Knowledge, attitudes, and practices of parents towards HPV immunization of girl children aged 9 - 13 years at OPD in Kawaala health center IV, Kampala district. A cross-sectional study.

Authors

  • Catherine Nakasujja Author
  • Ms. Hasifa Nansereko Mildmay Institute of Health Sciences Author
  • Francisco Ssemuwemba Mildmay Institute of Health Sciences Author
  • Jane Frank Nalubega Mildmay Institute of Health Sciences Author
  • Immaculate Prosperia Naggulu Mildmay Institute of Health Sciences Author

DOI:

https://doi.org/10.51168/yxrta633

Keywords:

Level of knowledge, Attitudes towards HPV vaccination, Girls aged 9–13 years, Cervical cancer, HPV severity, practices towards HPV immunization

Abstract

Background:

The study aimed to evaluate the knowledge, attitudes, and practices of parents towards HPV immunization of girls aged 9 - 13 years at OPD in Kawaala Health Center IV, Kampala district.

 Methodology:

A descriptive cross-sectional study was conducted at the OPD of Kawaala Health Centre IV in Kampala among parents or guardians of girls aged 9–13 years. Sample size was calculated using the Kish and Leslie (1965) formula (n=367), but due to limited resources, 92 participants were recruited. Purposive sampling was used. Data were collected through interviews using questionnaires, analyzed in Excel, and presented in tables and percentages. Ethical approval, informed consent, confidentiality, and pre-testing ensured quality and ethical compliance.

 Results:

Among 92 parents attending OPD at Kawaala Health Center IV, 40 (43.5%) had primary education and 39 (42.4%) secondary education. Almost half, 45 (48.9%), believed HPV vaccination is important, while 40 (43.5%) disagreed. Most respondents, 77 (83.7%), heard about the vaccine from health centers. However, 63 (68.5%) had never actively searched for cancer prevention information. Regarding perceived severity, 53 (57.6%) considered HPV infection somewhat serious and 34 (37%) very serious. Although 77 (83.7%) had attended HPV education sessions, 45 (48.9%) were unsure whether the benefits outweighed the risks. Attitudinally, 42 (45.7%) believed vaccination protects against sexually transmitted infections, while 48 (52.2%) feared it might influence sexual behavior. Most children, 64 (69.6%), were already vaccinated, mainly through school programs, 72 (78.3%). Key barriers included distance to health centers 38, 41.3%), limited knowledge 30 (32.6%), and concerns about unknown side effects 30 (32.6%).

 Conclusion:

Limited parental knowledge, safety fears, misinformation, and social barriers negatively influence attitudes and practices toward HPV vaccination.

 Recommendation:

Health workers should intensify routine health education at OPD, clarifying HPV vaccination benefits and safety, and addressing common misconceptions such as fears about sexual behavior.

Author Biographies

  • Catherine Nakasujja

     is a student pursuing a diploma in clinical medicine and community health.

  • Ms. Hasifa Nansereko, Mildmay Institute of Health Sciences

    research supervisor at Mildmay Institute of Health Sciences.

  • Francisco Ssemuwemba, Mildmay Institute of Health Sciences

    research supervisor at Mildmay Institute of Health Sciences.

  • Jane Frank Nalubega, Mildmay Institute of Health Sciences

    research supervisor at Mildmay Institute of Health Sciences.

  • Immaculate Prosperia Naggulu, Mildmay Institute of Health Sciences

    research supervisor at Mildmay Institute of Health Sciences.

References

1. Aruho, C., Mugambe, S., Baluku, J. B., & Taremwa, I. M. (2022). Human papillomavirus vaccination uptake and its predictors among female adolescents in Gulu Municipality, Northern Uganda. Adolescent Health, Medicine and Therapeutics, 77–91. https://doi.org/10.2147/AHMT.S383872

2. Isabirye, A., Asiimwe, J., & Mbonye, M. (2020). Factors associated with HPV vaccination uptake in Central Uganda. East African Journal of Science, Technology and Innovation, 1(4). https://doi.org/10.37425/eajsti.v1i4.185

3. Kutz, J. M., Rausche, P., Gheit, T., et al. (2023). Barriers and facilitators of HPV vaccination in sub Saharan Africa: A systematic review. BMC Public Health, 23, 974. https://doi.org/10.1186/s12889-023-15842-1

4. Mukthar, V., & Chirchir, I. (2025). Uptake of Human Papillomavirus (HPV) Vaccine in Kenya: Barriers and Facilitators – A Scoping Review. East African Journal of Health and Science, 8(1), 450–464. https://doi.org/10.37284/eajhs.8.1.3002

5. Noor Shuhada Salleh, K., Lim Abdullah, K., & Chow, H. Y. (2025). Cultural barriers and facilitators of parents for human papillomavirus (HPV) vaccination uptake by their daughters: A systematic review. Jornal de Pediatria, 101(2), 133–149. https://doi.org/10.1016/j.jped.2024.07.012

6. Troels Alnor Einarson, E., Musana, E., Balonde, J., Lorentzen, K. B., Kallestrup, R., Juncker, M., Okello Damoi, J., Nakami, S., & Kallestrup, P. (2025). Human papillomavirus awareness, vaccination rate, and sociodemographic covariates of vaccination status in a low income country: A cross sectional study in the rural Busoga region of Uganda. Vaccine, 53, 127089. https://doi.org/10.1016/j.vaccine.2025.127089

7. World Health Organization. (2025). Global HPV vaccination coverage report 2025. World Health Organization.

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Published

2026-05-01

Issue

Section

Section of Pediatric Infectious Diseases

How to Cite

Knowledge, attitudes, and practices of parents towards HPV immunization of girl children aged 9 - 13 years at OPD in Kawaala health center IV, Kampala district. A cross-sectional study. (C. Nakasujja, M. . H. Nansereko, F. Ssemuwemba, J. F. Nalubega, & I. P. Naggulu, Trans.). (2026). SJ Pediatrics and Child Health Africa, 3(2), 9. https://doi.org/10.51168/yxrta633

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