Human papillomavirus vaccination in Brazil: Universal health coverage or discriminatory practice? Público

Abstract

In 1988, Brazil's Unified Health System (SUS) established a right to health in the constitution granting all Brazilians universal access to health care. Brazil introduced human papillomavirus (HPV) vaccination into its vaccination program in 2014. Despite the universal nature of SUS, HPV vaccination was limited to females aged 9-13. The goal of this study was to evaluate parental knowledge and attitudes regarding HPV vaccination exclusion criteria. Data were collected from parents with children aged 9-17 in the municipality of Mauá (São Paulo, Brazil) through questionnaires. We documented high knowledge and positive parental attitudes regarding HPV vaccination safety and efficacy among the low-income population. Additionally, the majority of parents supported the inclusion of males and females over 13 into the vaccination program, and the demand for non-discriminatory HPV vaccination is high among parents. Exclusion of these populations violates the basic principle of non-discrimination as a part of universal health coverage (UHC), as well as Brazil's constitution. Worldwide, approximately 100 million individuals fall into poverty each year due to health care costs. Excluding these individuals from HPV vaccination perpetuates inequality in a health system that was created to provide UHC, as the majority of individuals cannot afford the cost of HPV vaccination.

Table of Contents

Chapter 1: Background ............................................................................................... 1

Chapter 2: Manuscript ............................................................................................... 13

Chapter 3: Public Health Implications..........................................................................32

Chapter 4: References ................................................................................................ 34

Appendix A: Tables ................................................................................................... 43

Appendix B: Study Instrument....................................................................................48

About this Master's Thesis

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Epidemiology
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, Epidemiology
Palabra Clave	parental perceptions human papillomavirus vaccination human rights Universal health coverage adolescent health Brazil
Committee Chair / Thesis Advisor	Bednarczyk, Robert A, Emory University
Committee Members	Evans, Dabney, Emory University
Partnering Agencies	State or local governmental agency (not a health department and not in Georgia) University, college or educational institution (other than Emory)

Última modificación

Primary PDF

Thumbnail	Title	Date Uploaded	Actions
	Human papillomavirus vaccination in Brazil: Universal health coverage or discriminatory practice? ()	2018-08-28 13:55:53 -0400	Press to Select an action Download

Supplemental Files

Thumbnail	Title	Date Uploaded	Actions