South Asia Meeting HPV Prevention and Control Landscape and the way forward

• Minister of Health or Health Secretary

• Welcome
  Prof Narendra Kumar Arora, INCLEN, Delhi
• SPC CHIC and HPV Prevention and Control Board
  Prof. Alex Vorsters (University of Antwerp)
• Opening remarks
  Prof. Neerja Bhatla , AIIMS, New Delhi
  Dr Prashant Mathur, NCDIR-ICMR, Bengaluru
• SPC Co-chairs: Prof. Margaret Stanley (University of Cambridge, UK) and Dr. Nelly Mugo (Kenya Medical Research Institute, Kenya) 

Chairs: Dr. Prabhdeep Kaur (India), Dr. Dilip Das (India) & Dr. Kim Mulholland (Australia)

• Cervical cancer prevention and control; global overview on disease burden, WHO elimination goals and tools to achieve these goals
  Dr. Cherian Varghese (SEARO WHO)
• Overview of HPV related disease burden, mortality, social and economic impact
  Country Presentations:
  Bangladesh – Dr. Ferdousi Begum, GoB
  India – Mr. Vishal Chauhan, MoHFW, GoI
  Nepal – Dr. Murari Man Shrestha, GoN
  Sri Lanka – Dr. Suraj Perera
  Maldives – Dr. Aminath Nusra, GoMal
  Pakistan – Dr. Fauzia Assad (Jhpiego, Pakistan)
• Q&A

Chairs: Dr Eric Zomawia (MD-Mizoram, India), Dr Ravi Kannan (India) & Ramesh K. Adhikari (Nepal)

• Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection
  Country presentations:
  India – Dr. Prashant Mathur, ICMR-NCDIR, GoI
  Nepal – Dr. Pradip Gyanwali, GoN
  Bangladesh – Dr. Rifat Ara, NICRH, GoB
  Sri Lanka – Dr Suraj Perera, GoSL
  Pakistan – Prof. Dr. Sarbuland Khan ICCBS University of Karachi, Pakistan (Online)
• Q&A

Chairs: Dr Raj Prabha Moktan (MD-Sikkim India), Dr. Joseph Biey (WHO) & Dr. Suzanne Garland (University of Melbourne, Australia)

• Health information system: overview and challenges
  Data reporting and collection mechanism for HPV vaccination program and the research gaps to improve health information system
  Country presentations- Examples/Experiences
  Maldives – Dr. Jumailath Beygum, GoM
  Sri Lanka – Dr. Samitha Ginige, GoSL
  India (Sikkim state)– Dr. Tsering Doma, GoSikkim, India
• Q&A

Chairs: Shri AbhinavTrikha (MD-Punjab, India), Dr. Jyoti Logani (India) & Dr. Cherian Varghese (SEARO WHO)

• What are the implementation and research gaps in strengthening health information systems in South Asia?
  Panelists
  Bangladesh – Dr Choudhury Ali Kawsar, GoB
  India – Dr Nivedita Gupta
  Maldives – Dr Mariyam Jenyfa
  Sri Lanka – Dr Samitha P. Ginige, GoSL
  Myanmar – Dr Soe Lwin Nyein, GoMN
  Pakistan – Prof. Dr. Shahzad Ali Khan (Health Services Academy, Pakistan)

Chairs: Shri Sudhir Kumar Sharma (MD-Rajasthan), Dr F.U. Ahmed (NITAG- India) & Dr Padmaka de Silva (Sri Lanka)

• Lessons learned on vaccination data collection and reporting mechanism from other vaccination programs in the region
  Country experiences:
• Intensified Mission Indradhanush/ Measles Rubella Vaccine campaign in India
  Dr. Veena Dhawan, GoI
• Measles Rubella vaccination experience in Bangladesh
  Dr. Rajib Sarkar
• Village Full Immunization Certification program in Nepal
  Mr. Sagar Dahal (Department of Health Services, GoN)
• Ministry of Education involvement in MR vaccination program
  Dr. E. Naveen Nicolas
• Q&A

• Dr. Manoja Kumar Das (India)

Chairs: Shri Subashis Das (MD-Tripura, India), Paul Bloem (WHO) & Sunil Bahl (SEARO, WHO)

• HPV Vaccination Introduction – Global Overview on HPV vaccination introduction status
  Dr Emmanuel Njambe, WHO SEARO
• HPV vaccine roll-out in Sri Lanka; lessons learned from planning process
  Dr. Samitha Ginige, GoSL
• HPV Vaccine roll-out experience in Sikkim: lessons learned for sustainable coverage
  Dr. Tsering Doma, GoSikkim, India
• Planning Roadmap towards HPV Vaccination Introduction
  Dr. Fauzia Assad & Dr. Arshad Chandio (Jhpiego, Pakistan)
• Q&A

Chairs: Shri Rajesh Bhushan (Secretary, MoHFW-India), Dr Mohammad Tofazzal Hossain (DGHS, MoH-Bangladesh) & Anita Karwal (Fmr. Secretary Education, GOI)

• Adolescent health integration with HPV vaccination program
  Experience from Tanzania
  Pricillah Kinyunyi, MOH Tanzania
• Adolescent health integration: leveraging opportunities
  Example from Tamil Nadu State, India
  Dr. Vinay, Go Tamil Nadu, India
• Overview on HPV vaccination delivery approaches and platforms
  Ms. Sarah Wanyoike (Jhpiego, USA) & Dr. Prem Singh (Jhpiego, India)
• Lessons learned on delivery approaches from CHIC Africa symposium
  Prof. Dr. Alex Vorsters, Mrs. Dur-e-Nayab Waheed
• Country experience from Maldives on delivery approaches
  Dr. Jumailath Beygum, GoM
• Q&A

Chairs: Dr. Mathuram Santosham (JHU, USA), Dr. Anissa Sidibe (Gavi) & Dr. Myo Myo Mon (MoH-Myanmar)

• Overview of Gavi’s support for HPV vaccination programs in low and middle income countries (LMICs)
  Mr. Homero Hernandez, Gavi
• Q&A

Chairs: Smt. Aparna U (MD, UP) & Dr. Asela Gunawardena (DGHS,GO Sri Lanka)

• WHO position paper on new recommendation and Global overview on HPV vaccine efficacy and safety
  Mr. Paul Bloem (WHO)
• Q&A

Chairs: Ms. Ayushi Sudan (MD-Jammu & Kashmir, India), Dr. Cathy Ndiaye (PATH) & Dr. Rakesh Aggarwal

• Update on one dose trial data findings
  Single-dose HPV Vaccination Efficacy among adolescent girls and young women in Kenya – KEN SHE trial
  Dr. Nelly Mugo
• Costa Rica HPV Vaccine Trials
  Dr. Carolina Porras
• DoRIS Trial
  Dr Deborah Watson Jones
• Single dose HPV vaccine trials in India
  Dr Neerja Bhatla
• Q&A

Chairs: Ms. Roli Singh (AS, MD-NHM, India), Sonia Sarkar (UNICEF, India)& Dr. Sharon Hanley (Hokkaido University, Japan)

• The importance of effective communication and the need for a crisis communication plan
  Country experience:
  Yvonne Morrisey (HSE NIO) – Ireland
  Dr Veena Dhawan – GoI
• Communication tools for culturally sensitive context
  Tamara Abu Sham, UNICEF
• Q&A

Group work facilitators:
University of Antwerp: Dr. Alex Vorsters & Ms. Dur-e-Nayab Waheed (Online)
Jhpiego: Ms. Sarah Wanyoike & Ms. Elaine Charurat (Jhpiego, USA), Dr Apoorva Sharan & Dr. Prem Singh (Jhpiego, India)
Supporting chairs: Dr. Surinder Jaswal, Dr. Ranganai Matema (Health Specialist, UNICEF, India) & Dr. Ranbeer Singh (Asst. Dir. Cancer Program, CHAI, India), Quail Rogers-Bloch (JSI, USA)

• What is needed for rolling out HPV vaccination programs?
  The participants will be given a work sheet to mention key points for several parameters of HPV vaccination programs in their respective state/region/country
  The following topics will be covered:
  – Macro- and micro-planning
  – Cold chain and vaccine management
  – Delivery approaches
  – Communication and social mobilization
  – Monitoring and evaluation
• Rapid round of feedback from the Groups

• Dr. Parvaiz Koul (NITAG, India)

Chairs: Dr. Marc Steben (Quebec’s National Public Health Institute, Canada) & Dr. Samorjit Ningombam (MD-Manipur, India)

• Global overview on available assays for screening and treatment options for cervical cancer
  Dr. Maribel Almonte ( IARC) – Online
• Lessons learned from cervical cancer screening program
  ROSE program
  Yogeeta Gunasagran(University Malaya Medical Centre Malaysia)
• Experience from Turkey
  Dr. Murat Gultekin (Hacettepe University, Turkey)
• Q&A

Chairs: Dr. Sharmila Pimple (India), Dr. Shabana Saleem (DGH, MoH-Pakistan) & Dr. Soe Lwin Nyein, Myanmar

• Cervical cancer screening in India
  India – Dr Sudarsan Mandal, DDG (NCD), GoI

Country examples

• Bangladesh
  Dr Jannatul Ferdous, Dr. Azizul Alim, GoB
• Nepal
  Ms. Kabita Aryal, GoNP
• Pakistan
  Prof. Dr. Sadia Ahsan Pal
• Learning from cervical cancer screening program in Bhutan
  Ms. Jamyang Choden (Ministry of Health, Bhutan) – Online
• Learning from Cervical Cancer Screening from Madhya Pradesh
  Mr. Ranveer B. Singh
• Cervical cancer screening programs – LMICs experience
  Dr Somesh Kumar, JHPIEGO
• Q&A

Chairs: Dr. Bhagyalaxmi Nayak (India) & Dr. Eduardo Franco (McGill University, Canada)

Overview of available cervical cancer screening and treatment options in the region

• How can the countries in region transition from VIA to HPV testing?
• How do we manage the availability of diagnostic and treatment tools?
• Availability and training of health workforce to conduct screening?
• How will the region deal with loss to follow-up for cervical cancer screening and false HPV positives due to HPV testing?
• How cervical cancer screening can be logistically implemented in low resource settings? 

Panelists:
Global Exerts
Dr Silvia de Sanjose (Online)
Dr Murat Gultekin (Hacettepe University, Turkey)
Dr. Kim Mulholland
Dr. Susanne Kruger Kjaer (University of Copenhagen, Denmark) – Online
Dr. Marc Arbyn (Sciensano, Belgium) – Online
Dr. Nelly Mugo (KEMRI, Kenya)
Country experts
India – Dr Priya Abraham,
Bangladesh – Dr Choudhury Ali Kawsar
Maldives – Dr Aminath Nusra
Sri Lanka – Dr Padmaka de Silva
Pakistan – Prof. Dr. Sadia Ahsan Pal
Bhutan – Dr. Pempa (Ministry of Health, Bhutan)