This thesis investigates the policy-making processes surrounding mandatory human papillomavirus (HPV) vaccination, while focusing on the cases of Virginia and New York. The Advocacy Coalition Framework is used as the theoretical background. Through content analysis of proposed bills, newspapers, news articles, and other types of publications, these five major advocacy coalitions are identified in each state: Government Responsibility Coalition, Evidence- Based Policy Coalition, Conservative Teen Sexuality Coalition, Parents¿ Rights Coalition, and Anti-Pharmaceutical Companies¿ Lobbying Coalition. This specific framing of the policy- making process elucidates factors that made the difference in HPV vaccine-related policies in the two jurisdictions. There are five main factors: strictness of exemption rule, presence of effective policy brokers, influence of external events, timing of the legislation, and legislative structure. The thesis also argues that the fundamental barrier to legislation of mandatory HPV vaccination is the conflict between individual rights and public health promotion. To overcome the barrier, it insists that ¿learning across different belief systems¿ would be the best feasible strategy for future policy-making. Lastly, this thesis considers the connection of the current COVID-19 outbreak to future HPV vaccination policy-making.
"},{"label":"Degree","value":["Bachelor of Arts with Departmental Honors"]},{"label":"Author-supplied Keywords","value":["Human papillomavirus","Advocacy coalition framework","Mandatory vaccination"]},{"label":"Administrative Note","value":"Drupal Node ID: 24181