Research Article
Acceptability of Human Papillomavirus Vaccine:
A Survey among Master of Business Administration
Students in KwaZulu-Natal, South Africa
Muhammad Ehsanul Hoque
1
and Guido Van Hal
2
1
Graduate School of Business and Leadership, University of KwaZulu-Natal, Durban 4000, South Africa
2
Medical Sociology and Health Policy, University of Antwerp, Antwerp 2610, Belgium
Correspondence should be addressed to Muhammad Ehsanul Hoque; hoque@ukzn.ac.za
Received 8 April 2014; Accepted 8 July 2014; Published 5 August 2014
Academic Editor: Massimo Origoni
Copyright © 2014 M. E. Hoque and G. Van Hal. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cervical cancer is a preventable public health problem. Te two new human papillomavirus (HPV) vaccines are available but not
accessible to everyone in South Africa, as they are very expensive. Tis study aimed to investigate educated peoples acceptability
regarding HPV vaccination. Tis was a cross-sectional survey conducted among 146 master of business administration students by
self-administered, anonymous questionnaire. Te majority (74%) of the participants ever heard of cervical cancer, but only 26.2%
heard about HPV. Afer reading the fact information regarding cervical cancer and HPV, the intention to vaccinate their daughters
increased from 88% to 97.2% ( = 0.003). Te majority (75.4%) indicated that HPV vaccination should be given before their
daughters are mature enough to understand about sex, and 80.3% reported that they will discuss matters related to sex with their
daughters if their daughters want to know about the vaccine. Tose who did not want to vaccinate their daughters highlighted that
they want more information regarding safety of the vaccine which might change their decision towards HPV vaccination. A health
education information method can increase the vaccination acceptance rate in South Africa.
1. Introduction
Cervical cancer is a preventable disease, but it accounts for
around 275,100 deaths, and more than half a million women
are diagnosed each year in the world [1]. In South Africa, it
is also the second common cancer afer breast cancer. It is
reported that at least 3,000 women die from cervical cancer
every year, and by the year 2025, at least 4,000 women will die
from cervical cancer in South Africa [2]. Because of unequal
access to healthcare, diferences in socioeconomic status,
and exposure to HPV and HIV infection, black women are
disproportionately afected [3, 4]. Cervical cancer screening
in South Africa is free for women over 30 years of age as to
achieve 70% coverage of this age group. But the screening in
this group of women is below 20%. A recent study conducted
from January 2007 to December 2010 found that annual
screening coverage was between 2.9% and 4.2% [5]. Another
study conducted among women who were diagnosed and
managed at a Gynecological Oncology unit in South Africa
reported that about 40% of women had a gynecological exam-
ination at their frst visit and 15% were referred appropriately
[6].
Tanks to the new development of a HPV vaccine with
high efcacy, cervical cancer incidence can signifcantly be
reduced (with 70%) if a comprehensive vaccination program
could be implemented [7–9]. Many countries that have low
cervical cancer rates have already implemented country
wide HPV vaccination programs. But full coverage was not
achieved in any country. A survey conducted in the USA in
2010 reported that 60% of parents were not interested or not
sure to vaccinate their daughters [10]. School-based vaccina-
tion programs have the highest vaccination coverage in many
countries like Spain, Scotland, England, and Te Netherlands
[11–14]. Te most notable fnding was that in Uganda, where
a well-planned school-based campaign achieved about 95%
coverage in the country [15].
Te two vaccines, Cervarix (a bivalent vaccine) and Gar-
dasil (the quadrivalent vaccine), are currently available in
Hindawi Publishing Corporation
BioMed Research International
Volume 2014, Article ID 257807, 6 pages
http://dx.doi.org/10.1155/2014/257807