The Netherlands

Many Turkish and Moroccan adolescent girls and their parents have negative beliefs and attitudes about HPV-vaccine safety and effectiveness and the conviction that HPV can be extremely harmful, which lead parents and female adolescents to refuse or delay vaccinating for HPV.⁸Van Lier E, Geraedts J, Oomen P et al. Immunisation coverage and annual report national immunisation programme in the Netherlands 2017. RIVM report 2018–0008., (2018). ⁹Rondy M, Van Lier A, Van de Kassteele J, et al. Determinants for HPV vaccine uptake in the Netherlands: a multilevel study. Vaccine. 2010;28(9):2070–2075. The ability of the Dutch health system to address the HPV vaccination beliefs and attitudes of Turkish and Moroccan female adolescents and their parents depends largely on the knowledge, skills, motivation and deployment of the healthcare professionals responsible for organizing and delivering the vaccination services and on the readiness of the health system to deliver vaccination services to specific communities. Service-specific readiness refers to the capacity of health facilities to provide the vaccination service, measured through for example trained staff and for intrapersonal and cross-cultural communication guidelines.¹⁰Gefenaite G, Smit M, Nijman HW, et al. Comparatively low atten-dance during human papillomavirus catch-up vaccination among teenage girls in the Netherlands: insights from a behavioral survey among parents. BMC Public Health. 2012;12(1):498¹¹Van Keulen HM, Otten W, Ruiter RA, et al. Determinants of HPV vaccination intentions among Dutch girls and their mothers: a cross-sectional study. BMC Public Health. 2013;13(1):111.¹²Hofman R, van Empelen P, Richardus JH, et al. Predictors of HPV vaccination uptake: a longitudinal study among parents. Health Educ Res. 2013;29(1):83–96.