The goal of the study is to monitor and evaluate the implementation of interventions that aim to increase HPV \& MMR vaccines among underserved communities across four European countries: Greece, Netherlands, Poland, and Slovakia. The interventions will target identified health systems barriers in an earlier phase of the project. The interventions that will be implemented employ trusted community members as health promotors whom will provide educational sessions on HPV and MMR vaccination to the target groups. In addition, the cost-effectiveness of vaccine uptake strategies for the target groups is being evaluated. The main research question is: to what extent is the multicomponent tailored intervention effective to increase MMR/HPV intention and vaccine uptake in the target population in Greece, Netherlands, Poland and Slovakia?
The general objective of the study is to improve access to vaccination by addressing relevant system level barriers to increase HPV and MMR (where applicable) vaccine intention and uptake among the target groups. The investigators expect that the intervention will address health system barriers to improve increase in access to information on vaccination and vaccination services. A prospective multicomponent intervention study will be performed between 1st of April 2024 and 31st of July 2025 that will be evaluated using a pre and post design as well as a participatory approach during the implementation. As part of the multicomponent intervention a preparatory phase is taken place before this period of time. The multicomponent intervention consists of training of health promotors and healthcare professionals, and of educational sessions to community members and navigation. The educational sessions will be offered at suitable and accessible locations for the target population. The five communities targeted in are the following: 1. The migrant community in Greece (HPV and MMR) 2. Turkish and Moroccan women in the Netherlands (HPV) 3. The Ukrainian community in Poland (HPV and MMR) 4. The Roma community in Slovakia (HPV)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
1,000
Educational sessions to create awareness on HPV and MMR (were addressed) vaccination that is culturally sensitive health information and provided in an easily understandable manner by trained health promoters (and healthcare professionals) to underserved communities. Support for navigation and access to vaccines.
Prolepsis
Athens, Athene, Greece
University Medical Center Groningen
Groningen, Netherlands
University of Zielona Gora
Zielona Góra, Lubusz Voivodeship, Poland
PJ Šafárik University
Košice, Košice Region, Slovakia
Intention to vaccinate MMR and/or HPV by questionnaire
Intention for vaccination against MMR and/or HPV among the underserved communities
Time frame: Pre and immediately following the intervention and 6 month post intervention
Uptake of MMR and/or HPV vaccinations by questionnaire
MMR and/or HPV vaccination uptake among the underserved communities
Time frame: Pre and 6 month post intervention evaluation is necessary
Knowledge concerning MMR and/or HPV vaccinations in the target group using a questionnaire
Knowledge concerning MMR and/or HPV vaccinations among the target group
Time frame: Pre and immediately following the intervention and 6 month post intervention evaluation
Communication skills of health care professionals using a questionnaire
Communication skills of healthcare professionals to deliver appropriate information
Time frame: Pre intervention and directly post intervention
Satisfaction of the stakeholders as measured by a questionnaire
Satisfaction of stakeholders (health promotors and health professionals) with the implementation process and the intervention itself
Time frame: Directly post intervention
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