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Peer-reviewedCC BY 4.0BMC Proceedings

Meeting report of the fifth symposium organized by the coalition to strengthen the HPV immunization community (CHIC): Nairobi, Kenya – advancing sustainable HPV vaccination programs in Africa

8 more authors
13 affiliations
  1. 1The Vaccine Confidence Project, London School of Hygiene & Tropical Medicine, London, UK
  2. 2Jhpiego, Baltimore, MD USA
  3. 3Centre for Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium
  4. 4Expanded Program On Immunization, Ministry of Health, Yaoundé, Cameroon
  5. 5School of Global Health and Bioethics, Euclid University, Bangui, Central African Republic
  6. 6Vaccines for Africa Initiative and NITAG Support Hub, School of Public Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
  7. 7World Health Organization - AFRO/UCN/UHC/DPC/Vaccine-Preventable Diseases Inter-Country Support Team for West and Central Africa, Brazaville, Congo
  8. 8Expanded Program On Immunization, Ministry of Health, Ouagadougou, Burkina Faso
  9. 9Expanded Program On Immunization, Ministry of Health, Banjul, Gambia
  10. 10National Vaccines & Immunization Program, Ministry of Health, Nairobi, Kenya
  11. 11Jhpiego, Nairobi, Kenya
  12. 12Immunisation Division, Ministry of Health and Public Hygiene, Dakar, Senegal
  13. 13Ministry of Health and Child Care, Harare, Zimbabwe

Abstract

HPV vaccination coverage across Africa has improved substantially in recent years but remains below elimination thresholds, with persistent gaps in reaching hard-to-reach populations and growing uncertainty around future financing. This report summarizes proceedings from the fifth regional symposium of the Coalition to Strengthen the HPV Immunization Community (CHIC), held in Nairobi, Kenya, in October 2025 in collaboration with Kenya's Ministry of Health. The three-day symposium convened over 100 participants from 22 African countries, including national immunisation program managers, ministry officials, researchers, civil society representatives, and global partners (WHO, UNICEF, Gavi, PATH, the Gates Foundation). The agenda, developed through stakeholder interviews and prior scientific and advisory input, centered on six subthemes related to program sustainability. Plenary sessions addressed epidemiological trends, national policy updates including Kenya's transition to a single-dose schedule, and implications of Gavi's upcoming consolidated funding model (Gavi 6.0). Country snapshot presentations and service-delivery case studies facilitated cross-country peer learning. On day three, though an electronic poll of helped to prioritize 12 candidate implementation themes, which structured subsequent round table working groups. Countries then developed individual action plans identifying priority challenges, responsible stakeholders, and implementation timelines. Sustainable service delivery, financing, and data systems emerged as the highest-priority implementation themes. Country action plans most frequently targeted data systems strengthening, communication and community engagement, sustainable service delivery, and financing mechanisms, with additional attention to service integration, hard-to-reach populations, and target population expansion. Cross-cutting synthesis identified recurring concerns regarding HPV vaccination for people living with HIV, fragmented data systems, the role of program integration, financing sustainability under evolving donor models, and underrecognized risks from misinformation, including emerging AI-generated content. The symposium reinforced CHIC's role as a platform for peer-to-peer learning across countries at varying stages of HPV vaccine introduction, surfacing shared structural barriers to sustainability alongside country-specific action plans. Findings underscore the need for sustained political commitment, financing transition planning, digital system strengthening, and multisectoral integration to support the WHO goal of cervical cancer elimination by 2030.

Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12919-026-00403-2.

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BibTeX
@article{bolio2026meeting,
  title = {{Meeting report of the fifth symposium organized by the coalition to strengthen the HPV immunization community (CHIC): Nairobi, Kenya – advancing sustainable HPV vaccination programs in Africa}},
  author = {Ana Bolio and Mary Carol Jennings and Ricardo Burdier and Sakshi Jindal and Shana Kagan and Emilie Karafillakis and Elaine Chaurat and Andreas Ateke Njoh and Edina Amponash-Dacosta and Sambo Guemgo and Renée Didace Bakouan and Mbye Njie and Rose E. Jalang’o and Christine Wangeci and Rosemary Njura Njogu and Alassane Ndiaye and Clara Mashiringo and Christopher Morgan and Alex Vorsters and Dur-e-Nayab Waheed},
  journal = {BMC Proceedings},
  year = {2026},
  month = oct,
  doi = {10.1186/s12919-026-00403-2},
  url = {https://doi.org/10.1186/s12919-026-00403-2},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Meeting report of the fifth symposium organized by the coalition to strengthen the HPV immunization community (CHIC): Nairobi, Kenya – advancing sustainable HPV vaccination programs in Africa
AU  - Ana Bolio
AU  - Mary Carol Jennings
AU  - Ricardo Burdier
AU  - Sakshi Jindal
AU  - Shana Kagan
AU  - Emilie Karafillakis
AU  - Elaine Chaurat
AU  - Andreas Ateke Njoh
AU  - Edina Amponash-Dacosta
AU  - Sambo Guemgo
AU  - Renée Didace Bakouan
AU  - Mbye Njie
AU  - Rose E. Jalang’o
AU  - Christine Wangeci
AU  - Rosemary Njura Njogu
AU  - Alassane Ndiaye
AU  - Clara Mashiringo
AU  - Christopher Morgan
AU  - Alex Vorsters
AU  - Dur-e-Nayab Waheed
PY  - 2026
DA  - 2026/10/26
JO  - BMC Proceedings
DO  - 10.1186/s12919-026-00403-2
UR  - https://doi.org/10.1186/s12919-026-00403-2
AB  - HPV vaccination coverage across Africa has improved substantially in recent years but remains below elimination thresholds, with persistent gaps in reaching hard-to-reach populations and growing uncertainty around future financing. This report summarizes proceedings from the fifth regional symposium of the Coalition to Strengthen the HPV Immunization Community (CHIC), held in Nairobi, Kenya, in October 2025 in collaboration with Kenya's Ministry of Health. The three-day symposium convened over 100 participants from 22 African countries, including national immunisation program managers, ministry officials, researchers, civil society representatives, and global partners (WHO, UNICEF, Gavi, PATH, the Gates Foundation). The agenda, developed through stakeholder interviews and prior scientific and advisory input, centered on six subthemes related to program sustainability. Plenary sessions addressed epidemiological trends, national policy updates including Kenya's transition to a single-dose schedule, and implications of Gavi's upcoming consolidated funding model (Gavi 6.0). Country snapshot presentations and service-delivery case studies facilitated cross-country peer learning. On day three, though an electronic poll of helped to prioritize 12 candidate implementation themes, which structured subsequent round table working groups. Countries then developed individual action plans identifying priority challenges, responsible stakeholders, and implementation timelines. Sustainable service delivery, financing, and data systems emerged as the highest-priority implementation themes. Country action plans most frequently targeted data systems strengthening, communication and community engagement, sustainable service delivery, and financing mechanisms, with additional attention to service integration, hard-to-reach populations, and target population expansion. Cross-cutting synthesis identified recurring concerns regarding HPV vaccination for people living with HIV, fragmented data systems, the role of program integration, financing sustainability under evolving donor models, and underrecognized risks from misinformation, including emerging AI-generated content. The symposium reinforced CHIC's role as a platform for peer-to-peer learning across countries at varying stages of HPV vaccine introduction, surfacing shared structural barriers to sustainability alongside country-specific action plans. Findings underscore the need for sustained political commitment, financing transition planning, digital system strengthening, and multisectoral integration to support the WHO goal of cervical cancer elimination by 2030.  Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12919-026-00403-2.
SN  - 1753-6561
ER  -