title: Ensuring access to HPV vaccines through integrated services: a reproductive health perspective.
abstract: In 2006, a quadrivalent human papillomavirus (HPV) vaccine was licensed, and another vaccine may be licensed soon. Little is known about the practical considerations involved in designing and implementing cervical cancer prevention programmes that include vaccination as a primary means of prevention. Although the vaccine may ultimately be indicated for both males and females, young girls, or girls and women aged 9-25 years, will be the initial candidates for the vaccine. This paper describes avenues for service delivery of HPV vaccines and critical information gaps that must be bridged in order to inform future sexual and reproductive health programming. It proposes the role that the sexual and reproductive health community, together with immunization and cancer control programmes, could have in supporting the introduction of HPV vaccines within the context of current health systems.
authors.affiliation: Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Pollack
authors.forename: Miranda
authors.initials: M
authors.lastname: Balkin
authors.forename: Lindsay
authors.initials: L
authors.lastname: Edouard
authors.forename: Felicity
authors.initials: F
authors.lastname: Cutts
authors.forename: Nathalie
authors.initials: N
authors.lastname: Broutet
mesh_terms: D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D017589:Immunization Programs; D008297:Male; D053918:Papillomavirus Vaccines / Q000008:administration & dosage / Q000627:therapeutic use*; D017410:Practice Guidelines as Topic; D034121:Reproductive Health Services / Q000458:organization & administration*; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control
chemical_list: D053918:Papillomavirus Vaccines