In Zimbabwe, school-based outreach remains the primary HPV vaccination delivery model since the national rollout in 2018, complemented by health facility and community outreach channels, with Grade 5 girls and 10-year-old out-of-school girls as target populations. The programme benefits from strong interministerial coordination between the Ministry of Health and Child Care and the Ministry of […]
Format: Presentation
Resource Mobilization and Financial Sustainability: Common challenges in preparing for the Gavi transition – Kenya
In Kenya, sustaining HPV vaccination within a life-course immunization framework has become an increasingly urgent policy priority as the country navigates its transition away from Gavi support. Kenya has partnered with Gavi since 2001 — receiving over US$940 million in cumulative support — and introduced HPV vaccination into the routine schedule in 2019; it entered […]
Resource Mobilization and Financial Sustainability: Common challenges in preparing for the Gavi transition – Cote d’Ivoire
In Côte d’Ivoire, the transition away from Gavi financing represents one of the most significant programmatic and financial challenges facing the national immunization programme. Having benefited from Gavi support since 2001, the country entered the accelerated transition phase in late 2022, with a target of full self-financing by 2030. This transition implies a more than […]
Resource Mobilization and Financial Sustainability: Financial sustainability for HPV vaccination – Malawi
In Malawi, financial sustainability for HPV vaccination is pursued against a backdrop of significant programmatic complexity and recurrent health emergencies, including COVID-19, polio, cholera outbreaks, and cyclone-related displacement. Cervical cancer is the leading cause of cancer death among women aged 15–49 in Malawi, with an age-standardised incidence of 67.9 per 100,000 women per year and […]
Resource Mobilization and Financial Sustainability: Financial sustainability for HPV vaccination – Zimbabwe
In Zimbabwe, HPV vaccination was introduced nationally in 2018 targeting Grade 5 girls, with initial financing largely provided by Gavi and government co-financing covering procurement and delivery. To sustain the programme amid competing health priorities and fiscal constraints, Zimbabwe has pursued a multi-pronged financing and integration strategy. Key steps include embedding a dedicated HPV budget […]
Resource Mobilization and Financial Sustainability: After Gavi: South Africa’s experience crafting a sustainable HPV vaccination program
In South Africa, HPV vaccination has been fully domestically financed since 2014 through a National Treasury conditional grant — without Gavi support — with provincial allocations rising from R49 million in 2024/25 to a projected R72 million in 2026/27. The programme transitioned to a single-dose schedule from 2023 and expanded to private and independent schools […]
Context-responsive modelling to inform HPV vaccination strategies: from introduction, vaccine target expansion, to integration with screening
The IARC Public Health Decision Science Team presented a framework for context-responsive modelling across the full lifecycle of national HPV vaccination programs, from introduction through target expansion to integration with cervical screening. Using case studies from Bhutan, India, Sweden, and Rwanda, the team demonstrated how country-specific parameters — including disease burden, cost data, and coverage […]
Health Information Systems and Data for Action: Cameroon
In Cameroon, DHIS2 centralizes health data from approximately 6,000 health facilities, with monthly reporting cascading from facility to district, regional, and national levels. The presentation identifies five key gaps in the HPV health information system: limited integration of school registers into microplanning, absence of age-cohort disaggregation for catch-up targets, delayed and incomplete facility reporting, lack […]
Health Information Systems and Data for Action: Rwanda
In Rwanda, HPV vaccination data management has undergone a comprehensive transition from paper-based registers to integrated digital systems. Prior to 2022, health workers manually aggregated vaccination counts at month-end and reported them to HMIS, a process prone to human error, delays, and data fragmentation. Since 2020, the e-Tracker/DHIS2 system records individual client immunization data, enabling […]
Health Information Systems and Data for Action: Tanzania
In Tanzania, health information systems underpin the planning and monitoring of HPV vaccination across a country of over 67 million people and more than 12,000 health facilities. At the facility level, paper-based tools remain in use, while from the district upward, the Vaccine Information Management System (VIMS) consolidates routine immunization reporting, vaccine stock data, and […]