Effective HPV vaccination with Māori male students: Evaluation of a Kaupapa Māori primary health care initiative

Abstract

Tā tēnei tuhinga he tuku pūrongo mo tētahi kokiri miro-maha paetata, hei whakapiki i te pai o te kapinga whāngainga kano ārai mate mo te tona kiri tangata whai hua (HPV) ki ngā tauira tāne Māori i waenga i te 13-17 tau i tētahi takiwā tuawhenua i Aotearoa. I hoahoa tahitia tēnei kokiri e te tapuhi hauora tuawhenua mai i tētahi pūtahi hauora, me te tumuaki o te kura tuarua o te rohe. Ko te whāinga he whakapiki i ngā pūkenga hauora, he hora horopaki tautoko i ngā ākonga kia whakaae ki te whāngainga kano ārai. 37 o ngā ākonga 44 i te kāpuinga i tomo ki te kokiri, ā, i whāngaia ki to rātou kano ārai mate tuatahi mo te tona kiri tangata (HPV);ko te pāpātanga kapinga mo te kaupapa katoa he 79%, kei runga kē ake i te whāinga mo te motu whānui. Nā ngā hua o tēnei hotaka whāngainga, i whakatauria e mātou me aromātai te kokiri nei, inā rā tā mātou pūrongo i konei. I kawea e mātou te aromātai i te tau 2018, 10 ngā uiuinga ki ngā kaiwhakaatu taketake;i haere hoki he whakawhitinga korero i waenga i tētahi ropu ākonga tāne tokowaru. Ko ngā āhuatanga i tautohutia hei mea hira mo te whakapiki whāinga wāhi ki ngā mohiotanga me te whakapiki pāpātanga kapinga ko te tautoko hononga i waenga i te hapori;ngā uara me ngā matakite e hāpainga ai e te katoa;me te āta tārei i te kokiri kia kitea he whakaaro matua totika, mā ngā ākonga tāne.Alternate abstract:This article reports on a local multi-component initiative to improve local Human Papillomavirus (HPV) vaccination coverage of Māori male students aged 13-17 years in a rural location in Aotearoa New Zealand. The initiative was co-designed by the rural health nurse from a community clinic of the Hauora (Māori health provider) and the principal of the local area school. The intent was to improve health literacy and provide an environment to support the students to consent to vaccination. 37 of 44 students in the cohort engaged with the initiative and had their first HPV vaccination, and the coverage rate for the full course was 79%, exceeding the national target. The success of this vaccination programme led us to undertake an evaluation of the initiative which we report here. We undertook the evaluation in 2018, which included 10 key informant interviews and a group discussion with eight male students. Factors that were identified as being important in improving access to information and improving coverage rates included supporting established community relationships;shared values and vision for the community;and tailoring the initiative to achieve the right engagement context for male students.