Resum
The circumstances, that in the opinion of the authors, influence the
lower than expected uptake of the vaccine against human papillomavirus in Spain
are analyzed. Among others, aspects related to doubts about efficacy and
safety, the attitude of the Spanish health authorities or the role of media and the
antivaccine groups, as well as the vaccination “culture” of the gynecologist, are
discussed. The authors conclude that only with the coordinated effort of all involved
bodies in the vaccination process (health authorities, scientific societies, social
agents, media, etc.) wide coverage of HPV vaccine will be achieved.