Assessing Human Papillomavirus (HPV) Vaccination Practices Among Providers in IHS, Tribal and Urban Indian Health Facilities

Background: Since the HPV vaccine was licensed in 2006, few studies have examined the knowledge, attitudes and practices (KAP) of healthcare providers, and there have been no studies among providers serving predominantly American Indian/Alaska Native (AI/AN) populations. Given the high rates of cervical cancer and low rates of cervical cancer screenings among AI/AN women, we conducted a KAP survey of providers in the Indian Health Service, Tribal and Urban (I/T/U) facilities regarding HPV vaccination and cervical cancer screening.

Objectives: 1.      To examine KAP of providers in I/T/U facilities nationwide regarding the HPV vaccine 2.   Gather information on cervical cancer screening practices

Methods: The provider survey was disseminated in a web-based format using existing email lists during the first two weeks of December 2009. Providers included but were not limited to, physicians, nurse practitioners, physician assistants, certified nurse midwives, registered nurses, and public health nurses. Data will be analyzed using Epi Info, and stratified by provider type as well as by geographic location and facility type (I, T or U).

Results: Survey results will include a summary of  provider knowledge about HPV and the HPV vaccine, provider perception of the barriers to HPV vaccination in younger vs. older adolescents,  provider practice regarding the provision/recommendation of HPV vaccine to women 19 – 26 years and to males, and cervical cancer screening practices. 

Conclusions: The findings from the provider survey will be used to develop strategies to improve HPV vaccination coverage in I/T/U facilities nationwide.