{"id":"https://openalex.org/W7207625473","doi":"https://doi.org/10.1080/21645515.2026.2721105","title":"HPV vaccine uptake in Pakistan: A qualitative study to identify barriers and facilitators before the first HPV national rollout","display_name":"HPV vaccine uptake in Pakistan: A qualitative study to identify barriers and facilitators before the first HPV national rollout","publication_year":2026,"publication_date":"2026-09-03","ids":{"openalex":"https://openalex.org/W7207625473","doi":"https://doi.org/10.1080/21645515.2026.2721105","pmid":"https://pubmed.ncbi.nlm.nih.gov/42692950","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13556979"},"language":"en","primary_location":{"id":"doi:10.1080/21645515.2026.2721105","doi":"https://doi.org/10.1080/21645515.2026.2721105","is_oa":true,"landing_page_url":"https://doi.org/10.1080/21645515.2026.2721105","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/21645515.2026.2721105?needAccess=true","source":{"id":"https://openalex.org/S2483136528","display_name":"Human Vaccines & Immunotherapeutics","issn_l":"2164-5515","issn":["2164-5515","2164-554X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Vaccines &amp; Immunotherapeutics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","datacite","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.tandfonline.com/doi/pdf/10.1080/21645515.2026.2721105?needAccess=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030488342","display_name":"Khola Noreen","orcid":"https://orcid.org/0000-0001-7717-0698","observed_orcids":["https://orcid.org/0000-0001-7717-0698"]},"institutions":[{"id":"https://openalex.org/I171003132","display_name":"Rawalpindi Medical University","ror":"https://ror.org/02maedm12","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I171003132"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Khola Noreen","raw_affiliation_strings":["Rawalpindi Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rawalpindi Medical University","institution_ids":["https://openalex.org/I171003132"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029675550","display_name":"Samina Naeem Khalid","orcid":"https://orcid.org/0000-0002-9838-7279","observed_orcids":["https://orcid.org/0000-0002-9838-7279"]},"institutions":[{"id":"https://openalex.org/I43763821","display_name":"Health Services Academy","ror":"https://ror.org/02a37xs76","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I43763821"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Samina Naeem Khalid","raw_affiliation_strings":["Health Services Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Services Academy","institution_ids":["https://openalex.org/I43763821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123182765","display_name":"Mehreen Noor","orcid":"https://orcid.org/0009-0007-8036-5446","observed_orcids":["https://orcid.org/0009-0007-8036-5446"]},"institutions":[{"id":"https://openalex.org/I171003132","display_name":"Rawalpindi Medical University","ror":"https://ror.org/02maedm12","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I171003132"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Mehreen Noor","raw_affiliation_strings":["Rawalpindi Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rawalpindi Medical University","institution_ids":["https://openalex.org/I171003132"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126269007","display_name":"Saba Maryam","orcid":"https://orcid.org/0009-0009-0672-4791","observed_orcids":["https://orcid.org/0009-0009-0672-4791"]},"institutions":[{"id":"https://openalex.org/I171003132","display_name":"Rawalpindi Medical University","ror":"https://ror.org/02maedm12","country_code":"PK","type":"healthcare","lineage":["https://openalex.org/I171003132"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Saba Maryam","raw_affiliation_strings":["Rawalpindi Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rawalpindi Medical University","institution_ids":["https://openalex.org/I171003132"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025673538","display_name":"Abdul Momin Rizwan Ahmad","orcid":"https://orcid.org/0000-0003-3499-902X","observed_orcids":["https://orcid.org/0000-0003-3499-902X"]},"institutions":[{"id":"https://openalex.org/I52099693","display_name":"University of York","ror":"https://ror.org/04m01e293","country_code":"GB","type":"education","lineage":["https://openalex.org/I52099693"]},{"id":"https://openalex.org/I929597975","display_name":"National University of Sciences and Technology","ror":"https://ror.org/03w2j5y17","country_code":"PK","type":"education","lineage":["https://openalex.org/I929597975"]}],"countries":["GB","PK"],"is_corresponding":false,"raw_author_name":"Abdul Momin Rizwan Ahmad","raw_affiliation_strings":["National University of Sciences & Technology (NUST)","University of York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National University of Sciences & Technology (NUST)","institution_ids":["https://openalex.org/I929597975"]},{"raw_affiliation_string":"University of York","institution_ids":["https://openalex.org/I52099693"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5143411323","display_name":"Nilab Mohammadi","orcid":"https://orcid.org/0009-0003-6376-0007","observed_orcids":["https://orcid.org/0009-0003-6376-0007"]},"institutions":[{"id":"https://openalex.org/I4405263535","display_name":"Ghalib University","ror":"https://ror.org/02e0p8r13","country_code":"AF","type":"education","lineage":["https://openalex.org/I4405263535"]}],"countries":["AF"],"is_corresponding":true,"raw_author_name":"Nilab Mohammadi","raw_affiliation_strings":["Ghalib University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ghalib University","institution_ids":["https://openalex.org/I4405263535"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5143411323"],"corresponding_institution_ids":["https://openalex.org/I4405263535"],"apc_list":{"value":2895,"currency":"EUR","value_usd":3175},"apc_paid":{"value":2895,"currency":"EUR","value_usd":3175},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":"1","first_page":"2721105","last_page":"2721105"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.6859999895095825,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.6859999895095825,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.3118000030517578,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/human-papillomavirus-vaccine","display_name":"HPV vaccine","score":0.8500000238418579},{"id":"https://openalex.org/keywords/vaccine-uptake","display_name":"vaccine uptake","score":0.9380000233650208},{"id":"https://openalex.org/keywords/vaccine-hesitancy","display_name":"vaccine hesitancy","score":0.847000002861023},{"id":"https://openalex.org/keywords/barriers-and-facilitators","display_name":"barriers and facilitators","score":0.9110000133514404},{"id":"https://openalex.org/keywords/vaccine-confidence","display_name":"vaccine confidence","score":0.6819999814033508},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.7269999980926514},{"id":"https://openalex.org/keywords/religious-beliefs","display_name":"religious beliefs","score":0.49399998784065247},{"id":"https://openalex.org/keywords/social-norms","display_name":"social norms","score":0.7459999918937683},{"id":"https://openalex.org/keywords/misinformation","display_name":"misinformation","score":0.5099999904632568},{"id":"https://openalex.org/keywords/vaccine-side-effect-concerns","display_name":"vaccine side effect concerns","score":0.5910000205039978},{"id":"https://openalex.org/keywords/community-opposition","display_name":"community resistance","score":0.640999972820282},{"id":"https://openalex.org/keywords/health-worker-counseling","display_name":"health worker counseling","score":0.7229999899864197},{"id":"https://openalex.org/keywords/public-health-advocacy","display_name":"public health advocacy","score":0.6480000019073486},{"id":"https://openalex.org/keywords/adolescent-girls","display_name":"adolescent girls","score":0.5690000057220459},{"id":"https://openalex.org/keywords/pakistan","display_name":"Pakistan","score":0.46399998664855957},{"id":"https://openalex.org/keywords/northern-punjab","display_name":"Northern Punjab","score":0.7360000014305115},{"id":"https://openalex.org/keywords/southern-punjab","display_name":"South Punjab","score":0.9980000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6732000112533569},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6337000131607056},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5099999904632568},{"id":"https://openalex.org/C2994532551","wikidata":"https://www.wikidata.org/wiki/Q184627","display_name":"Human papillomavirus","level":2,"score":0.44130000472068787},{"id":"https://openalex.org/C2780009117","wikidata":"https://www.wikidata.org/wiki/Q900189","display_name":"HPV vaccines","level":5,"score":0.4108000099658966},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.373199999332428},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.37070000171661377},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.32260000705718994},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.31470000743865967},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.30399999022483826},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.30219998955726624},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2782999873161316},{"id":"https://openalex.org/C2778220009","wikidata":"https://www.wikidata.org/wiki/Q160105","display_name":"Cervical cancer","level":3,"score":0.2777000069618225},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.2549999952316284},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.25429999828338623}],"mesh":[{"descriptor_ui":"D000094302","descriptor_name":"Human Papillomavirus Viruses","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002583","descriptor_name":"Uterine Cervical Neoplasms","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010154","descriptor_name":"Pakistan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D014611","descriptor_name":"Vaccination","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D014611","descriptor_name":"Vaccination","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D030361","descriptor_name":"Papillomavirus Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D053918","descriptor_name":"Papillomavirus Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true}],"locations_count":6,"locations":[{"id":"doi:10.1080/21645515.2026.2721105","doi":"https://doi.org/10.1080/21645515.2026.2721105","is_oa":true,"landing_page_url":"https://doi.org/10.1080/21645515.2026.2721105","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/21645515.2026.2721105?needAccess=true","source":{"id":"https://openalex.org/S2483136528","display_name":"Human Vaccines & Immunotherapeutics","issn_l":"2164-5515","issn":["2164-5515","2164-554X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Vaccines &amp; Immunotherapeutics","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13556979","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13556979/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13556979/pdf/KHVI_22_2721105.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hum Vaccin Immunother","raw_type":"Text"},{"id":"pmid:42692950","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42692950","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human vaccines & immunotherapeutics","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:538b85cee3d14566a3d24acb328640b1","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/538b85cee3d14566a3d24acb328640b1","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Human Vaccines & Immunotherapeutics, Vol 22, Iss 1 (2026)","raw_type":"article"},{"id":"doi:10.6084/m9.figshare.33432793","doi":"https://doi.org/10.6084/m9.figshare.33432793","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.33432793","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.6084/m9.figshare.33432793.v1","doi":"https://doi.org/10.6084/m9.figshare.33432793.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.33432793.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.1080/21645515.2026.2721105","doi":"https://doi.org/10.1080/21645515.2026.2721105","is_oa":true,"landing_page_url":"https://doi.org/10.1080/21645515.2026.2721105","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/21645515.2026.2721105?needAccess=true","source":{"id":"https://openalex.org/S2483136528","display_name":"Human Vaccines & Immunotherapeutics","issn_l":"2164-5515","issn":["2164-5515","2164-554X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Vaccines &amp; Immunotherapeutics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.4074000120162964}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7207625473.pdf","grobid_xml":"https://content.openalex.org/works/W7207625473.grobid-xml"},"referenced_works_count":38,"referenced_works":["https://openalex.org/W1974632923","https://openalex.org/W1986639003","https://openalex.org/W2084518431","https://openalex.org/W2138664283","https://openalex.org/W2145444171","https://openalex.org/W2272696720","https://openalex.org/W2302360913","https://openalex.org/W2754799758","https://openalex.org/W2884262320","https://openalex.org/W2921144479","https://openalex.org/W2982439965","https://openalex.org/W2993250673","https://openalex.org/W3156577277","https://openalex.org/W3158103028","https://openalex.org/W3179890351","https://openalex.org/W4213259118","https://openalex.org/W4285092283","https://openalex.org/W4297102952","https://openalex.org/W4309862239","https://openalex.org/W4311471872","https://openalex.org/W4313289897","https://openalex.org/W4313594794","https://openalex.org/W4322097503","https://openalex.org/W4322577290","https://openalex.org/W4327558525","https://openalex.org/W4376870846","https://openalex.org/W4383466004","https://openalex.org/W4385832459","https://openalex.org/W4388503650","https://openalex.org/W4389492724","https://openalex.org/W4390590193","https://openalex.org/W4390600136","https://openalex.org/W4392563327","https://openalex.org/W4396865058","https://openalex.org/W4401335814","https://openalex.org/W4401389257","https://openalex.org/W4403560518","https://openalex.org/W4413329699"],"related_works":["https://openalex.org/W4410609273","https://openalex.org/W7220362119","https://openalex.org/W7160665516","https://openalex.org/W7204776639","https://openalex.org/W7204921297","https://openalex.org/W2988873803","https://openalex.org/W4416552562","https://openalex.org/W7131074127","https://openalex.org/W4361199472","https://openalex.org/W7220369845"],"abstract_inverted_index":{"Although":[0],"vaccines":[1],"remain":[2,20],"a":[3,84,126,224],"mainstay":[4],"tool":[5],"for":[6,216],"the":[7,18,27,81,214],"prevention":[8],"of":[9,26,100,107,129,147,179],"infectious":[10],"diseases,":[11],"their":[12,122],"efficacy,":[13],"safety,":[14],"and":[15,37,46,54,66,73,103,121,160,172,182,186,204,207,237],"trust":[16,195],"among":[17],"population":[19],"controversial.":[21],"For":[22],"an":[23],"effective":[24,64,202],"rollout":[25],"HPV":[28,76,133,138,231],"vaccine":[29,77,134,150,180,209,232,235],"in":[30,44,79,196],"Pakistan,":[31,80],"financial":[32],"constraints,":[33],"health":[34,189,193],"system":[35],"fragility,":[36],"complex":[38],"cultural":[39],"values":[40],"should":[41,48],"be":[42,49],"kept":[43],"mind,":[45],"these":[47,57],"apprehended":[50],"as":[51,111],"both":[52],"facilitators":[53,176],"barriers,":[55],"since":[56],"findings":[58,212],"will":[59],"help":[60],"policymakers":[61],"to":[62,75,95,137,227],"design":[63],"interventions":[65],"improve":[67],"public":[68,192],"trust.":[69],"To":[70],"explore":[71],"barriers":[72],"motivators":[74],"uptake":[78],"study":[82,87],"used":[83],"descriptive":[85],"qualitative":[86],"design.":[88],"It":[89],"was":[90],"conducted":[91],"from":[92],"February":[93],"2025":[94,97],"August":[96],"across":[98],"districts":[99],"Northern":[101],"Punjab":[102],"Southern":[104],"Punjab.":[105],"Inclusion":[106],"diverse":[108],"stakeholders":[109],"such":[110],"community":[112,173,187],"workers/religious":[113],"scholars,":[114],"healthcare":[115],"providers,":[116],"teachers/school":[117],"administrators,":[118],"adolescent":[119],"girls,":[120],"parents/guardians":[123],"allowed":[124],"us":[125],"better":[127],"understanding":[128],"multilevel":[130],"influencers":[131],"on":[132],"acceptance.":[135,210],"Barriers":[136],"vaccination":[139],"were":[140],"summarized":[141],"under":[142],"BeSD":[143],"framework,":[144],"including":[145],"fear":[146],"side":[148],"effects,":[149],"skepticism,":[151],"misinformation":[152],"via":[153],"social":[154,159],"media,":[155],"religious":[156,199],"perception,":[157],"restricted":[158],"peer":[161],"norms,":[162,188],"fear-based":[163],"motivation,":[164],"long":[165],"waiting":[166],"time,":[167],"service":[168],"dissatisfaction,":[169],"patriarchal":[170],"decision-making,":[171],"resistance.":[174],"Conversely,":[175],"included":[177],"recognition":[178],"need":[181,215],"benefits,":[183],"supportive":[184],"family":[185],"worker":[190],"counseling,":[191],"advocacy,":[194],"school":[197],"authorities,":[198],"belief,":[200],"self-determination,":[201],"outreach":[203],"door-to-door":[205],"services,":[206],"gender-neutral":[208],"The":[211],"underscore":[213],"culturally":[217],"sensitive,":[218],"trust-building":[219],"strategies":[220],"that":[221],"go":[222],"beyond":[223],"clinical":[225],"approach":[226],"effectively":[228],"strengthen":[229],"equitable":[230],"uptake,":[233],"improved":[234],"confidence,":[236],"ultimately":[238],"reduced":[239],"HPV-related":[240],"diseases.":[241]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-09-04T00:00:00"}
