Determinants of Vaccination Coverage Against Human Papillomavirus in 10-year-old Girls in 2016 in Rural Senegal

Cervical cancer is the first gynecological cancer in Senegal. As part of the cancer control plan, the Ministry of Health and Social Action conducted a pilot phase of HPV vaccination in the districts of Dakar and Mekhe between 2014 and 2016. The objective of this survey is to study the determinants of HPV vaccination coverage in 10-year-old girls in 2016 in the Mekhe health district. This is a descriptive cross-sectional epidemiological study for analytical purposes. A two-stage survey was conducted. The data were collected during an individual interview at the homes of the mothers. The compendium focused on personal characteristics, knowledge and practices on immunization. Full vaccination coverage was determined. Logistic regression was used to identify factors associated with immunization coverage. Respondents were 300 The mean age was 35 ± 9.64 years. Mothers who knew how to prevent cervical cancer were 171 or 57% [95% CI: 51.2-62.7]. Immunization coverage for girls aged 10 years was 86.3% [95% CI: 81.9-90.0]. The discontinuation between the first and second dose of the vaccine was 6.5% [95% CI: 3.9-10.1]. HPV vaccine coverage was related to the residence environment (OR = 3, 18 [95% CI: 1.34-7.56]); (OR = 22.02, [95% CI: 4.2-113.4]) and information for mothers (OR = 10.92 [95% CI: 2.93-40.64]). Vaccination against HPV is a preventive activity that requires the collaboration with the education sector and a good proximity communication.