Evidence on factors influencing HPV vaccine implementation in South Asia: A scoping review

Figures & data

Table 1. PCC framework for developing the research question.

Population (P)	Adolescent Females, as suggested by the WHO (Kaur et al., 2017).
Concept (C)	Factors associated with the mass implementation/introduction/uptake/scale-up of the HPV vaccine. The factors can be both facilitators or barriers to HPV vaccine implementation.
Context (C)	South Asia (Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, Sri Lanka) (The world bank, 2023b).

Figure 1. PRISMA Flow diagram of the factors influencing scoping review.

Table 2. Inclusion and exclusion criteria.

Inclusion criteria	Exclusion criteria
Studies focused on factors related to HPV vaccine implementation.	Investigations are focusing on cervical cancer treatment.
Studies focus on the implementation/introduction process of HPV vaccination.	Studies focused on vaccine efficacy rather than HPV vaccine implementation.
All available studies were conducted in South Asia.	All the review studies, commentaries, editorials or non-original studies were not included in the study and were highlighted as ‘wrong publication type’.
Studies published in the English language, 2006 onwards.
All original study designs were included in the study.

Figure 2. Adopted CFIR domains, constructs, and subconstructs of the HPV vaccine implementation model, CFIR, Consolidated Framework for Implementation Research.

Kaur, P., Mehrotra, R., Rengaswamy, S., Kaur, T., Hariprasad, R., Mehendale, S. M., Rajaraman, P., Rath, G. K., Bhatla, N., Krishnan, S., Nayyar, A., & Swaminathan, S. (2017). Human papillomavirus vaccine for cancer cervix prevention: Rationale & recommendations for implementation in India. Indian Journal of Medical Research, 146(2), 153–157. https://doi.org/10.4103/ijmr.IJMR_1906_16

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The World Bank. (2023b). South Asia. https://data.worldbank.org/country/8S.

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Data availability statement

The data availability for this review study is based on publicly accessible and peer-reviewed sources.