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Recap – Innovative Approaches to Target HPV-Vaccine Accessibility and Cervical Cancer in Sub-Saharan Africa

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Published on January 31, 2024

Event poster for Eric Asempah

On November 22, 2023, Dahdaleh graduate scholar Eric Asempah addressed the urgent global health issue of preventing human papillomavirus infection (HPV) related cervical cancer through prophylactic vaccines in low and middle-income countries.

Cervical cancer claims 342,000 lives worldwide, with sub-Saharan Africa being a major hotspot. Asempah highlighted that 99% of cervical cancer cases are linked to persistent HPV infection, and over 70% are attributable to high-risk HPV (strains 16 and 18). Less than 25% of low-income countries have introduced HPV vaccines in their national vaccination programs, in contrast to 85% of high-income countries. Despite some HPV vaccination programs in sub-Saharan Africa, Asempah explained that at the current rate of progress, it would take approximately 30 years to cover the entire sub-Saharan region with vaccines. A notable contribution by Asempah is the Policy Choice Stability Estimator, a predictive tool he created to aid policymakers in decision-making by analyzing trends, predicting outcomes, provide evidence for justifying new policies, and assessing cost-effectiveness.

Asempah presented a rational approach to prophylactic vaccines in Canada, Rwanda, and Ghana, where all three nations have some form of national health insurance and are in agreement with the WHO's ideal of universal health coverage. Rwanda and Ghana are able to access HPV vaccines through Gavi-assisted programs, while Canadian provinces receive assistance from the federal government. Additionally, the WHO aims to eliminate cervical cancer by 2030 through vaccination, screening, and treatment targets.

Lastly, Asempah proposed a roadmap for prioritizing HPV vaccination programs in low-income settings, suggesting regional collaboration strategies similar to COVAX to validate policymaker choices. He also highlighted the need for collaboration, since a significant number of researchers in HPV and cervical cancer do not reside in highly burdened regions.

Watch the seminar presentation below:

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Global Health & Humanitarianism, Global Health Foresighting

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Eric Asempah, Graduate Student Scholar, Global Health Foresighting - Alum


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