Essential Training Package for HPV Vaccine Introduction Module 6 Communicating about HPV Vaccine with Stakeholders GardasilTM Learning objectives At the end of the module, you will be able to: – Describe the key stakeholders – Describe how to communicate with these stakeholders (teachers, parents and girls) – Describe key messages on Cervical cancer and HPV vaccination to stakeholders, using Triple “A” Duration – 20’ 2| Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Key issues 1 Who are the key stakeholders? 2 How to communicate with stakeholders? 3 Using 'Triple A' to remember to give right messages? 4 What are the key messages for stakeholders on Cervical cancer and HPV vaccination? 3| Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Who are key stakeholders? Are there other specific stakeholders or gatekeepers in your community? 1 Teacher 4| 2 Parents Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 3 Girl How to communicate with stakeholders: teachers Be respectful Use simple words and avoid technical terms Make sure the teacher has understood your key messages Tell teachers they can play an important role by: – Listening to and addressing the concerns of parents – Educating girls on the benefits of HPV vaccination – Helping with the organization on the HPV immunization session Involve teachers as partners in HPV vaccine communication 5| Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 How to communicate with stakeholders: parents Be respectful Use simple words and avoid technical terms Make sure parents have understood your key messages Listen and address their concerns Involve parents as partners in HPV vaccine communication 6| Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 How to communicate with stakeholders: girls (1/2) Be respectful; a good way to do so is to introduce yourself Use simple words and avoid technical terms Make sure the girls have understood key messages Ask the girls if they have any questions Listen and address their concerns 7| Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 How to communicate with stakeholders: girls (2/2) Encourage girls to get vaccinated – If girls are reluctant, take the time to listen and understand their fears and/or source of misunderstanding – Recognize that girls have the right to refuse to get vaccinated Never force or trick a girl into getting vaccinated Allow the girls to take part in decision making about vaccination Involve girls in reaching out other girls in the community that maybe eligible for HPV vaccination 8| Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 “Triple A” communication to deliver key messages to stakeholders 9| Advise Alert Arrange on what is given on side effects and how to respond for when to return Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Advise: Cervical cancer (1/4) Cervical cancer is the second most common cancer among women in developing countries Cervical cancer is most often caused by a virus called Human Papillomaviruses (HPV) − HPV is a common virus that is easily spread by skin-to-skin contact during sexual activity with another infected person − HPV types 16 and 18 cause 70% of all cervical cancer cases Most young people are typically infected soon after they become sexually active. Most HPV infections are asymptomatic It takes between 10 to 20 years for Cervical Cancer to develop after HPV infections but can occur much more quickly in people with weak immune systems, like in women with untreated HIV infection 10 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Advise: Prevention of HPV infection and Cervical cancer (2/4) HPV Vaccination Sexual education PREVENTION Prevent or stop tobacco use Cervical screening Consistent condom use 11 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Advise: HPV vaccine (3/4) The vaccine is very safe and effective Millions of girls and women around the world have received HPV vaccine without serious side effects As of early 2013, HPV vaccine has been introduced in more than 45 countries The vaccine works against Cervical Cancer but − does NOT prevent pregnancy − does NOT prevent HIV or other sexually transmitted infections 12 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Advise: HPV vaccine schedule (4/4) HPV vaccine is delivered in 3 doses over a period of 6 months HPV2 HPV1 Month 1 2 3 HPV3 4 5 Gardasil TM dosing schedule 13 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 6 7 Alert: Description of side effects No serious side effects have been reported Common minor side effects are redness, pain and swelling at the injection site Less common minor adverse events include fever, dizziness, and nausea Syncope or fainting after injection is more common in adolescent girls but not related to HPV vaccine If a girl shows any unusual symptoms after vaccination, take her directly to the hospital 14 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 FAQs (1/2) 1 Does HPV vaccine affect fertility? 2 Does HPV vaccine affect sexual behavior? 3 Can HPV infection be treated? 4 What is the role of boys and men in HPV prevention? 15 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 FAQs (2/2) 5 Why is HPV vaccine given to girls 9-13 years of age if cervical cancer affects women later in life? 6 Can older women get HPV vaccine? 7 Who should get the vaccine? 16 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Arrange: ensure completion of the immunization schedule Inform girls when they should receive the next HPV vaccine dose Write the date of the next dose on their immunization card Remind girls to come on the specified date and to bring their immunization card Tell teachers and parents to remind girls of the next vaccination date 17 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 Key messages Applying the basic principles of good communication ensures that main messages will be understood by teachers, parents, and girls: − − − − − Show respect Use simple terms Verify correct understanding Address concerns Enable involvement Using “Triple A” communication (Advise, Alert and Arrange) helps health workers to convey the correct messages on Cervical cancer, its prevention, and the correct administration of HPV vaccine 18 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 End of module Thank you for your attention! 19 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016 References Comprehensive cervical cancer prevention and control: a healthier future for girls and women.Guidance Note. WHO 2013 HPV vaccine introduction into national immunization programmes: Information for programme managers and health workers. WHO 2013 Further info: http://www.who.int/nuvi/hpv/resources/en/index.html 20 | Communicating about HPV vaccine with Stakeholders, Module 6 GardasilTM| 24 July 2016