In this overview, Bolio and colleagues summarize the key challenges and lessons learned from the CHIC Africa (Addis Ababa, 2022) and South Asia (New Delhi, 2022) symposia, involving participants from 19 African and 7 South Asian countries. Topics covered include health information systems, Gavi applications, planning, stakeholder engagement, delivery platforms, and single-dose vaccination. The article […]
Topic: 4. Vaccination programmes
Accelerating and broadening multisectoral partnerships for introducing and rebuilding HPV vaccination programmes
In this commentary, Sidibe and colleagues propose a conceptual framework to guide countries in identifying and engaging stakeholders for HPV vaccine implementation. The framework organises actors into three tiers—key players, close supporters, and influencers—enabling systematic mapping across Ministries of Health and Education, civil society, professional associations, media, and the private sector. Drawing on experiences from […]
Routine HPV vaccination: Reflection on delivery strategies based on countries’ experiences
In this commentary, Waheed and colleagues reflect on HPV vaccine delivery strategies across several low- and middle-income countries, comparing country experiences against existing WHO guidelines. Three delivery approaches are documented: routinized campaign-mode vaccination using schools as the primary site (The Gambia, Zambia, Ethiopia), routine health facility services complemented by community and school outreach (Tanzania, Kenya, […]
Pandemic-related resilience in HPV vaccination programmes – Perspectives from selected countries in Africa on what it will take to vaccinate 90% of girls by 2030
In this series of five country case studies, Kouassi and colleagues document how Côte d’Ivoire, Kenya, Liberia, Zambia, and Senegal maintained and recovered their HPV vaccination programmes following COVID-19 disruptions. Common challenges included school closures, misinformation conflating HPV and COVID-19 vaccines, and competing health priorities that diverted staff and funding. Enabling factors included strong Ministry […]
Integrating HPV vaccine service delivery with adolescent health programmes – Experiences and perspectives from selected countries in Africa
In this case series, Ndiaye and colleagues describe how Senegal, Togo, Tanzania, and Lesotho have operationalized integrated HPV vaccine service delivery with adolescent health programmes. Across four countries, three models of integration emerge: incorporation into routine immunisation, co-delivery with non-vaccine adolescent health services (e.g., nutrition, deworming, sexual and reproductive health education), and leveraging new vaccine […]
CHIC Technical Brief on Country Decision-Making Factors: Expanding the Target Population for HPV Vaccination
This CHIC technical brief synthesizes evidence and programmatic considerations to guide country decision-making on expanding HPV vaccination beyond the primary target of girls aged 9–14, in response to a growing number of African countries adopting or considering vaccination of older girls (15–18), young women up to age 26, or boys. Grounding its analysis in WHO […]
Mettre en lumière les défis: expériences nationales d’amélioration de la prestation de services face aux obstacles persistants – Questions-Réponses
Cette séance de questions-réponses a suivi les présentations de la Gambie, du Sénégal et du Zimbabwe sur les défis de la prestation de services HPV, avec des interventions complémentaires du Kenya et du Rwanda. La Gambie a précisé que la rupture de stock de 2024 résultait d’une baisse de la demande post-COVID ayant entraîné la […]
Mobilisation des ressources et viabilité financière: Discussion: questions-réponses
Cette séance a abordé l’engagement du secteur privé, le plaidoyer de la société civile face aux transitions gouvernementales, la réintégration de Gavi par le Kenya et la campagne Mère-Fille d’Afrique du Sud. Le Zimbabwe a présenté le HPV comme un investissement communautaire pour mobiliser le secteur privé ; le Kenya a confirmé un objectif de […]
Aspects financiers et/ou durabilité dans le contexte de l’élargissement de la population cible pour la vaccination – Discussion: questions-réponses
Les échanges ont porté sur la structure tarifaire différenciée des vaccins HPV : il a été précisé que les pays éligibles à GAVI peuvent accéder aux prix GAVI même pour des populations cibles élargies, et que les achats via l’UNICEF constituent une forme indirecte d’approvisionnement groupé bénéficiant notamment aux pays à faibles volumes. Sur la […]
Mobilisation des ressources et viabilité financière: Viabilité financière de la vaccination contre le HPV – Malawi
Au Malawi, la pérennité financière de la vaccination contre le HPV s’inscrit dans un contexte marqué par de multiples urgences sanitaires — COVID-19, polio, épidémies de choléra et déplacements de populations liés aux cyclones — qui pèsent sur les ressources et les priorités programmatiques. Le cancer du col de l’utérus est la première cause de […]