Immunization Campaigns and Strategies against Human Papillomavirus in Italy: The Results of a Survey to Regional and Local Health Units Representatives

Table 1

Universal pre-adolescents HPV vaccination organizational aspects.

Organizational aspects	(N=26)
	N (%)
Vaccination invite system
Letter addressed to parents by LHUs	25 (96.2%)
Information given at school	7 (26.9%)
SMS to parents	1 (3.8%)
Smartphone Application	1 (3.8%)
Subject who invites pre-adolescents
Healthcare workers of immunization centres	26 (100%)
Sending information with invitation letter	20 (76.9%)
Subjects who administers the vaccine
Healthcare workers of immunization centres	26 (100%)
Access system to vaccination centres
Free access	5 (19.2%)
Appointment	25 (96.1%)
Appointment planning system
Included in the invitation letter	19 (76%)
Parents reservation	10 (38.5%)
Reminder of the first dose appointment	14 (53.4%)
Specific HPV vaccine sessions	21 (80.8%)
Recall of subjects who missed the first dose	18 (69.2%)
Letter	14 (77.8%)
Phone call	9 (50.0%)
SMS	1 (5.9%)
Second dose appointment planning
During the first dose appointment	21 (80.8%)
Invitation letter	4 (15.4%)
Parents reservation	1 (3.8%)
Recall of subjects missing the second dose	16 (61.5%)
Phone call	8 (50%)
Invitation letter	10 (62.5%)
SMS	1 (6.3%)
AE surveillance within 30 minutes	21 (80.8%)
AE surveillance since the day after
Parents contact to immunization centre	17 (65.4%)
Report	9 (34.6%)
Regional vaccine-vigilance system	21 (80.8%)

LHU=Local Health Unit; SMS=Short Message Service; AE=Adverse Event