title: Strategies to vaccinate against cancer of the cervix: feasibility of a school-based HPV vaccination program in Peru.
abstract: Operational research using a mixed method, cross-sectional, case-study approach assessed the feasibility and health system impact of large-scale implementation of human papillomavirus (HPV) vaccination into routine vaccine delivery by the Ministry of Health in Peru. The strategy was school-based vaccination of fifth grade girls in 527 primary schools in Piura region. Our evaluation showed that school-based HPV vaccination is feasible without major changes in existing health systems. This was reflected in the opinions of health personnel, the lack of impact on other vaccine coverage, and the high HPV vaccine coverage documented in routine records and by an independent community-based survey.
authors: Instituto de Investigacion Nutricional, Lima, Peru. mpenny@iin.sld.pe
authors: Mary
authors: M
authors: Penny
authors: Rosario
authors: R
authors: Bartolini
authors: N Rocio
authors: NR
authors: Mosqueira
authors: D Scott
authors: DS
authors: LaMontagne
authors: Maria Ana
authors: MA
authors: Mendoza
authors: Irma
authors: I
authors: Ramos
authors: Jennifer L
authors: JL
authors: Winkler
authors: Jose
authors: J
authors: Villafana
authors: Amynah
authors: A
authors: Janmohamed
authors: Aisha O
authors: AO
authors: Jumaan