Self-government HPV vaccination programmes in Poland, 2009-2016

Area of Science:

• Public Health
• Oncology
• Epidemiology

Background:

• Cervical cancer remains a significant health concern for women globally and in Poland, despite decreasing incidence and mortality rates.
• Poland's cervical cancer survival rates lag behind European averages, highlighting the need for effective prevention strategies.
• Human papillomavirus (HPV) vaccination is a key strategy in preventing cervical cancer.

Purpose of the Study:

• To analyze health policy programs focused on HPV vaccination implemented by Polish local self-government units from 2009 to 2016.
• To assess the extent of HPV vaccination coverage and financial contributions at the local level.
• To explore potential correlations between regional cervical cancer incidence and HPV vaccination program characteristics.

Main Methods:

• Analysis of existing data on health policy programs, including those developed by provincial governors and submitted to the Ministry of Health.
• Inclusion of all programs specifically addressing HPV vaccinations within the study period.
• Quantitative assessment of the number of programs, vaccinated individuals, and financial outlays.

Main Results:

• A total of 1,204 health policy programs incorporating HPV vaccinations were implemented by local governments between 2009 and 2016.
• Approximately 2.05% of girls aged 10-14 received HPV vaccinations through these programs.
• Communes showed the highest financial contributions to HPV vaccination programs, while counties contributed the least.

Conclusions:

• Local government HPV vaccination programs align with national strategies for combating neoplastic diseases.
• Access to HPV vaccination may have been restricted for girls in rural communes.
• Variations in program implementation, vaccination rates, and funding across provinces may be influenced by regional cervical cancer incidence.