At the 2016 CCIH Annual Conference, Simon Manga of the Cameroon Baptist Convention Health Services shares the results of the organizations project to vaccinate girls in Cameroon against HPV.

1. CAMEROON
FIRST HPV VACCINE DEMONSTRATION PROJECT
Simon Manga, BSN, RRHN, MSc.
Reproductive Health Specialist
Cameroon Baptist Convention Health Services
30th Annual CCIH Conference
June 17th to 19th, 2016
Johns Hopkins University, Baltimore, Maryland

2. 2
Cameroon Baptist Convention
(CBC) Health Services-
A Non Governmental Institution- Faith
Based Organization

3. 3
Program Design
1st Phase: Vaccine delivery model for the 1st cohort was clinic based model as most of the
targeted schools declined.
2nd Phase:
 Evolved to “mother-daughter approach” = Screen moms + immunize daughters
at same visit
 Screened up to 1000 women per 200-400 girls vaccinated per week in mobile
clinic
 Evolved to school-based
PHASE-1 PHASE-2
Timeline March-2010- Jan-2011 March-2011- Oct-2012
Target
Population
Girls aged from 9 – 13
years old
Girls aged from 9 – 13
years old
Targeted Girls 1,600 girls 4,800 girls
Vaccination
Delivery Model
Clinic Based Model Mixed Model ( Community,
Health Clinic & Schools)

4. 4
Regions of Project Implementation
North West
South West
Center
Littoral

5. 5
Overall coverage
Program Vaccination
Adherence = 84,65%
# of girls receiving a full course
(3 doses) of the vaccine
# of girls who received the 1st dose of
the vaccine
Program Vaccination
Coverage = 90,56%
# of girls receiving a full course
(3 doses) of the vaccine
# of girls targeted
(6,400 girls)

6. 6
Lessons Learned
1. Seek Government buy-in well
ahead of time
2. Conduct widespread
sensitization well ahead of time
3. Evaluate potential
effectiveness of various
venues for vaccination
4. Assure ability to import
donated vaccine without
excessive cost
5. Consider community mother
daughter approach
6. Source funding for
administrative cost at the onset

7. 7
Lessons Learned Cont.
6. Just prior to 2nd and 3rd doses, ask about any adverse effects from prior
doses
7. Educate recipients on the need to complete all three doses on schedule
8. Consider every girl who shows up for subsequent doses as a potential
contact person for girls who are lost to follow-up
Peer Tracing Method: The first girl was traced via telephone, she
helped us trace the two girls in the middle and the two girls
assisted us in tracing the third girl

8. 8
9. Follow- Up of Girls- Seek girls in-
person with support from
administrators at their schools, as well
as religious leaders at their churches
10. Get early buy-in for the project
from members of the community
11. Monitoring & Evaluation- Complete
registry with personal information
prior to the actual vaccination session
12. Entry data into an electronic
database to help prevent data entry
issues and expedite data analysis
Lessons Learned Cont.

9. 9
Impact
 Following our success story, the MOH
was awarded Gardasil by GAVI for a
huge demonstration project.
 The project will vaccinate 30,000 girls in
2 districts for 2 years.
 1st year project ended with vaccination
of 16299 girls.
 88.13 completed all 2 doses.
 2nd year is ongoing

10. 10
THANKS FOR YOUR KIND
ATTENTION...
MAY GOD BLESS YOU!