In this commentary, Waheed and colleagues reflect on HPV vaccine delivery strategies across several low- and middle-income countries, comparing country experiences against existing WHO guidelines. Three delivery approaches are documented: routinized campaign-mode vaccination using schools as the primary site (The Gambia, Zambia, Ethiopia), routine health facility services complemented by community and school outreach (Tanzania, Kenya, Maldives, Côte d’Ivoire), and targeted outreach to reach out-of-school girls. The authors argue that WHO terminology on delivery strategies requires updating to capture the hybrid, routinized campaign approaches countries are using in practice, and call for a learning agenda on sustainability, cost-effectiveness, and the implications of one-dose schedules for delivery strategy design.