Impact of a Brief School Based Educational Intervention to Increase the Knowledge about HPV Vaccination among Adolescent Girls

Latha M Sneha, Julius Xavier Scott, Abirami S Kennedy, Sooram D Balaji, Goutham Balaji, Nandhini Muthuswamy


Background: Human papilloma virus (HPV) infections are one of the commonly sexually transmitted infections. Worldwide, HPV has been documented as the causative factor in 99% of the cervical cancers but still HPV vaccination implementation is still non-pragmatic in India. For the successful implementation of the vaccination programs, the target population – adolescents’ awareness regarding HPV associated diseases and benefits of vaccination should be improved.

Aims and Objectives: To assess the knowledge of human papilloma virus and attitude towards HPV vaccination among adolescent girls and the effect of a short educational intervention on improving the knowledge and thereby increasing the acceptance of the vaccine.

Methodology: A questionnaire study was conducted among adolescent girls in the age group of 14-18 years in secondary and higher secondary schools. The participants were given a brief power point presentation about HPV and vaccination. The post interventional questionnaire was given immediately and one month later to test the level of retention of the knowledge acquired.

Results: Among 984 participants, only 743 were found to be valid. The mean test scores was not significantly different among participants from urban or rural group nor was it higher among children of higher parental education or socio-economic status. Among the study population, only 0.4% had received the HPV vaccination and only 32 % knew that cervical cancer was preventable. In the post intervention study, 85% were willing to get vaccinated and 91% wanted to recommend it other family members. The mean test score was statistically significant (p = 0.000) in both the post interventional studies.

Conclusion: Awareness campaigns about HPV, HPV vaccine and cervical cancer should be conducted at all educational institutions, mainly targeting the adolescent population.


Adolescents, HPV vaccination awareness, School based educational interventions

Full Text:



Human Papillomavirus and Related Cancers, Fact Sheet


Ferlay J, Soerjomataram I, Ervik M et al. GLOBOCAN

, Cancer Incidence and Mortality Worldwide in

Lyon, France: International Agency for Research

on Cancer; 2012.

Kessels SJM, Marshall HS, Watson M et al. Factors

associated with HPV vaccine uptake in teenage girls:

a systematic review. Vaccine 2012; 30(24): 3546-56.

Hopkins TG, Wood N. Female human papillomavirus

(HPV) vaccination: global uptake and the impact of

attitudes. Vaccine 2013; 31(13): 1673-9.

Centers for Disease Control and Prevention (CDC).

Human papillomavirus vaccination coverage among

adolescent girls, 2007–2012, and post licensure vaccine

safety monitoring, 2006–2013-United States. MMWR

Morb Mortal Wkly Rep 2013; 62(29): 591-5.

Bruni L, Barrionuevo-Rosas L, Albero G et al. ICO

Information Centre on HPV and Cancer (HPV Information

Centre). Human Papillomavirus and Related Diseases

in India. Summary Report 27 July 2017.

Kingston R, Mari K M, Nang S C et al. Awareness

and acceptance of human papillomavirus vaccination

among health sciences students in Malaysia. VirusDis

26(4): 297-303.

Pandey D, Vanya V, Bhagat S et al. Awareness and

Attitude towards Human Papillomavirus (HPV) Vaccine

among Medical Students in a Premier Medical School

in India. PLoS ONE 2012; 7(7): 1-5.

Linda YF, Lize AB, Spring CC et al. Educational

interventions to increase HPV vaccination acceptance:

A systematic review. Vaccine 2014; 32(17): 1901-1920.

Doherty K, Low KG. The effects of a web-based

intervention on college students’ knowledge of human

papillomavirus and attitudes toward vaccination. Int J

Sex Health 2008; 20(4): 223-32.

Gottvall M, Tyden T, Hoglund AT et al. Knowledge of

human papillomavirus among high school students

can be increased by an educational intervention. IntJ

STD AIDS 2010; 21(8): 558-62.

Patel DA, Zochowski M, Peterman S et al. Human

papillomavirus vaccine intent and uptake among female

college students. J Am Coll Health 2012; 60(2): 151-61.

Vanderpool RC, Cohen EL, Crosby RA et al. “1-2-3 Pap”

Intervention Improves HPV Vaccine Series Completion

Among Appalachian Women. J Commun 2013; 63(1):


Hamlish T, Clarke L, Alexander KA. Barriers to HPV

immunization for African American adolescent female.

Vaccine 2012; 30(45): 6472-76.

Blasi PR, King D, Henrikson NB. HPV vaccine public

awareness campaigns: an environmental scan. Health

PromotPract 2015; 16(6): 897-905.


  • There are currently no refbacks.

Comments on this article

View all comments

Copyright (c) 2018 International Journal of Healthcare Education & Medical Informatics (ISSN: 2455-9199)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.