Country HPV delivery strategy characteristics

Countries included in the review conducted by London School of Hygiene & Tropical Medicine and PATH, January 2007–March 2016

Name Earliest Year of Experience Earliest Demo/Natl (funding source)
Bhutan 2009 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 88.1 (2013) Demo (GAP) 2009 21 schools(3,200 girls) Age 9-13 School-based - None Gardasil®
Natl 2010 (47,888 girls) Age 12-18 (catch up campaign) School-based - None Gardasil
2011-13 - None Age 12 Health facility + outreach Gardasil
2014-present Grade 6 School + health facility Age 12 Health facility + outreach Gardasil
Bolivia 2009 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 81.6 (2013) Demo (GAP) 2009 69 sites(3,900 girls) Age 9-13 School-based Age 9-13 Health Facilty Gardasil
2009 19 sites(3,300 girls) Age 9-13 School + health facility Age 9-13 Health facility + outreach (mobile clinics) Gardasil
2010 594 sites (30,400 girls) Grades 5-6 School-based Age 9-13 Health facility Gardasil
2010-11 2,142 sites Grades 5-6 School-based Age 9-13 Health facility Gardasil
Botswana 2013 Demo (World Bank)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
UMIC 83.8 (2009) Demo (World Bank) 2013 23 schools (2,754 girls) Age 9–13 in Grades 4–6 School-based - None Gardasil
Demo (MOH) 2014 3 districts(6,646 girls) Age 9–13 in Grades 5–7 School + health facility Age 9–13 Health facility Gardasil
Natl 2015–2016 Age 9–13 in Grades 5–7 School + health facility Age 9–13 Health facility Gardasil
  2016– Grade 5 School + health facility Age 9 Health facility Gardasil
Brazil 2010 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
UMIC 94.4 (2005) Demo (GAP) 2010–2011 19 schools (1,574 girls) Grade 6–7 (est. age 11–15) School-based and available at hospital for those that missed vaccination day - None Gardasil
Demo (MOH) 2010–2012 262 schools (20,661 girls) Age 11–15 School-based Age 11–15 Outreach using mobile teams + 2 permanent delivery community sites Gardasil
Natl 2014 Age 11–13 School + health facility Age 11–13 Health facility Gardasil
2015 Age 9–11 School + health facility Age 9–11 Health facility Gardasil
2016 Age 9 School + health facility Age 9–13 Health facility Gardasil
Burkina Faso 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 67.5 (2013) Demo (Gavi) 2015– 2 districts (8,397 girls) Age 9 School-based Age 9 Health facility + outreach sites Cervarix®
Cambodia 2009 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 98.4 (2012) Demo (GAP) 2009–2010 1 hospital (2,100 girls) - None Age 11–18 Health facility Gardasil
2010–2011 9 schools + 1 hospital (8,000 girls) NA School + health facility Age 11–18 Health facility Gardasil
Cameroon 2010 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 91.5 (2012) Demo (GAP) 2010 (6,400 girls) Age 9–13 in grade 6 School + health facility Age 9–26 Health facility + outreach in mobile clinics and community sites Gardasil
Demo (Gavi) 2014– (22,195 girls) Age 9–13 in grades CE1, CE2, CM1, CM2 School-based Age 10 Health facility + outreach in mobile clinics and community sites Gardasil
Chile 2014 Natl (MOH)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
HIC 92.7 (2012) Natl (MOH) 2014 Annual schedule Age 9–11 with catch-up to age 13 School-based Age 9–13 Health facility Gardasil
Cote d’Ivoire 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 61.9 (2009) Demo (Gavi) 2015– 2 districts (13,340 girls) Age 10 School-based Age 10 Health facilities + outreach with active search using CHWs Gardasil
Ethiopia 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 67.9 (2006) Demo (Gavi) 2015– 2 districts Grade 4 School-based Age 10 Outreach with active search using CHWs Gardasil
The Gambia 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 68.7 (2013) Demo (Gavi) 2015– (9438 girls) Grade 3 ≥9 years School-based Age 9-13 Health facility and outreach Gardasil
Georgia 2010 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 96.5 (2013) Demo (GAP) 2010 28 health facilities (6,400 girls) - None NA Health facility Gardasil
2010-2014 26 clinics + 2 mobile sites - None NA Health facility + outreach in mobile clinics NA
Ghana 2013 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 88.9 (2014) Demo (GAP) 2013 Northern (6) and Central (7 districts) regions (33,725 girls) Grades 4–5 School-based with mop-up activities - None Gardasil
Demo (Gavi) 2013–2014 4 districts Grade 4
School-based -
None Gardasil
2014–2015 4 districts Age 10 School-based Age 10 Health facility + outreach Gardasil
Guyana 2012 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 71.5 (2012) Demo (GAP) 2012-2013 4 regions (6,900 girls) NA School-based NA Health facility + outreach in mobile clinics and community sites Gardasil
Natl 2014 NA NA NA NA Gardasil
Haiti 2009 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC NA Demo (GAP) 2009 162 schools (3,300 girls) Age 10-12 School-based - None Gardasil
Honduras 2011 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 89.3 (2013) Demo (GAP) 2011 25 sites (4,775 girls) Age 9–13 School + health facility Age 9–13 Health facility + outreach in mobile clinics and community sites Gardasil
2012-2013 298 schools (3,200 girls) Age 9–13 School-based with mop-up +/or vaccine available at health facility - None Gardasil
2014 1,083 schools, La Paz (8,483 girls) Age 10–11 School + health facility NA Health facility Gardasil
Natl 2016 - Age 10–11 School + health facility NA Health facility Gardasil
India 2009 Demo (PATH)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 93.3 (2011) Demo (PATH) 2009–2010 279 schools + 399 clinics (14,533 girls) Age 10–14 School + health facility. Campaign style delivery at 3 fixed time points. Age 10–14 Health facility Gardasil
2009–2010 258 schools + 273 clinics (12,636 girls) Age 10–14 School + health facility. Routine delivery vaccine: every month. Age 10–14 Health facility Gardasil
Kenya 2011 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 83.6 (2012) Demo (GAP) 2011 1 Health facility Age 9–13 in grades 4–8 School-based (Girls recruited at school visited health facility) - None Gardasil
Demo (Gavi) 2013–2015 1 County Age 10 School based - None Gardasil
Demo (Gavi) 2016–2017 1 County - None Grade 4 Health facility only Gardasil
Kiribati 2011 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC NA Demo (GAP/ACCF) 2011-2013 4 islands (out of 33) (1,683 girls) Grades 3–4: girls ≥ 9 years School-based with mop-up activities - None Gardasil
Laos PDR 2013 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 97.3 (2013) Demo (Gavi) 2013–2015 Capital city province Grade 5 School + health facility + outreach session Age 10 Girls invited to school or health facility or outreach Gardasil
Lesotho 2009 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 79.6 (2013) Demo (GAP) 2009 2 districts (40,100 girls) Age 9–18 School-based - None Gardasil
2010–2011 2 districts (40,000 girls) Age 9–13 School-based - None Gardasil
Natl 2012– Age 9–13 School-based - None Gardasil
Madagascar 2013 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 77.1 (2003) Demo (Gavi) 2013-2015 (6,652 girls) Grade 2 School + health facility Age 10 Health facility Cervarix
Malawi 2013 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 96.9 (2009) Demo (Gavi) 2013–2014 2 districts (5,016 girls) Grade 4 School-based with mop-up activities Age 10 Health facility Gardasil
2014–2015 2 districts (5,016 girls) Grade 4 School-based Age 9–13 Health facility with some outreach Gardasil
Mali 2012 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 64.4 (2013) Demo (GAP) 2012 Bamako city (11,000 girls) - None Age 9–13 Health facility NA
Demo (Gavi) 2015–2017 2 districts (12,400 girls) Age 10 School-based Age 10 Health facility + outreach Gardasil
Moldova 2010 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 87.9 (2013) Demo (GAP) 2010-2011 87 schools NA School-based - None Gardasil
Mongolia 2012 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 94.7 (2013) Demo (GAP) 2012 2 districts + 2 Aimags (14,063 girls) Age 11–15 School + health facility + outreach Age 11–15 Health facility + outreach Gardasil
2014 Ulaanbaatar city (2,056 girls) Age 9-14 School-based - None Gardasil
Mozambique 2014 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 87.4 (2013) Demo (Gavi) 2014–2015 3 regions Age 10 School + outreach using CHWs Age 10 Health facility + outreach using CHWs (active search in the community) Cervarix
Nepal 2008 Demo (ACCF)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 98.5 (2013) Demo (ACCF) 2008 17 schools Grades 5–7 School-based - None Gardasil
Demo (GAP/ACCF) 2010 24 sites Age 9–13 School with mop-up + health facility Age 9–13 Health facility Gardasil
Demo (ACCF) 2011–2014 216 sites Age 9–13 School + health facility Age 9–13 Health facility Gardasil
Demo (Gavi) 2015–2017 2 districts (667 schools + 97 health facilities) Grade 6 School + health facility Age 10 Health facility Cervarix
Niger 2014 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 62.8 (2012) Demo (Gavi) 2014–2016 2 districts (22,635 girls) Grade 5 in Niamey. Grade 6 in Manarounfa. School-based Age 11 Outreach Gardasil
Papua New Guinea 2012 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 85.6 (2012) Demo (GAP) 2012 New Britain province (15,000 girls) Age 9–13 School + mop-up activities Age 9–13 Health facility Gardasil
Peru 2007 Demo (PATH)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
UMIC 91.8 (2013) Demo (PATH) 2007–2008 264 sites (10,200 girls) Grade 5 ≥ 9 years School + health facility + outreach (home visits for defaulters) Age 9–13 CHWs outreach mobilised girls to health facility Gardasil & Cervarix
2009–2010 163 sites Grade 5 ≥ 9 years School + health facility Age 9–13 Health facility Gardasil & Cervarix
Natl 2011–2012 Age 10 School-based - None NA
2014– Age 10 School-based - None NA
Philippines 2010 Demo (Jhpiego)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 88.2 (2009) Demo (Jhpiego) 2010 NA NA NA NA NA
Rwanda 2011 Natl (Merck)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 93.4 (2013) Natl (Merck) 2011–2013 (337,552 girls) Grades 6 & catch-up in secondary 2 & 3 School with mop-up + health facility Age 12 Community health workers mobilised girls to come to the health facility Gardasil
Natl (Gavi) 2014– Age 12 School with mop-up + health facility Age 12 Community health workers mobilised girls to come to the health facility Gardasil
Senegal 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 73.4 (2014) Demo (Gavi) 2015– 2 districts Age 9 School-based Age 9 Health facility + outreach Gardasil
Sierra Leone 2013 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC NA Demo (Gavi) 2013–2014 Bo district Age 9 School-based Age 9 Community outreach NA
Solomon Islands 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 80.7 (2007) Demo (Gavi) 2015– (10,062 girls) Age 9-12 School-based Age 9-12 Health facility + fixed outreach sites Gardasil
South Africa 2010 Demo (University of Cape Town)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
UMIC 89.6 (2005) Demo (University of Cape Town) 2010 1 clinic Soweto - None Age 12–19 (girls & boys) Health facility Gardasil
Demo (KwaZulu-Natal Department of Health) 2011 31 schools, (1,000 girls) Grades 4–5 School-based with mop-up - None Gardasil
Demo (University of Stellenbosch) 2013 Western Cape and Gauteng Grades 4–7 School-based - None Gardasil & Cervarix
Natl 2014-present Government schools (480,465 girls) Grade 4: ≥ 9 years School-based with mop-up - None Cervarix
Tanzania 2010 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 83.5 (2013) Demo (GAP) 2010–2011 67 schools (split by strategy) (3,352 girls) Grade 6 girls School-based with mop-up - None Gardasil
2010–2011 67 schools (split by strategy) (2,180 girls) Age 12 School-based with mop-up - None Gardasil
Demo (Gavi) 2014–2015 Kilimanjaro region (18,915 girls) Grade 4: ≥ 9 years School-based with mop-up Age 9 Health facility Gardasil
2015–2016 Kilimanjaro region Age 9 (any grade) School-based if school is distant from health facility or health facility-based if school is near the facility. Age 9 Health facility + fixed outreach sites Gardasil
Thailand 2010 Demo (Jpiego)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
UMIC 95.6 (2009) Demo (Jhpiego) 2010 NA NA NA NA
Togo 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 97.5 (2013) Demo (Gavi) 2015– 2 districts Age 10 School-based Age 10 Health facilities + mobile outreach Cervarix
Uganda 2008 Demo (PATH/MOH)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 91.5 (2013) Demo (PATH/MOH) 2008–2009
2010–2011
195 schools + 41 clinics in 1 district
(3,459 girls)
(2,835 girls)
Grade 5 School + health facility Age 10 Health facility Cervarix
2008–2009
2010–2011
222 schools + 28 clinics in 1 district
(2,263 girls)
(1,923 girls)
Age 10 School + health facility + outreach integrated with Child Days Plus programme Age 10 Sessions at schools, health facilities and outreach posts during Child Days Plus programme Cervarix
Demo (GAP) 2010 Mildmay clinics - None Age 9–15 HIV+ Health facility + outreach Gardasil
Demo (Merck) 2012–2014 14 districts (48,055 girls) Grade 4 School + outreach integrated with Child Days Plus programme Age 10 Schools and outreach integrated with Child Days Plus programme Gardasil
Natl (Gavi) 2015– National Age 10 School-based if schools distant from health facility, otherwise, health facility-based Age 10 Health facility + fixed community/school outreach sites Gardasil
Uzbekistan 2009 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 88.5 (2011) Demo (GAP) 2009  (8,450 girls) - None NA Health facility Gardasil
Natl (Gavi) 2016-present National Age 12 (any grade) School + health facility Age 12 Health facility NA
Vanuatu 2009 Demo (ACCF)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 98.9 (2005) Demo (ACCF) 2009 Efate Island (1,000 girls) Age 10-12 School-based - None Cervarix
Natl (ACCF) 2013 (2,503 girls) Age 12 School + outreach Age 12 Outreach Cervarix
2015-present Grades 4–5 + catch-up until age 15 School + outreach Age 9-13 Outreach Cervarix
Vietnam 2008 Demo (PATH)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 98.1 (2012) Demo (PATH/MOH) 2008-2010 4 districts (4,302 girls) Grade 6: ≥ 9 years old School + health facility Age 11 Health facility Gardasil
2008-2010 4 districts (2,712 girls) - None Age 11 Health facility Gardasil
Zambia 2013 Demo (GAP)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LMIC 91.4 (2013) Demo (GAP) 2013–2014 (28,294 girls) Grade 4 School + health facility Age 10 Health facility Gardasil
Zimbabwe 2015 Demo (Gavi)
School-based Strategy Community Strategy
Income Group 1 Primary School Net Enrollment Ratio 2 Demo/Natl (funding source) Year(s) of HPV Vaccination Vaccination Sites/Districts Target Population 3 Strategy +/- mop up Target Population Strategy +/- mop up Vaccine
LIC 93.9 (2012) Demo (Gavi) 2015– 2 districts Age 10 School-based Age 10 Health facility + outreach using CHWs and active search Cervarix

Abbreviations: ACCF, Australian Cervical Cancer Foundation; Demo, demonstration/pilot project; GAP, Gardasil® Access Program; est., estimated; HPV, human papillomavirus; LIC, lower income; LMIC, lower-middle-income; MOH, ministry of health; Natl, national program; NA, not available; UMIC, upper-middle income; UNESCO, the United Nations Educational Scientific and Cultural Organization.

  1. World Bank country classifications (February 2014).
  2. UNESCO Institute of Statistics most recent available data: year is indicated in brackets.
  3. The size of the target population is listed if available from the literature.

Cervarix is a registered trademark of the GSK group of companies. Gardasil is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.

Earliest Year of Experience
Earliest Demo/Natl (funding source)

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