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Uganda HPV Vaccine Demonstration Project: Lessons Learned
Program Manager, Uganda National Expanded Programme on
Immunization
Ministry of Health, Uganda
Dr. Rachel Seruyange of UNEPI presented some of the lessons learned from the Uganda HPV vaccine
demonstration project. These were based on the formative research done prior to vaccinations, the
implementation phase of the project, and the operations research described above.
Key lessons:
1. Formative research enhances understanding of sociocultural and health systems and facilitates
the design of an effective HPV vaccine delivery strategy.
2. Endorsement by government is critical to community acceptance.
3. Comprehensive and effective educational materials and community sensitization create an
enabling environment for acceptance.
4. Adequate preparation of health and education systems facilitates feasibility.
5. Targeted training of persons involved in program implementation is essential for program
success.
6. Close coordination of efforts leads to effective implementation.
7. Schools can be used as a venue for HPV vaccinations.
8. Selecting girls for HPV vaccination based on their grade/class in school may be easier to
implement than selecting by age.
9. HPV vaccines can be integrated into the existing management and administration strategies
used for routine immunizations.
10. Monitoring and supportive supervision strengthens the capacities of health workers and
improves performance.
11. Adding HPV vaccine to an existing, funded health program, such as CDP, can reduce recurrent
program costs.
Recommendations based on these lessons learned are in the Results, Lessons
Learnt, and Recommendations Uganda report in the Resources section at the
end of this document.
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