Progress in HPV vaccination in low- and lower-middle-income countries

被引:54
|
作者
LaMontagne, D. Scott [1 ]
Bloem, Paul J. N. [2 ]
Brotherton, Julia M. L. [3 ,4 ]
Gallagher, Katherine E. [5 ]
Badiane, Ousseynou [6 ]
Ndiaye, Cathy [7 ]
机构
[1] PATH, Seattle, WA 98121 USA
[2] WHO, Geneva, Switzerland
[3] VCS Ltd, Natl HPV Vaccinat Program Register, Melbourne, Vic, Australia
[4] Univ Melbourne, Sch Populat & Global Hlth, Melbourne, Vic, Australia
[5] London Sch Hyg & Trop Med, London, England
[6] Minist Sante & Act Sociale, Div Immunisat, Dakar, Senegal
[7] PATH, Dakar, Senegal
关键词
Delivery; Global; Human papillomavirus; Low- and lower-middle income countries; Vaccine; HUMAN-PAPILLOMAVIRUS VACCINATION; HPV-16/18 AS04-ADJUVANTED VACCINE; CERVICAL-CANCER PREVENTION; YOUNG ADOLESCENT GIRLS; DELIVERY STRATEGIES; COST-EFFECTIVENESS; HIGH COVERAGE; PROGRAMS; EFFICACY; IMMUNOGENICITY;
D O I
10.1002/ijgo.12186
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The past 10 years have seen remarkable progress in the global scale-up of human papillomavirus (HPV) vaccinations. Forty-three low-and lower-middle-income countries (LLMICs) have gained experience in delivering this vaccine to young adolescent girls through pilot programs, demonstration programs, and national introductions and most of these have occurred in the last 4 years. The experience of Senegal is summarized as an illustrative country case study. Publication of numerous delivery experiences and lessons learned has demonstrated the acceptability and feasibility of HPV vaccinations in LLMICs. Four areas require dedicated action to overcome remaining challenges to national scaling-up: maintaining momentum politically, planning successfully, securing financing, and fostering sustainability. Advances in policy, programming, and science may help accelerate reaching 30 million girls in LLMICs with HPV vaccine by 2020.
引用
收藏
页码:7 / 14
页数:8
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