This Q&A session followed country presentations from The Gambia, Senegal, and Zimbabwe on HPV service delivery challenges, drawing responses from Kenya and Rwanda as well. The Gambia clarified that its 2024 vaccine stockout stemmed from post-COVID hesitancy causing demand shortfalls during a campaign, leading to expiry rather than supply failure. Senegal explained that district-level financing — primarily through Gavi and local government allocations — supports door-to-door and community outreach activities during two annual acceleration periods. Rwanda confirmed that its catch-up campaign for girls aged 12–17 used a single-dose schedule based on NITAG endorsement, with vaccines supplied through routine Gavi channels ahead of formal financial processing. Zimbabwe detailed its school visit scheduling model and its use of ZimStat population figures as coverage denominators, cross-referenced against Ministry of Education enrollment data. A cross-cutting discussion on sustainability examined the tension between school-based delivery — where most target-age girls are concentrated — and the long-term goal of integrating HPV into facility-based adolescent health services. Kenya highlighted its use of social media listening tools and automated response systems to counter vaccine misinformation in real time, a model noted as increasingly relevant given declining reliance on traditional media.