title: Prospects and challenges in the introduction of human papillomavirus vaccines in the extended Middle East and North Africa region.
abstract: The development of effective and safe human papillomavirus (HPV) vaccines provides a great opportunity to prevent a devastating disease, cervical cancer, and a host of other related diseases. However, the introduction of these vaccines has been slow in the Extended Middle East and North Africa (EMENA) region. Only one country has introduced the vaccine and few countries plan HPV vaccine introduction in the coming 5 years. Several factors influence the slow uptake in the region, including financial constraints, weak infrastructure for adolescent vaccine delivery, competition with high priority vaccines, and lack of reliable data on the burden of HPV disease. Other barriers include cultural and religious sensitivities, as the vaccines are offered to prevent a sexually transmitted disease in young girls. Recommendations to enhance HPV vaccine introduction in EMENA countries include establishing a regional joint vaccine procurement program, enhancing the adolescent vaccination platform, documenting the burden of cervical cancer, strengthening local National Immunization Technical Advisory Groups and designing Information, Education and Communication material that address cultural concerns. This article forms part of a regional report entitled "Comprehensive Control of HPV Infections and Related Diseases in the Extended Middle East and North Africa Region" Vaccine Volume 31, Supplement 6, 2013. Updates of the progress in the field are presented in a separate monograph entitled "Comprehensive Control of HPV Infections and Related Diseases" Vaccine Volume 30, Supplement 5, 2012.
authors: Independent Consultant, Seattle, USA.
authors: Aisha O
authors: AO
authors: Jumaan
authors: Department of Pediatrics and Adolescent Medicine and the Center for Infectious Diseases Research, American University of Beirut, Beirut, Lebanon.
authors: Soha
authors: S
authors: Ghanem
authors: Department of Non-Communicable Diseases, Public Health & Policies Division, Ministry of Health, Abu Dhabi, United Arab Emirates.
authors: Jalaa
authors: J
authors: Taher
authors: Expanded Program on Immunization, Ministry of Health, Rabat, Morocco.
authors: Mhammed
authors: M
authors: Braikat
authors: Department of Communicable Disease Surveillance and Control, Ministry of Health, Muscat, Oman.
authors: Salah
authors: S
authors: Al Awaidy
authors: Department of Pediatrics and Adolescent Medicine and the Center for Infectious Diseases Research, American University of Beirut, Beirut, Lebanon. Electronic address: gdbaibo@aub.edu.lb.
authors: Ghassan S
authors: GS
authors: Dbaibo
mesh_terms: D000293:Adolescent; D000352:Africa, Northern; D005260:Female; D006291:Health Policy; D006298:Health Services Administration; D006801:Humans; D008877:Middle East; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000600:supply & distribution*; D014611:Vaccination / Q000379:methods / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescent; Cervical cancer; Extended Middle East and North Africa; HPV; vaccination