Essential Training Package for HPV Vaccine IntroductionEssential Training Package for HPV Vaccine Introduction

Overview of HPV vaccination Training

CervarixTM

Overview of HPV Vaccine Training CervarixlTM| 10 April 20232 |

Learning objectivesLearning objectives

At the end of the module, you will have learned about:

– The structure and content of the essential training package

– The unique features of HPV vaccination and their implications for practice

Duration– 20’

Overview of HPV Vaccine Training CervarixlTM| 10 April 20233 |

Contents of Essential Training PackageContents of Essential Training Package

1. Introduction to HPV infection and cervical cancer

2. HPV vaccine attributes and storage conditions

3. HPV vaccine eligibility and contraindications

4. HPV vaccine administration

5. Recording and monitoring of HPV vaccine doses

6. Communicating about HPV with key stakeholders

7. Taking care of adolescent patients

Overview of HPV Vaccine Training CervarixlTM| 10 April 20234 |

Identifying size of the target population and where they are

22

Implications for communication and social mobilizations

33

New delivery platforms and a combination of strategies

44

Key considerations for HPV vaccinationKey considerations for HPV vaccination

Different age group than routine infant vaccination

11

HPV vaccination and integrated approaches

55

Overview of HPV Vaccine Training CervarixlTM| 10 April 20235 |

New routine target population:9 to 13 year old girls

New routine target population:9 to 13 year old girls

This age group not served by routine immunization programme in the past

Accurate data on the target age group may not be available– Other sectors like education - may have useful data

Where are these girls? In school, at home, do they work?

Girls that do not attend school might be most at risk of getting cervical cancer

Limited health services provided to this age group

Overview of HPV Vaccine Training CervarixlTM| 10 April 20236 |

HPV vaccine: Implications for communication and mobilization

HPV vaccine: Implications for communication and mobilization

New age group and girls only

Wider set of stakeholders: leaders, parents, girls teachers

Unlike infants, girls are not passive recipients of vaccine: need to communicate with and mobilize girls (Benefits of vaccine, potential side effects, three doses)

Teachers are important mobilizers and communicators for HPV vaccination

Overview of HPV Vaccine Training CervarixlTM| 10 April 20237 |

HPV vaccine: Implications for delivery strategies

HPV vaccine: Implications for delivery strategies

Combination of delivery strategies for high coverage– fixed site (health centre based)– outreach, e.g. school-based– campaign style

School-based delivery has many considerations– Are all schools participating in HPV vaccination (both private

and public)?– When to schedule HPV vaccination in school's timetable?– How to inform and get consent from parents for HPV

vaccination?

Overview of HPV Vaccine Training CervarixlTM| 10 April 20238 |

HPV vaccination: an integrated approach (1/3)

Cervical cancer prevention and control across the life course

Linkage to other health services for adolescents

Overview of HPV Vaccine Training CervarixlTM| 10 April 20239 |

HPV vaccine part of integrated approach (2/3) Comprehensive cervical cancer prevention and control

Vaccination is primary prevention step in the comprehensive approach to cervical cancer prevention and control̵? Mothers can be a key audience to ensure vaccination of

daughters̵? Mothers are also an audience for other cervical cancer

prevention measures such as screening

Overview of HPV Vaccine Training CervarixlTM| 10 April 202310 |

HPV vaccine part of integrated approach (3/3) Health services for 9-13 year olds

HPV vaccine delivery is opportunity to strengthen primary health care of adolescents

Joint delivery of HPV vaccine with other interventions e.g. other vaccines, deworming, menstrual hygiene education,

hand washing, malaria education and bed nets, physical activity promotion

Overview of HPV Vaccine Training CervarixlTM| 10 April 202311 |

Key messagesKey messages

9 to 13 year old girls are different target group than routine infant vaccination

Be aware of challenges in identifying the size of the population of girls (9-13 yr) and where they are

HPV vaccine requires special attention to communication and social mobilization

Combination of delivery strategies requires good planning

HPV vaccine offers unique opportunities as it is part of integrated approaches