Improving uptake of HPV Vaccine: Challenges and strategies used to reach Out-of-School Adolescents in Tanzania

In Tanzania, HPV vaccination coverage among out-of-school (OOS) adolescent girls aged 9–14 remains low despite national programme progress. As part of the SHARP mixed-methods implementation research study, 69 key informant interviews with health workers and managers in Mbeya and Arusha identified layered barriers to reaching OOS girls, including complex recruitment procedures, transport and distance constraints, […]

Improved HPV Vaccination by co-designing a context-specific Integrated Health Service Delivery Package in Kebbi and Lagos State, Nigeria: Human-Centered Design Approach.

In Nigeria, sustaining HPV vaccination and transitioning to routine delivery following the 2023 multi-age cohort campaign remain significant challenges. As part of the SHARP multi-country study, human-centered design (HCD) workshops in Agege LGA (Lagos) and Gwandu LGA (Kebbi) engaged 55 stakeholders across community, facility, LGA, state, and national levels to co-design locally tailored integrated service […]

Integrating School Engagement And Facility-Based Screening To Strengthen HPV Vaccination In Kenya.

In Kenya, a dual-strategy implementation study addressed two persistent barriers to HPV vaccination coverage — vaccine hesitancy and dependence on inconsistent school-based outreach — through complementary school engagement and facility-based OPD screening models. The Ministry of Education–led school engagement component deployed school health committees, teacher training, health club reactivation, and peer-led forums nationwide, generating qualitative […]

Challenges and good practices for sustaining delivery after a MAC introduction: Nigeria’s experience towards cervical cancer elimination

In Nigeria, HPV vaccination was introduced in two phases — Phase 1 targeting 16 states (2023) and Phase 2 covering 21 additional states (October 2024) — with immediate routinization following each mass multi-age cohort (MAC) campaign. Combined MAC and routine delivery reached approximately 15.3 million girls aged 9–14 since introduction, with over 12.3 million vaccinated […]

UNICEF work on social mobilization, demand generation and communication

Michelle Dynes (UNICEF) presented findings from the 2024 U-Report poll on adolescent awareness and demand for HPV vaccination, involving over 417,000 respondents from 189 countries. Results showed only 24% global awareness (29% in East Asia–Pacific), with most unvaccinated youth expressing willingness but citing barriers such as cost, limited availability, and safety concerns—particularly fear of side […]

Thailand experience with communication and scale up of HPV vaccination program

The presentation by Dr. Suchada Jiamsiri outlines Thailand’s experience with HPV vaccine introduction and communication strategies. Thailand, a high middle-income country with 66 million people, launched a pilot HPV vaccination project in 2014 targeting Grade 5 girls and 11-year-old out-of-school girls, later scaling up nationally in 2017. The program employed a structured communication approach: identifying […]

Panel Discussion on Lessons from Country experiences on Communication strategies and Coverage Enhancement.

The panel discussion explored country experiences in communication strategies to enhance HPV vaccine demand. Panelists from Thailand, Lao PDR, Nepal, Malaysia, Vietnam, and Brunei emphasized that multi-channel approaches—combining mass media, school-based outreach, and community engagement—are essential for reaching adolescents, parents, and key influencers. Programs evolved from early pilot phases with heavy messaging on cancer prevention […]

Parents’ and HCW attitudes towards HPV vaccine in Mongolia: A nationwide survey

This nationwide cross-sectional survey in Mongolia assessed parents’ and health workers’ attitudes toward HPV vaccination ahead of its mandatory introduction in 2024. Data from 3,057 parents and 416 health workers revealed 79% of parents and 50% of health workers hesitant to vaccinate due to concerns over safety, term effects, and side effects. Attitudes varied by […]

Considerations for school-based HPV immunization: А Nationwide survey in Mongolia

This qualitative study explored school-based HPV immunization in Mongolia following the 2023 amendment making HPV vaccination mandatory. Focus groups with 13 teachers from four regions revealed declining parental confidence in vaccines, misinformation, and logistical barriers, particularly in rural areas. Teachers highlighted challenges such as vaccine storage, transportation, and the need for clearer roles of school […]

Social Mobilization, Communication and Training – Seance questions-résponses

La session de questions a porté sur la mobilisation sociale et l’engagement politique pour l’introduction du vaccin HPV au Nigéria. Les intervenants ont expliqué que l’implication des autorités de haut niveau, obtenue par un plaidoyer stratégique dès les premières étapes, a été cruciale pour garantir le succès du programme. Les défis rencontrés concernaient principalement la […]

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