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Essential Training Package for HPV Vaccine Introduction. Overview of HPV vaccination Training Gardasil TM. Learning objectives. At the end of the module, you will have learned about: The structure and content of the essential training package
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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’
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
Key considerations for HPV vaccination 1 Different age group than routine infant vaccination 2 Identifying size of the target population and wherethey are 3 Implications for communication and social mobilizations 4 5 New delivery platforms and a combination of strategies HPV vaccination and integrated approaches
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
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
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?
HPV vaccination: an integrated approach (1/3) • Cervical cancer prevention and control across the life course • Linkage to other health services for adolescents
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
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
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