In Ethiopia, a 20-day house-to-house GIS mapping exercise conducted in Jigjiga town (Somali region) between August and September 2024 revealed major discrepancies between projected and actual target populations: official estimates placed the HPV-eligible girl population at 6,770, while the headcount identified 11,300 — a 67% undercount — and 14,935 girls were ultimately vaccinated, representing 132% […]
Topic: Health Information Systems
Using Routine Human Papillomavirus Vaccination Data to Guide High-Impact Community Outreach in Nigeria
In Nigeria, routine HPV vaccination coverage among nine-year-old girls remains low in Kano State, constrained by limited awareness, persistent myths, and geographic and economic barriers. Pathfinder International used DHIS2 data to identify low-coverage local government areas and implemented targeted community outreach in collaboration with State Primary Health Care Development Boards, deploying trained vaccination teams alongside […]
Overcoming Barriers To Human Papillomavirus Vaccine Uptake In Sierra Leone: Insights From Formative Research In Four Low-Performing Districts
In Sierra Leone, HPV vaccination coverage fell sharply from over 100% in 2022 to 31.3% in 2023, prompting CHAI and the Ministry of Health EPI programme to conduct formative research across the four lowest-performing districts — Bonthe, Koinadugu, Kenema, and Western Area Rural. A mixed-methods study combining facility data audits and semi-structured interviews with healthcare […]
Financing and Policy Dynamics in HPV Vaccine Uptake: Insights from Kenya’s Gavi Transition and Single-Dose Introduction
In Kenya, a retrospective analysis of HPV Dose 1 data from the national health information system (2019–2025) reveals a pronounced cyclical uptake pattern, with quarterly doses ranging from a low of 21,764 (Q1 2025) to a peak of 564,403 (Q4 2021), with surges consistently linked to intensified outreach campaigns and school calendar alignment and sharp […]
Health Information Systems and Data for Action: Q&A Session
In this Q&A following country presentations on health information systems, participants raised questions around four cross-cutting themes: reaching out-of-school girls, tracking HIV-positive adolescents requiring three HPV doses, managing data collection in low-connectivity rural areas, and the timeline and resources involved in transitioning from paper-based to digital systems. Cameroon’s representative described how opposition from Catholic churches […]
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 […]
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: 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 […]
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 […]
Suivi et évaluation au niveau national, y compris les outils de compte-rendu, la supervision et l’évaluation de l’impact: Séance questions-réponses
La session a souligné que l’efficacité des programmes repose sur la qualité des données, la Côte d’Ivoire utilisant des registres dédiés et un suivi intégré pour la vaccination HPV. Les principaux défis concernent les pénuries de vaccins limitant le rattrapage des filles plus âgées et la collecte de données pour les populations immunodéprimées, au-delà du […]