title: Human papilloma virus vaccination for control of cervical cancer: a challenge for developing countries.
abstract: Primary HPV prevention may be the key to reducing incidence and burden of cervical cancer particularly in resource-poor countries. Vaccination programmes are already established in several developed regions, but several grey areas stand in the path of similar success in developing countries. This review sought to identify challenges of HPV vaccination in developing countries and discuss vaccine use, pitfalls and controversies; areas requiring collaborative efforts were identified. A Pub Med search was done; key words included Human papilloma virus, HPV vaccine and sub-Saharan Africa. Other resources included locally-published articles and additional internet resources. The potential benefit of mass HPV vaccination appears enormous. However, the challenges of competing health demands, poverty, ignorance, religion, culture, weak health system, establishment of an effective intersectoral collaboration and underfunding must be overcome to make maximal vaccine uptake a reality. Education and effective communication is crucial in achieving successful immunization programmes.
authors: Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria. dr.nikebello@yahoo.com
authors: F A
authors: FA
authors: Bello
authors: O O
authors: OO
authors: Enabor
authors: I F
authors: IF
authors: Adewole
mesh_terms: D017954:Africa South of the Sahara; D052685:Alphapapillomavirus / Q000187:drug effects; D019496:Cancer Vaccines / Q000627:therapeutic use; D005260:Female; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D033183:Interdisciplinary Communication; D008507:Medically Underserved Area; D030361:Papillomavirus Infections / Q000150:complications / Q000517:prevention & control* / Q000635:transmission; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010353:Patient Education as Topic; D011314:Preventive Health Services / Q000191:economics / Q000592:standards*; D040442:Public Health Informatics; D002583:Uterine Cervical Neoplasms / Q000209:etiology / Q000517:prevention & control* / Q000821:virology; D014611:Vaccination / Q000379:methods / Q000592:standards
chemical_list: D019496:Cancer Vaccines; D053918:Papillomavirus Vaccines