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A global call to accelerate efforts to eliminate this disease has generated a new global strategy proposing ambitious, but achievable, targets for HPV vaccination of girls, and screening and treatment of women. The present paper addresses the suboptimal access to HPV vaccination in low\u2010income and lower\u2010middle\u2010income countries (LICs\/LMICs), where the burden of disease weighs most heavily, in part through co\u2010infection with HIV. A proposed framework for action was formulated by first reviewing the reasons underlying gaps in HPV vaccine coverage. Good practices from recent introductions of HPV vaccine at scale in LICs\/LMICs were then assessed based on targeted literature reviews and the experience and views of the authors. Difficulties in uptake and coverage of the HPV vaccine relate to the costs of the vaccine and service delivery, lack of prioritization, the challenges of vaccinating adolescents, and shortage of vaccines as the supply failed to keep pace with the rapid expansion in global demand, including from LICs\/LMICs. The framework for action calls for new strategic thinking to consolidate global learning and invigorate operationalization at a country level.<\/jats:p>","DOI":"10.1002\/ijgo.13482","type":"journal-article","created":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T11:22:11Z","timestamp":1605266531000},"page":"32-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Acting on the call: A framework for action for rapid acceleration of access to the HPV vaccination in low\u2010 and lower\u2010middle\u2010income countries"],"prefix":"10.1002","volume":"152","author":[{"given":"Somesh","family":"Kumar","sequence":"first","affiliation":[{"name":"Jhpiego, a Johns Hopkins University affiliate Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arunima","family":"Khanduri","sequence":"additional","affiliation":[{"name":"HPV Vaccine, Vaccine Implementation Gavi, the Vaccine Alliance Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anissa","family":"Sidibe","sequence":"additional","affiliation":[{"name":"HPV Vaccine, Vaccine Implementation Gavi, the Vaccine Alliance Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Morgan","sequence":"additional","affiliation":[{"name":"Jhpiego, a Johns Hopkins University affiliate Baltimore MD USA"},{"name":"School of Population and Global Health University of Melbourne Melbourne VIC Australia"},{"name":"Burnet Institute Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Torode","sequence":"additional","affiliation":[{"name":"Union for International Cancer Control Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Partha","family":"Basu","sequence":"additional","affiliation":[{"name":"Screening Group, Early Detection and Prevention Section International Agency for Research on Cancer Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neerja","family":"Bhatla","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celina","family":"Schocken","sequence":"additional","affiliation":[{"name":"TogetHER for Health Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Bloem","sequence":"additional","affiliation":[{"name":"Life Course and Integration\/EPI Department of Immunization, Vaccines and Biologicals World Health Organization Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Cervical Cancer: An NCD We Can Overcome","author":"World Health Organization","year":"2018"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_14_4_1","volume-title":"World Bank Country and Lending Groups","author":"World Bank","year":"2019"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12182"},{"key":"e_1_2_14_6_1","volume-title":"Draft: Global Strategy Towards Eliminating Cervical Cancer as a Public Health Problem","author":"World Health Organization","year":"2020"},{"key":"e_1_2_14_7_1","volume-title":"Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem and Its Associated Goals and Targets for the Period 2020\u20132030","author":"World Health Assembly"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30068-4"},{"key":"e_1_2_14_9_1","volume-title":"Global vaccine uptake and projected cervical cancer disease reductions","author":"Bruni L","year":"2019"},{"key":"e_1_2_14_10_1","unstructured":"World Health Organization.Immunization Coverage.Geneva:IVB WHO;2020.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/immunization\u2010coverage"},{"key":"e_1_2_14_11_1","first-page":"34","article-title":"What\u2019s in a name? 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