Public policy on Human Papillomavirus immunization: an analysis based on the Walt and Gilson policy triangle.
María Angélica Saldías-Fernández, Jéssica García-Gutiérrez
PMID 42599288WHAT IT FOUND
Provider advice, especially from nurses, was repeatedly linked to HPV vaccination uptake.
Barriers included low knowledge, safety worries, cost, pain fear and stigma. School-based access and public trust mattered. This review maps policy influences, not tested effects.
Key findings
01Advice from healthcare personnel, including nursing staff, was reported as a key facilitator of HPV vaccination decisions.
02Barriers to HPV vaccination included lack of knowledge, concerns about safety and efficacy, cost, fear of pain, negative vaccine experiences, discrimination and lack of time.
03The final evidence map was based on 21 articles and three policy implementation reports.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a scoping review, not a trial or meta-analysis, so it cannot show that any policy or nursing action improves coverage. The included studies came from several countries and used different designs, so they do not isolate what works in Chile. Official assessment reports on Chile's policy implementation were difficult to access. There were few Latin American studies in the search results. The review did not measure patient outcomes or vaccine effectiveness.
The easy way to misread this
Do not conclude that nurse-led HPV vaccination campaigns increase coverage. This scoping review maps policy actors and barriers. It did not test an intervention or measure outcomes.