In Côte d’Ivoire, the national systematic medical visits (VMS) programme has integrated HPV vaccination since September 2023, combining it with multicomponent adolescent health services including screenings, nutrition assessments, and reproductive health counselling. Despite coverage gains, implementation remains uneven across delivery settings, with logistical gaps, limited intersectoral coordination, and inequitable cost distribution identified as key barriers — particularly for rural and out-of-school adolescents. A formative phase of implementation research involving seven stakeholder interviews and two Human Centered Design workshops in Abidjan and Katiola engaged 71 participants across adolescents, parents, teachers, religious leaders, and health providers to co-create context-adapted solutions. Proposed pilots include peer-led health clubs, community dialogues, removal of direct and indirect service costs, mobile health units, and strengthened coordination across health, education, and community sectors.