Country Meeting:
South Asia Meeting HPV Prevention and Control Landscape and the way forward
New Delhi, India – December 2022
Objectives of the Symposium
The regional meeting will support discussions among the key stakeholders in the region on introduction, sustainability, and restoration of HPV prevention and control programs. One of the main objectives of the symposium is to support the establishment of a strong HPV community of practice in the South Asia region by engaging countries at different levels of HPV prevention and control program introduction to:
- Provide an overview of epidemiological situation of cervical cancer disease burden in the region
- Provide an overview of health information systems in the countries
- Discuss cervical cancer screening programs, barriers and steps needed to strengthen cervical cancer control
- Discuss HPV prevention and control measure in the region
- Discuss progress and challenges in the region on HPV prevention and control
- Discuss sustainable platforms for introduction, lessons learnt from different states within the countries, monitoring systems, barriers to overcome, and the way forward.
- To support ongoing engagement between researchers, policymakers, program managers in the region
DAY 1 – Tuesday, 13 December 2022
- Inauguration & Welcome Note
(Minister of Health or Health Secretary)
SESSION 1: INAUGURAL SESSION
- Welcome
Prof Narendra Kumar Arora, INCLEN, Delhi (Video, Pdf) - SPC CHIC and HPV Prevention and Control Board
Prof. Alex Vorsters (University of Antwerp) - Opening remarks
Prof. Neerja Bhatla , AIIMS, New Delhi
Dr Prashant Mathur, NCDIR-ICMR, Bengaluru - SPC Co-chairs: Prof. Margaret Stanley (University of Cambridge, UK) and Dr. Nelly Mugo (Kenya Medical Research Institute, Kenya)
SESSION 2: HPV RELATED CANCER BURDEN IN THE REGION
Chairs: Dr. Prabhdeep Kaur (India), Dr. Dilip Das (India) & Dr. Kim Mulholland (Australia)
- Cervical cancer prevention and control; global overview on disease burden, WHO elimination goals and tools to achieve these goals
Dr. Cherian Varghese (SEARO WHO) (Video, Pdf) - Overview of HPV related disease burden, mortality, social and economic impact
Country Presentations:
Bangladesh – Dr. Ferdousi Begum, GoB (Video, Pdf)
India – Mr. Vishal Chauhan, MoHFW, GoI (Video)
Nepal – Dr. Murari Man Shrestha, GoN (Video, Pdf)
Sri Lanka – Dr. Suraj Perera (Video, Pdf)
Maldives – Dr. Aminath Nusra, GoMal (Video, Pdf)
Pakistan – Dr. Fauzia Assad (Jhpiego, Pakistan) (Video) - Q&A (Video)
SESSION 3: CANCER REGISTRIES; GAPS AND THE WAYS TO IMPROVE CERVICAL CANCER DATA COLLECTION
Chairs: Dr Eric Zomawia (MD-Mizoram, India), Dr Ravi Kannan (India) & Ramesh K. Adhikari (Nepal)
- Cancer registries – data collection, challenges and steps to strengthen registries and improve cervical cancer data collection
Country presentations:
India – Dr. Prashant Mathur, ICMR-NCDIR, GoI (Pdf)
Nepal – Dr. Pradip Gyanwali, GoN (Video, Pdf)
Bangladesh – Dr. Rifat Ara, NICRH, GoB (Video, Pdf)
Sri Lanka – Dr Suraj Perera, GoSL (Video, Pdf)
Pakistan – Prof. Dr. Sarbuland Khan ICCBS University of Karachi, Pakistan (Online) (Video) - Q&A (Video)
SESSION 4: HEALTH SYSTEMS INFORMATION: PEER EXCHANGE ON DATA REPORTING AND COLLECTION MECHANISMS FOR HPV VACCINATION PROGRAMS
Chairs: Dr Raj Prabha Moktan (MD-Sikkim India), Dr. Joseph Biey (WHO) & Dr. Suzanne Garland (University of Melbourne, Australia)
- Health information system: overview and challenges
Data reporting and collection mechanism for HPV vaccination program and the research gaps to improve health information system
Country presentations- Examples/Experiences
Maldives – Dr. Jumailath Beygum, GoM (Video, Pdf)
Sri Lanka – Dr. Samitha Ginige, GoSL (Video, Pdf)
India (Sikkim state)– Dr. Tsering Doma, GoSikkim, India (Video, Pdf) - Q&A (Video)
SESSION 4A (PANEL DISCUSSION): PEER EXCHANGE LEARNING ON IMPLEMENTATION AND RESEARCH GAPS IN STRENGTHENING HEALTH INFORMATION SYSTEMS
Chairs: Shri AbhinavTrikha (MD-Punjab, India), Dr. Jyoti Logani (India) & Dr. Cherian Varghese (SEARO WHO)
- What are the implementation and research gaps in strengthening health information systems in South Asia? (Video)
Panelists
Bangladesh – Dr Choudhury Ali Kawsar, GoB
India – Dr Nivedita Gupta
Maldives – Dr Mariyam Jenyfa
Sri Lanka – Dr Samitha P. Ginige, GoSL
Myanmar – Dr Soe Lwin Nyein, GoMN
Pakistan – Prof. Dr. Shahzad Ali Khan (Health Services Academy, Pakistan)
SESSION 5: PEER EXCHANGE LEARNING AND LEVERAGING OPPORTUNITIES FROM OTHER VACCINATION PROGRAMS
Chairs: Shri Sudhir Kumar Sharma (MD-Rajasthan), Dr F.U. Ahmed (NITAG- India) & Dr Padmaka de Silva (Sri Lanka)
- Lessons learned on vaccination data collection and reporting mechanism from other vaccination programs in the region
Country experiences: - Intensified Mission Indradhanush/ Measles Rubella Vaccine campaign in India
Dr. Veena Dhawan, GoI (Video, Pdf) - Measles Rubella vaccination experience in Bangladesh
Dr. Rajib Sarkar (Video, Pdf) - Village Full Immunization Certification program in Nepal
Mr. Sagar Dahal (Department of Health Services, GoN) (Pdf) - Ministry of Education involvement in MR vaccination program
Dr. E. Naveen Nicolas (Video, Pdf) - Q&A (Video)
DAY 2: INTRODUCTION
SESSION 6: HPV VACCINATION PROGRAMS: PEER EXCHANGE ON LESSONS LEARNED FROM PLANNING AND INTRODUCTION
Chairs: Shri Subashis Das (MD-Tripura, India), Paul Bloem (WHO) & Sunil Bahl (SEARO, WHO)
- HPV Vaccination Introduction – Global Overview on HPV vaccination introduction status
Dr Emmanuel Njambe, WHO SEARO (Video, Pdf) - HPV vaccine roll-out in Sri Lanka; lessons learned from planning process
Dr. Samitha Ginige, GoSL (Video, Pdf) - HPV Vaccine roll-out experience in Sikkim: lessons learned for sustainable coverage
Dr. Tsering Doma, GoSikkim, India (Video, Pdf) - Planning Roadmap towards HPV Vaccination Introduction
Dr. Fauzia Assad & Dr. Arshad Chandio (Jhpiego, Pakistan) (Video) - Q&A (Video)
SESSION 6A: PEER EXCHANGE ON STAKEHOLDER ENGAGEMENT AND SUSTAINABLE DELIVERY PLATFORMS FOR HPV VACCINATION PROGRAMS
Chairs: Shri Rajesh Bhushan (Secretary, MoHFW-India), Dr Mohammad Tofazzal Hossain (DGHS, MoH-Bangladesh) & Anita Karwal (Fmr. Secretary Education, GOI)
- Adolescent health integration with HPV vaccination program
Experience from Tanzania
Pricillah Kinyunyi, MOH Tanzania (Video, Pdf) - Adolescent health integration: leveraging opportunities
Example from Tamil Nadu State, India
Dr. Vinay, Go Tamil Nadu, India (Video, Pdf) - Overview on HPV vaccination delivery approaches and platforms
Ms. Sarah Wanyoike (Jhpiego, USA) & Dr. Prem Singh (Jhpiego, India) (Video, Pdf) - Lessons learned on delivery approaches from CHIC Africa symposium
Prof. Dr. Alex Vorsters, Mrs. Dur-e-Nayab Waheed (Video) - Country experience from Maldives on delivery approaches
Dr. Jumailath Beygum, GoM (Video, Pdf) - Q&A (Video)
SESSION 7: HPV VACCINATION PROGRAMS: OVERVIEW OF GAVI’S SUPPORT FOR HPV VACCINATION PROGRAMS IN LOW AND MIDDLE INCOME COUNTRIES (LMICS)
Chairs: Dr. Mathuram Santosham (JHU, USA), Dr. Anissa Sidibe (Gavi) & Dr. Myo Myo Mon (MoH-Myanmar)
SESSION 8: HPV VACCINATION PROGRAMS: WHO POSITION PAPER ON NEW RECOMMENDATION AND GLOBAL OVERVIEW ON HPV VACCINE EFFICACY AND SAFETY
Chairs: Smt. Aparna U (MD, UP) & Dr. Asela Gunawardena (DGHS,GO Sri Lanka)
SESSION 9: ONE DOSE; THE CURRENT SCENARIO AND THE WAY FORWARD
Chairs: Ms. Ayushi Sudan (MD-Jammu & Kashmir, India), Dr. Cathy Ndiaye (PATH) & Dr. Rakesh Aggarwal
- Update on one dose trial data findings
Single-dose HPV Vaccination Efficacy among adolescent girls and young women in Kenya – KEN SHE trial
Dr. Nelly Mugo (Video, Pdf) - Costa Rica HPV Vaccine Trials
Dr. Carolina Porras (Video) - DoRIS Trial
Dr Deborah Watson Jones (Video, Pdf) - Single dose HPV vaccine trials in India
Dr Neerja Bhatla (Video, Pdf) - Q&A (Video)
SESSION 10: PEER TO PEER LEARNING – WHAT IS NEEDED FOR HPV VACCINATION PROGRAM INTRODUCTION IN THE REGION?
SESSION 10A: PEER EXCHANGE LEARNING FROM HPV VACCINATION PROGRAM COMMUNICATION PLAN
Chairs: Ms. Roli Singh (AS, MD-NHM, India), Sonia Sarkar (UNICEF, India)& Dr. Sharon Hanley (Hokkaido University, Japan)
SESSION 10B: GROUP WORK: DISCUSSION ON NEEDS FOR VARIOUS PARAMETERS OF HPV VACCINATION PROGRAMS
Group work facilitators:
University of Antwerp: Dr. Alex Vorsters & Ms. Dur-e-Nayab Waheed (Online)
Jhpiego: Ms. Sarah Wanyoike & Ms. Elaine Charurat (Jhpiego, USA), Dr Apoorva Sharan & Dr. Prem Singh (Jhpiego, India)
Supporting chairs: Dr. Surinder Jaswal, Dr. Ranganai Matema (Health Specialist, UNICEF, India) & Dr. Ranbeer Singh (Asst. Dir. Cancer Program, CHAI, India), Quail Rogers-Bloch (JSI, USA)
- What is needed for rolling out HPV vaccination programs?
The participants will be given a work sheet to mention key points for several parameters of HPV vaccination programs in their respective state/region/country
The following topics will be covered:
– Macro- and micro-planning
– Cold chain and vaccine management
– Delivery approaches
– Communication and social mobilization
– Monitoring and evaluation - Rapid round of feedback from the Groups
DAY 3: INTRODUCTION
- Welcome Note for Day 3
Dr. Parvaiz Koul (NITAG, India) (Pdf)
SESSION 11: CERVICAL CANCER SCREENING LANDSCAPE
SESSION 11A: CERVICAL CANCER SCREENING LANDSCAPE – GLOBAL OVERVIEW
Chairs: Dr. Marc Steben (Quebec’s National Public Health Institute, Canada) & Dr. Samorjit Ningombam (MD-Manipur, India)
- Global overview on available assays for screening and treatment options for cervical cancer
Dr. Maribel Almonte ( IARC) – Online (Video) - Lessons learned from cervical cancer screening program
ROSE program
Yogeeta Gunasagran (University Malaya Medical Centre
Malaysia) (Video) - Experience from Turkey
Dr. Murat Gultekin (Hacettepe University, Turkey) (Video, Pdf) - Q&A (Video)
SESSION 11B: CERVICAL CANCER SCREENING LANDSCAPE IN SOUTH-ASIA
Chairs: Dr. Sharmila Pimple (India), Dr. Shabana Saleem (DGH, MoH-Pakistan) & Dr. Soe Lwin Nyein, Myanmar
Country examples
- Bangladesh
Dr Jannatul Ferdous, Dr. Azizul Alim, GoB (Video, Pdf) - Nepal
Ms. Kabita Aryal, GoNP (Video, Pdf) - Pakistan
Prof. Dr. Sadia Ahsan Pal (Video) - Learning from cervical cancer screening program in Bhutan
Ms. Jamyang Choden (Ministry of Health, Bhutan) – Online (Video, Pdf) - Learning from Cervical Cancer Screening from Madhya Pradesh
Mr. Ranveer B. Singh (Video, Pdf) - Cervical cancer screening programs – LMICs experience
Dr Somesh Kumar, JHPIEGO (Video, Pdf) - Q&A (Video)
SESSION 11C (PANEL DISCUSSION): CERVICAL CANCER SCREENING AND TREATMENT CHALLENGES IN SOUTH ASIA (VIDEO)
Chairs: Dr. Bhagyalaxmi Nayak (India) & Dr. Eduardo Franco (McGill University, Canada)
Overview of available cervical cancer screening and treatment options in the region
- How can the countries in region transition from VIA to HPV testing?
- How do we manage the availability of diagnostic and treatment tools?
- Availability and training of health workforce to conduct screening?
- How will the region deal with loss to follow-up for cervical cancer screening and false HPV positives due to HPV testing?
- How cervical cancer screening can be logistically implemented in low resource settings?
Panelists:
Global Exerts
Dr Silvia de Sanjose (Online)
Dr Murat Gultekin (Hacettepe University, Turkey)
Dr. Kim Mulholland
Dr. Susanne Kruger Kjaer (University of Copenhagen, Denmark) – Online
Dr. Marc Arbyn (Sciensano, Belgium) – Online
Dr. Nelly Mugo (KEMRI, Kenya)
Country experts
India – Dr Priya Abraham,
Bangladesh – Dr Choudhury Ali Kawsar
Maldives – Dr Aminath Nusra
Sri Lanka – Dr Padmaka de Silva
Pakistan – Prof. Dr. Sadia Ahsan Pal
Bhutan – Dr. Pempa (Ministry of Health, Bhutan)
SESSION 12: BREAKOUT GROUPS / WORKING GROUPS
Chairs: Dr. Rupali Limaye (JHU), Dr. Nelly Rwamba Mugo (Kenya), Dr. Sharon Hanley (Japan), Dr. Shalini Singh (India), Dr. Shalini Rajaram (India) & Dr. Manoja K. Das (India)
SESSION 13: CONCLUSIONS
Chairs: Prof Narendra Kumar Arora & Dr. Alex Vorsters