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Engel D, Afeli ADJ, Morgan C, et al. Promoting adolescent health through integrated human papillomavirus vaccination programs: The experience of Togo. Vaccine. 2021;doi: 10.1016/j.vaccine.2021.11.021.
Engel, D., Afeli, A. D. J., Morgan, C., Zeck, W., Ross, D. A., Vyankandondera, J., Bloem, P., & Adjeoda, K. R. (2021). Promoting adolescent health through integrated human papillomavirus vaccination programs: The experience of Togo. Vaccine, . https://doi.org/10.1016/j.vaccine.2021.11.021
Engel, Danielle, et al. "Promoting adolescent health through integrated human papillomavirus vaccination programs: The experience of Togo." Vaccine vol. (2021). doi: https://doi.org/10.1016/j.vaccine.2021.11.021
Engel D, Afeli ADJ, Morgan C, Zeck W, Ross DA, Vyankandondera J, Bloem P, Adjeoda KR. Promoting adolescent health through integrated human papillomavirus vaccination programs: The experience of Togo. Vaccine. 2021 Nov 26; doi: 10.1016/j.vaccine.2021.11.021. Epub 2021 Nov 26. PMID: 34844819.
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Vaccine. 2021 Nov 26; doi: 10.1016/j.vaccine.2021.11.021. Epub 2021 Nov 26.

Promoting adolescent health through integrated human papillomavirus vaccination programs: The experience of Togo.

Vaccine

Danielle Engel, Abra Dela Jeanne Afeli, Christopher Morgan, Willibald Zeck, David A Ross, Joseph Vyankandondera, Paul Bloem, Kodjovi Robert Adjeoda

Affiliations

  1. United Nations Population Fund (UNFPA), Sexual and Reproductive Health Branch, Technical Division, 605 Third Avenue, New York, USA. Electronic address: [email protected].
  2. United Nations Population Fund, (UNFPA) Togo Country Office, Eyadema, Lomé, Togo. Electronic address: [email protected].
  3. Jhpiego, a Johns Hopkins University affiliate, 1615 Thames St, Baltimore, Baltimore, MD 21231, USA; School of Population and Global Health, University of Melbourne, Victoria 3010, Australia; Burnet Institute, 85 Commercial Road, Melbourne, Victoria 2004, Australia. Electronic address: [email protected].
  4. United Nations Population Fund (UNFPA), Sexual and Reproductive Health Branch, Technical Division, 605 Third Avenue, New York, USA. Electronic address: [email protected].
  5. Independent Consultant, Bad Herrenalb, Germany.
  6. United Nations Population Fund (UNFPA), West and Central Africa Regional Office, P.O. Box 21090, Dakar-Ponty Dakar, Senegal. Electronic address: [email protected].
  7. World Health Organization (WHO), Department of Immunization, Vaccines and Biologicals, Avenue Appia 20, 1202 Geneva, Switzerland. Electronic address: [email protected].
  8. Independent Consultant, Lomé, Togo. Electronic address: [email protected].

PMID: 34844819 DOI: 10.1016/j.vaccine.2021.11.021

Abstract

The introduction of the Human papillomavirus (HPV) vaccine has shown potential to not only prevent cervical cancer but also drive adolescents' access to other health care services, even in low-income countries. Few studies have been conducted to date to identify best practices and estimate the acceptance, operational challenges and benefits of including broader adolescent health interventions into immunization efforts, knowledge which is essential to supporting widespread integration. In this paper we review the efforts undertaken by the government of Togo to integrate adolescent health programming with the HPV vaccination roll out. With the support of partners (GAVI, WHO, UNFPA and UNICEF), the country successfully completed, in 2017, two years of an HPV vaccine demonstration project, which entailed vaccinating 10-year-old girls against HPV in two selected districts of the country and integrating a health education component focused on puberty education / menstrual hygiene and hand washing practice. Our study is a post-implementation program evaluation, using mixed methods to assess key questions of feasibility and acceptability of an integrated adolescent package of care. It showed that the HPV vaccination in conjunction with the health education sessions was well received by the majority of health care providers, teachers and parents. Our study confirmed that in Togo it proved feasible to combine education and HPV vaccination in school-based service delivery. However, more operational research is neded to understand how to increase the impact and sustainability of the co-delivery of interventions. We did not analyze the health impact and cost implications of the intervention, which will be an important consideration for scaling up such integration efforts alongside routine immunization.

Copyright © 2021. Published by Elsevier Ltd.

Keywords: Adolescent health; Cervical cancer; HPV vaccination; Integration of services

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

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