Essential Training Package for HPV Vaccine Introduction
Overview of
HPV vaccination Training
GardasilTM
Learning 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’
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
Contents 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
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
Key considerations for HPV vaccination
1 Different age group than
routine infant vaccination
2 Identifying size of the target
population and where they are
3 Implications for communication
and social mobilizations
4
5
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New delivery platforms and a
combination of strategies
HPV vaccination and
integrated approaches
Overview of HPV Vaccine Training GardasilTM| 24 July 2016
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
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
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
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
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?
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
HPV vaccination:
an integrated approach (1/3)

Cervical cancer prevention and control across the life
course

Linkage to other health services for adolescents
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
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 control
̵
̵
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Mothers can be a key audience to ensure vaccination of
daughters
Mothers are also an audience for other cervical cancer
prevention measures such as screening
Overview of HPV Vaccine Training GardasilTM| 24 July 2016
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
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016
Key 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
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Overview of HPV Vaccine Training GardasilTM| 24 July 2016