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Vaccine. 2009 Oct 19;27(44):6203-9. doi: 10.1016/j.vaccine.2009.08.003. Epub 2009 Aug 19.

Health systems and immunization financing for human papillomavirus vaccine introduction in low-resource settings.

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  • 1PATH, Tranchepied 10, 1278 La Rippe, Switzerland.


This descriptive qualitative study synthesizes health system and immunization financing assessments performed through formative research in India, Peru, Uganda, and Vietnam using a non-probability sample of national and sub-national stakeholders; and recommends appropriate and effective strategies for HPV vaccine delivery in low-resource settings. We conclude that maximum feasibility and acceptability and lowest cost for delivering HPV vaccine can be achieved by implementing through national immunization programs; by partnering with other sectors, such as education and maternal-child health; by strengthening existing human resources and cold chain infrastructures where needed; and finally, by considering schools for reaching the target population.

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