Abstract
Studies have assessed early population-level impact of human papillomavirus (HPV) vaccination programs for preventing cervical cancer. Through a case study in Hong Kong we examined stakeholder engagement and interactions to promote a universal HPV vaccination program using the Health Policy Triangle framework for structured health policy analysis. Using data from a document review and semi-structured in-depth interviews, we used thematic and stakeholder analyses to describe the process of policy formation. Given Hong Kong’s political and health system, and a mix of Chinese and Western values, stakeholders judged legitimacy of the process differently. We discuss their varied ethical stances and the role of research evidence for informing policy-making. For effective HPV vaccination policy and promotion of universal free HPV vaccination among adolescent girls, new strategies are needed to broaden acceptance of the process, to frame policies in terms of facts and values, and to connect research to policy-making and improve coalition-building.
Highlights
Countries with sufficient resources have successfully implemented human papillomavirus (HPV) vaccination programs with high rates of uptake among adolescent girls [1]
In the United States, case studies delved into the politics of HPV vaccination policy formation [4, 5]
We aimed to identify activities undertaken by stakeholders to advocate for a new policy of universal HPV vaccination for adolescent girls in Hong Kong, on political dimensions of policy-making
Summary
Countries with sufficient resources have successfully implemented human papillomavirus (HPV) vaccination programs with high rates of uptake among adolescent girls [1]. Other studies examined HPV vaccination in Asian countries, including issues such as financing, policy development, and the feasibility of a government-implemented program [6,7,8]. Still lacking was a structured analysis of political dimensions of policy-making, in which the use of frameworks could guide analysis, deepen understanding, and support generalization to other settings targeting universal HPV vaccination. Walt and Gilson developed the framework Health Policy Triangle to examine how context, actors, content, and processes interact to shape policy-making. Researchers have used this framework to analyze other health issues, including health sector reform, reproductive health, and vaccine introduction [9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
