Inaction in the face of need. How a publicly funded human papillomavirus (HPV) vaccine could be implemented to avoid M?ori:non-M?ori inequalities

      Аннотация: M?ori suffer higher morbidity and mortality from cervical cancer than non-M?ori in Aotearoa/New Zealand, and also have lower vaccination rates of publicly funded vaccines than non-M?ori. The HPV vaccine provides an exciting opportunity to prevent cervical cancers, but if M?ori receive this vaccination less than non-M?ori, cervical cancer inequalities for M?ori will be further widened. This book aims to consider the HPV vaccine from an inequalities and KMR-consistent perspective, and determine how the vaccine could be implemented in New Zealand to avoid increasing M?ori:non-M?ori inequalities in immunisation and cervical cancer. It finds that the HPV vaccine should be universally publicly funded for 11 year old girls, in conjunction with additional efforts targeted at M?ori, to avoid immunisation and cervical cancer inequalities widening. The HPV vaccine should be delivered through a school-based programme, supported by database tracking of all children on school rolls, and with intensive, culturally-appropriate follow-up of children who do not have consent forms returned.

Ключевые слова: Cervical cancer, Equity, Health policy, human papillomavirus, immunisation, Maori, M?ori, Health disaprities