NATIONAL PROGRAMME ON IMMUNIZATION

REPORT

ON

INTEGRATION OF HPV VACCINE INTO

ROUTINE IMMUNIZATION

IN

WARRI NORTH L.G.A, DELTA STATE

28TH – 31ST MAY, 2024.

BY

AYONORITSE TORITSEMOSE
STATE TECHNICAL FACITATOR

DR OFUYAEKPONE EMIKO MRS DORIE MERCY.

EXECUTIVE SECRETARY LOCAL IMMUNIZATION OFFICER

i
 LGA TEAM
DR OWHOJEDO HENRY - ES

MRS OKUGUNI IGUECHI - LIO

MRS ODIGWE TERESSE - CCO

MRS ALEKE R. - DSNO

MRS UTUEDOR V. -` H/E

E. AYAN ULISAN - STF

ii
 ABBREVIATIONS
1. STI - Sexually Transmitted Infection

2. TD - Tetanus-Diphtheria

3. TFP - Temporary Fixed Post

4. TM - Trademark

5. TV - Television

6. TWG - Technical Working Group

7. VCM - Village Community Mobilizer

8. VIA - Visual Inspection with Acetic Acid

9. VLP - Virus-like Particles

10. VM - Vaccine Management

11. VMA - Vaccine Management Assessment

12. VVM - Vaccine Vial Monitor

13. VWR - Vaccine Wastage Rate

14. WFP - Ward Focal Person

15. WHO - World Health Organisation

16. ZD - Zonal Director

17. ZTO - Zonal Technical Officer

18. IEC - Information, Education, and Communication

19. IPC - Interpersonal Communication

20. IV - Intravenous

21. LGA - Local Government Area

iii
22. LIO - Local Immunisation Officer

23. LMIS - Logistics Management Information System

24. MAC - Multi-Age Cohort

25. MDVP - Multi Dose Vial Policy

26. NERICC - National Emergency Routine Immunisation Coordination Centre

27. NHMIS - National Health Management Information System

28. NPHCDA - National Primary Health Development Agency

29. NPSIA - Non-Polio Supplementary Immunisation Activity

30. NSIPSS - Nigeria Strategy on Immunisation and Primary Health Care

System Strengthening

31. NTOT - National Training of Trainers

32. PHC - Primary Health Care

33. PM - Project Manager

34. PPM - Planned Preventive Maintenance

35. PQS - Performance, Quality, and Safety

36. REW - Reach Every Ward

37. RI - Routine Immunisation

38. RIO - Routine Immunisation Officer

39. SAGE - Strategic Advisory Group of Experts on Immunization

40. SBC - Social and Behaviour Change

41. SC - Supply Chain

42. SDG - Sustainable Development Goal

43. SDSNO - State Disease Surveillance and Notification Officer

44. SERICC - State Emergency Routine Immunisation Coordination Centre

iv
45. SIA - Supplemental Immunisation Activities

46. SIO - State Immunisation Officer

47. STF - State Technical Facilitator

48. ACSM - Advocacy, Communication, and Social Mobilization

49. AD - Auto Disable

50. AEFI - Adverse Effects Following Immunisation

51. CBO - Community Based Organisation

52. CCE - Cold Chain Equipment

53. CCO - Cold Chain Officer

54. CHIPS - Community Health Influencers, Promoters, and Services

55. CPR - Cardiopulmonary Resuscitation

56. CSO - Civil Society Organisation

57. DHIS - District Health Information System

58. DIP - Daily Implementation Plan

59. DRIMMAC - Detection, Reporting, Investigation, Monitoring,

Management, Analysis, and Communication

60. DSNO - Disease Surveillance and Notification Officer

61. EPI - Expanded Programme on Immunisation

62. FBO - Faith Based Organisation

63. FCT - Federal Capital Territory

64. FP - Focal Person

65. GIS - Geographic Information System

66. HAPPI - HPV Vaccine Acceleration Program Partners Initiative

67. HCW - Health Care Worker

v
68. HF - Health Facility

69. HIV - Human Immunodeficiency Virus

70. HMIS - Health Management Information System

71. HPV - Human Papilloma Virus

72. HPVV - Human Papilloma Virus Vaccine

73. HW - Health Worker

74. IDP - Internally Displaced Person

75. IDSR - Integrated Disease Surveillance and Response

vi
 ACKNOWLEDGEMENT
I, Emmanuel Bomo Peters, State Technical Facilitator (STF), hereby express my
heartfelt gratitude to:

- Almighty God for His love, mercies, and undeserved favor upon my life and
throughout the program.

- The Federal and State Governments for their commitment to healthcare

development.

- The National Primary Health Care Development Agency (NPHCDA) under the
leadership of the Federal Ministry of Health (FMOH) for their tireless efforts in
promoting health through immunization and don

- Partner agencies, including WHO and UNICEF, for their invaluable support.

- The Chairman, Ughelli North L.G.A, the LGA Team, and all Health Staff of
Ughelli North L.G.A for their significant contributions to the successful HPV
Intensification in Ughelli North, where I had the privilege of working on the
HPV program.

I am deeply grateful for the collective efforts and support that made this
program a success.

vii
 EXECUTIVE SUMMARY

Nigeria is introducing the HPV vaccine into its routine immunization schedule
to complement existing strategies for cervical cancer prevention and control.
The vaccine protects against HPV types 16 and 18, and provides cross-
protection for other types. The World Health Organization (WHO) recommends
HPV vaccination as part of a comprehensive approach to prevent cervical
cancer. Nigeria aims to meet the global target of 90-70-90 by 2030, which
includes 90% of girls fully vaccinated with HPV vaccine by age 15, 70% of
women screened for cervical cancer by age 35 and 45, and 90% of women with
cervical cancer or precancerous lesions treated. The introduction of the HPV
vaccine will be done in phases, starting with 15 states and the Federal Capital
Territory in 2023, followed by 21 states in 2024. The vaccine has undergone
rigorous testing and clinical trials, and has been prequalified by WHO. Nigeria's
introduction of the HPV vaccine aligns with the global strategy to eliminate
cervical cancer as a public health problem.

viii
ix