Key facts about Hib disease

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Essential Training Package for HPV Vaccine
Introduction
Overview of HPV vaccination Training CervarixTM
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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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Contents of Essential Training Package

• Introduction to HPV infection and cervical cancer
• HPV vaccine attributes and storage conditions
• HPV vaccine eligibility and contraindications
• HPV vaccine administration
• Recording and monitoring of HPV vaccine doses
• Communicating about HPV with key stakeholders
• Taking care of adolescent patients

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Key considerations for HPV vaccination
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New routine target population9 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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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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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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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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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
• 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

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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
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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