Country level monitoring and evaluation, including reporting tools, supervision and impact evaluation: Cote d’Ivoire experience

Côte d’Ivoire introduced HPV vaccination into its routine immunization in November 2019, focusing on strong data systems to ensure program effectiveness. Monitoring relies on dedicated HPV registries, monthly reporting through DHIS2, and integrated supervision across health system levels. Despite progress, coverage remains below targets, affected by vaccine shortages and data gaps for unschooled girls and […]

Country level monitoring and evaluation, including reporting tools, supervision and impact evaluation: Q&A Session

The session highlighted that program effectiveness depends on high-quality data, with Côte d’Ivoire’s HPV vaccination strategy using dedicated registries and integrated monitoring. Key challenges include vaccine shortages impacting catch-up for older girls and data collection for immunocompromised populations, especially beyond HIV. Discussions emphasized harmonizing indicators for schooled and unschooled girls, ensuring non-stigmatizing tracking of extra […]

Country level monitoring and evaluation, including reporting tools, supervision and impact evaluation: Mauritania experience

Mauritania’s HPV vaccination program was introduced in challenging circumstances, marked by vaccine shortages and COVID-19 disruptions. Despite these obstacles, the country achieved nearly 70% first-dose coverage during initial campaigns and established strong monitoring systems, including community surveys, adverse event surveillance, and supply chain oversight. Current coverage remains low under routine delivery, highlighting the need for […]

Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection – India

Dr. Prashant Mathur (India) presented cancer registry data from India, highlighting trends in HPV-related cancers and the challenges of incomplete national coverage. He emphasized the rising burden of cervical cancer in specific high‑incidence states and the need to strengthen population‑based registries for accurate monitoring. The presentation underscored gaps in mortality reporting and disparities between urban […]

Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection – Nepal

Dr. Pradip Gyanwali (Nepal) outlined Nepal’s cancer registry system, covering only 21% of the population through hospital‑ and population‑based networks. Cervical cancer ranks second among women, with screening uptake at just 16% and higher incidence in rural areas. Major challenges include fragmented reporting, lack of electronic records, and limited funding. He recommended digitization, nationwide registry […]

Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection – Bangladesh

Dr. Rifat Ara (Bangladesh) described the evolution of Bangladesh’s cancer registries, which remain primarily hospital-based since 2005, with no nationwide population registry. Data collection is mostly paper-based, with limited electronic tracking through screening programs for cervical and breast cancer. Challenges include lack of awareness, unequal access to care, inadequate reporting (especially from private facilities), and […]

Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection – Sri Lanka

Dr. Suraj Perera (Sri Lanka) detailed the national cancer registry, which captures data from diagnosis and treatment, with limited mortality data from one district. Nine main cancer centers operate nationally, with plans for a comprehensive oncology center in each district and province. Data collection relies on the CanReg5 software and pathology reports, but challenges include […]

Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection – Pakistan

Pakistan’s first cancer registry was established in the 1960s at the Armed Forces Institute of Pathology (AFIP) in Rawalpindi. From the 1970s to 1990s, the Pakistan Medical Research Council (PMRC) created the National Cancer Registry (NCR). A population-based registry in Karachi (1995–2007) led by Yasmin Bhurgri shared data with IARC and WHO. The Punjab Cancer […]

Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection – Q&A Session

Participants raised questions on data duplication between population- and hospital-based registries, the use of national IDs for follow-up, and religious barriers to registry participation and vaccination (notably in Bangladesh). Nepal explained using active and passive data collection with manual and software-based duplication checks; Bangladesh highlighted cultural stigma and low female empowerment as barriers. India detailed […]

Data reporting and collection mechanism for HPV vaccination program and the research gaps to improve health information system – Maldives

Maldives manages HPV vaccination data via Google Sheets and hardcopy logbooks at island-level health centers, coordinated by the Health Protection Agency (HPA). Since August 2022, an electronic immunization registry (DHIS2 tracker) is being rolled out nationally, replacing manual systems. HPV vaccination began in 2019, primarily through school-based mass campaigns, with vaccination mandatory and free. Data […]

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