In Nigeria, formative stakeholder consultations conducted across Lagos and Kebbi states engaged 88 key informants — including national programme managers, adolescent girls, caregivers, community leaders, health workers, teachers, and LGA managers — to identify barriers and facilitators for integrating HPV vaccination with adolescent primary health care services as part of the SHARP implementation research programme. […]
Topic: Service Delivery
Reaching the unreached: Integrating HPV Vaccination into Community Based Health Platforms in Ethiopia.
In Ethiopia, where cervical cancer is the second most common cancer among women, the school-based HPV vaccination strategy structurally excludes out-of-school girls — particularly in pastoralist and hard-to-reach communities. The HPV-VISION project evaluated two community-based integration models across four districts: integration into routine immunisation services (ARM 2) and integration into Adolescent and Youth-Friendly Services (ARM […]
Community-driven solutions for HPV vaccination: results from human-centered design in Malawi and Mozambique
In Malawi and Mozambique — two countries with among the highest cervical cancer incidence rates globally (67.9 and 47.8 per 100,000 women respectively) — a multi-stakeholder human-centered design process engaged adolescents aged 9–14, caregivers, teachers, health workers, and community and religious leaders across 35 workshops in four districts to co-create integrated HPV vaccination delivery solutions. […]
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 […]
Articulating the challenges: Country experiences improving service delivery through a lens of persistent challenges – Q&A
This Q&A session followed country presentations from The Gambia, Senegal, and Zimbabwe on HPV service delivery challenges, drawing responses from Kenya and Rwanda as well. The Gambia clarified that its 2024 vaccine stockout stemmed from post-COVID hesitancy causing demand shortfalls during a campaign, leading to expiry rather than supply failure. Senegal explained that district-level financing […]
Articulating the challenges: Country experiences improving service delivery through a lens of persistent challenges – Zimbabwe
In Zimbabwe, school-based outreach remains the primary HPV vaccination delivery model since the national rollout in 2018, complemented by health facility and community outreach channels, with Grade 5 girls and 10-year-old out-of-school girls as target populations. The programme benefits from strong interministerial coordination between the Ministry of Health and Child Care and the Ministry of […]
Articulating the challenges: Country experiences improving service delivery through a lens of persistent challenges – Senegal
In Senegal, HPV vaccination was introduced in 2018 and integrated from the outset into routine immunization, delivered through health facilities, schools, and community outreach. Despite achieving 90% first-dose coverage in 2019, coverage declined following COVID-19-related disruptions and has since stabilized at around 70%, prompting a national revitalization plan launched in 2023. The country has developed […]
Articulating the challenges: Country experiences improving service delivery through a lens of persistent challenges – The Gambia
In The Gambia, the EPI programme operates 486 monthly vaccination service delivery points combining fixed sites and outreaches, with school-based campaigns and quarterly PIRI activities as the primary service delivery modes. Following a NITAG recommendation, the country switched to a single-dose HPV schedule in January 2025, resulting in a national coverage increase from 12% to […]