The presentation shared Tanzania’s journey introducing HPV vaccination nationally in 2018, following a 2014 pilot. Girls aged 9–14 receive two free doses, primarily through routine services and school outreach. Integration with adolescent health programs (nutrition, deworming, HIV) has improved coverage and resource use. Teachers play a key role in mobilization and tracking, while community engagement helps reach out-of-school girls. Challenges include dropouts between doses, outreach cancellations, and paper-based reporting. Plans include scaling HPV Plus nationwide, adopting single-dose schedules, and expanding multi-age cohorts.