implementation, and financing. The Lancet, 378(9789), 439–448.https://doi.org/10.1016/S0140-6736(11)60406-6

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6. Ministry of Health (MOH). (2015). Uganda National Cervical Cancer Prevention and Control Strategic Plan. Kampala, Uganda: Ministry of Health.

7. National Cervical Cancer Coalition (NCCC). (2016). Cervical cancer awareness and prevention guidelines.

8. Songthap, A., Pitisuttithum, P., & Kaewkungwal, J. (2012). Acceptability and factors influencing HPV vaccination among adolescents. Southeast Asian Journal of Tropical Medicine and Public Health, 43(6), 1431–1440.

9. United Nations Children’s Fund (UNICEF). (2015). Communication strategies to improve immunization uptake. New York: UNICEF.

10. World Health Organization (WHO). (2015). Cervical cancer: Estimated incidence, mortality, and prevalence worldwide. Geneva: WHO.

11. Youth HPV Programme. (2016). HPV vaccination access and uptake among adolescents in developing countries.

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Published

2026-04-06

Issue

Section

Health and Life Sciences

How to Cite

Attitude towards human papillomavirus vaccine uptake among girls aged 9-13 years in Kyenjojo Primary School, Kyenjojo district. A cross-sectional study. (2026). East African Journal of Research and Innovation, 2(2), 8. https://doi.org/10.64792/nx38pq73

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