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Background: The recent introduction of the HPV vaccine into Nigeria's routine immunization schedule has brought parental vaccine hesitancy to the forefront. This cross-sectional study, conducted in Kano State, a region with historically low immunization rates, is crucial in assessing the level of parental hesitancy and uncovering its determinants, potentially informing future public health policies.

Methods: The participants were a representative sample of parents or caregivers of children aged 9-14 years ( = 1071) in Kano State and were selected via a multi-stage sampling method.

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