{
  "abstract": "Objectives Cervical cancer disproportionately affects women in low- and middle-income countries, especially in sub-Saharan Africa. HPV vaccination of school-aged children is an efficacious and cost-effective public health intervention with the potential to eradicate cervical cancer in the coming decades. The objective of this narrative review is to compare Rwanda, a country which has achieved high HPV vaccination coverage, with Malawi, where coverage and uptake rates have lagged in comparison. This review also aims to provide recommendations for Malawi to improve its vaccination strategy by evaluating key factors contributing to Rwanda’s success.Methods A literature search was carried out using MEDLINE and Web of Science databases to identify research papers until 19 th February 2024, using search terms relating to Malawi, Rwanda, HPV and vaccination, which were combined using AND/OR operators. Papers were included if they discussed HPV vaccination programme implementation and its facilitators and challenges in Rwanda and Malawi. Publications which focused on other aspects of cervical cancer (e.g. epidemiology, screening, treatment) were not included, nor were those where Malawi or Rwanda were not mentioned as a direct focus.Results 26 papers met the inclusion criteria and were then stratified according to theme. Themes identified in papers focused on Rwanda included: political will and advocacy, multisectoral and international collaboration, the utilisation of schools as the delivery platform, nationwide sensitisation campaigns, and sustainability. Themes in papers on Malawi primarily focused on determinants of HPV vaccination uptake, such knowledge and awareness, rumours and misinformation, and family dynamics.Conclusion Malawi and other low- and middle-income countries can look to Rwanda as a model of HPV vaccination success. This was achieved by placing a high importance on cross-sectoral collaboration between political, educational and philanthropic stakeholders. Other countries can work to improve coverage by implementing programmes which take a multidisciplinary approach. These vaccination initiatives should be country-specific and use robust planning and monitoring systems to ensure sustainability and success.",
  "authors": [
    {
      "affiliations": [
        "Bristol Medical School"
      ],
      "name": "Bridie Rogers"
    }
  ],
  "title": "8096 What can malawi learn from rwanda’s implementation of a school-based human papillomavirus vaccination programme?",
  "uid": "05b69372-80da-59e9-bb67-af8a3bc64d98"
}