Abstract
In 2012, there were 2,454 cases and 1,676 deaths from cervical cancer in Kenya. Human Papilloma Virus (HPV) is responsible for 99% of all cervical cancers. National cervical cancer prevention guidelines recommend HPV vaccination among HPV-naïve pre-adolescent girls' prior to onset of sexual activity preferably through school-based interventions. Similarly, Voluntary Male Medical Circumcision (VMMC) programs also reduce sexually transmitted infections like HIV, and ideally should also be conducted prior to the onset of sexual activity. The Families Matter! Program (FMP) is a school-based evidence-based HIV prevention intervention for parents and guardians of pre-adolescents aimed to enhance protective parenting practices in order to reduced sexual risk-taking among adolescents. In this paper we describe how we will recruit a cohort of 55 parent-child dyads in a primary school in Kisumu County then implement and evaluate an adapted FMP program that incorporates VMMC promotion and HPV vaccination in conjunction. It is anticipated that the intervention will enhance parental-child communication about sexual matters, promote safe sexual practices and uptake of biomedical prevention interventions and overall reproductive health among the pre-adolescents
Highlights
Cervical cancer is the second most common cancer in women living in resource limited settings
The Kenya cervical cancer prevention guidelines recommend the administration of Human Papilloma Virus (HPV) vaccine to pre/early adolescent prior to onset of sexual activity
Interventions to provide HPV vaccination, Voluntary Male Medical Circumcision (VMMC) and family education are currently provided in isolation.[8, 15, 17]
Summary
Cervical cancer is the second most common cancer in women living in resource limited settings. The Kenya cervical cancer prevention guidelines recommend the administration of HPV vaccine to pre/early adolescent prior to onset of sexual activity. This should preferably be done through a school-based program targeting girls in primary school from classes 4-8, corresponding to an age range of 9 to 13 years. Interventions to provide HPV vaccination, VMMC and family education are currently provided in isolation.[8, 15, 17] We propose to provide an adapted FMP program that incorporates VMMC promotion as a component of HIV prevention and HPV vaccination as a component of STI risk reduction among parents/guardians at one public primary school within Kisumu County to enhance HPV prevention. In this paper we describe our methods that we propose to undertake and specific aims we intend to achieve in order to assess the feasibility of implementing an adapted FMP in the Kenyan setting
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