title: Paving pathways: Brazil's implementation of a national human papillomavirus immunization campaign.
abstract: In 2014, Brazil introduced an HPV immunization program for girls 9-13 years of age as part of the Unified Health System's (SUS) National Immunization Program. The first doses were administered in March 2014; the second ones, in September 2014. In less than 3 months more than 3 million girls received the first dose of quadrivalent HPV vaccine, surpassing the target rate of 80%. This paper examines three elements that may influence the program's long-term success in Brazil: sustaining effective outreach, managing a large technology-transfer collaboration, and developing an electronic immunization registry, with a focus on the State of São Paulo. If these three factors are managed, the Government of Brazil is primed to serve as a model of success for other countries interested in implementing a national HPV vaccination program to decrease HPV-related morbidity and mortality.
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
authors.forename: Misha L
authors.initials: ML
authors.lastname: Baker
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
authors.forename: Daniella
authors.initials: D
authors.lastname: Figueroa-Downing
authors.affiliation: Emory University, Atlanta, Georgia, United States, DFigue2@emory.edu.
authors.forename: Ellen Dias De Oliveira
authors.initials: ED
authors.lastname: Chiang
authors.affiliation: Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil.
authors.forename: Luisa
authors.initials: L
authors.lastname: Villa
authors.affiliation: Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil.
authors.forename: Maria Luiza
authors.initials: ML
authors.lastname: Baggio
authors.affiliation: Department of Preventive Medicine, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
authors.forename: José
authors.initials: J
authors.lastname: Eluf-Neto
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Bednarczyk
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
authors.forename: Dabney P
authors.initials: DP
authors.lastname: Evans
mesh_terms: D000293:Adolescent; D001938:Brazil; D002648:Child; D057286:Electronic Health Records; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines; D018581:Technology Transfer; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014611:Vaccination / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines