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Ontario's school-based HPV immunization program: school board assent and parental consent.
Sarah E Wilson1, Emily Karas, Natasha S Crowcroft
1Public Health Ontario, Toronto, ON. sarah.wilson@utoronto.ca
Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|February 18, 2012
Summary
Ontario's school-based HPV immunization program faced challenges with school board agreements, yet clinics were established in most schools. Parental consent is standard, though some health units consider student assent for HPV vaccination.
Area of Science:
- Public Health
- Immunization Programs
- Process Evaluation
Background:
- Ontario's publicly-funded HPV immunization program targets grade 8 females.
- School-based delivery is a key strategy for maximizing vaccine uptake.
Purpose of the Study:
- To conduct a process evaluation of Ontario's school-based HPV immunization program implementation.
- To identify challenges and successes in program delivery.
Main Methods:
- Telephone-based, semi-structured questionnaires administered to Ontario vaccine-preventable disease managers.
- Key areas assessed included stakeholder engagement, school participation, communication, and consent processes.
Main Results:
- 44% of Public Health Units (HUs) reported difficulties obtaining school board agreement for HPV vaccine clinics.
- Two Catholic school boards did not permit clinics. Parental consent is universally required, with some HUs considering student assent.
- Despite challenges, clinics were offered in all but two public school boards since 2007.
Conclusions:
- Local school board support presents a significant implementation challenge for the HPV immunization program.
- The program has achieved broad reach in schools, necessitating ongoing evaluation.
- Findings will inform future program development and evaluation efforts.
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