{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:30:49Z","timestamp":1792189849485,"version":"4.4.0"},"reference-count":38,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001125","name":"Gavi","doi-asserted-by":"publisher","award":["GAVI100001625"],"award-info":[{"award-number":["GAVI100001625"]}],"id":[{"id":"10.13039\/100001125","id-type":"DOI","asserted-by":"publisher"}]},{"award":["GAVI100001625"],"award-info":[{"award-number":["GAVI100001625"]}],"id":[{"id":"https:\/\/ror.org\/0141yg674","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Gates Foundation","doi-asserted-by":"publisher","award":["INV-095807"],"award-info":[{"award-number":["INV-095807"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"award":["INV-095807"],"award-info":[{"award-number":["INV-095807"]}],"id":[{"id":"https:\/\/ror.org\/0456r8d26","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Background\/Objectives: Girls living with HIV (GLHIV) or vulnerable to HIV have a higher risk of HPV infection and cervical cancer as they age. We determined acceptability and vaccination uptake after integrating HPV vaccination into HIV prevention and treatment services for girls in Mozambique and Zimbabwe. Methods: Pre-integration and integration HPV vaccination information were abstracted from routine records of girls aged 9\u201314 years offered HPV vaccine through HIV services in 54 health facilities (HFs) and surrounding communities between February and December 2025. Caregivers participated in quantitative surveys about vaccine perceptions and integration model experiences in a subset of 16 HFs. Results: In total, 6377 records of girls (median age: 11 years) were abstracted. Among the vaccine recipients, 63 (3.0%) girls received vaccine pre-integration and 2019 (97.0%) post-integration in Mozambique and 743 (17.3%) pre-integration and 3541 (82.7%) post-integration in Zimbabwe. Among GLHIV, 95.8% and 69.6% received a first HPV vaccine in Zimbabwe and Mozambique, respectively. Full vaccination with two doses occurred in 49.1% of eligible girls in Mozambique and 73.9% in Zimbabwe. Overall, 461 (67.8%) caregivers had heard of the HPV vaccine and 85.9% of cervical cancer, 99.6% were satisfied with vaccination in integration settings, and 78.6% preferred facility-based vaccination models. Conclusions: We demonstrated that HPV\/HIV service integration was an effective strategy to increase HPV vaccine uptake among young girls at increased risk of HPV and cervical cancer. We found high vaccine and model acceptability and awareness of cervical cancer among caregivers. Optimization of this approach requires better integrated tools and model adaptations to fit the needs of girls and health systems.<\/jats:p>","DOI":"10.3390\/vaccines14060503","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:33:14Z","timestamp":1780479194000},"page":"503","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["HPV Vaccination Uptake and Acceptability of HPV\/HIV Integrated Services Models for Adolescent Girls in Mozambique and Zimbabwe: The AIM-HPV Implementation Research Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Michelle M.","family":"Gill","sequence":"first","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC 20036, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-6068","authenticated-orcid":false,"given":"Assuc\u00eanio","family":"Chissaque","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Maputo 1100, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna","family":"Viegas","sequence":"additional","affiliation":[{"name":"Instituto Nacional De Sa\u00fade (INS), Maputo 1120, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian","family":"Chinyanganya","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Harare P.O. Box CY 1122, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7160-1108","authenticated-orcid":false,"given":"Hilda","family":"Bara","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Harare P.O. Box CY 1122, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1554-0408","authenticated-orcid":false,"given":"Lauren","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC 20036, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nontokozo","family":"Gava","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Harare P.O. Box CY 1122, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahira","family":"Amade","sequence":"additional","affiliation":[{"name":"Instituto Nacional De Sa\u00fade (INS), Maputo 1120, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Kanengoni","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Harare P.O. Box CY 1122, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Mushavi","sequence":"additional","affiliation":[{"name":"Zimbabwe Ministry of Health and Child Care, Harare P.O. Box CY 1122, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonildo Augusto","family":"Nhampossa","sequence":"additional","affiliation":[{"name":"Mozambique Ministry of Health, Maputo 1100, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleny","family":"Couto","sequence":"additional","affiliation":[{"name":"Mozambique Ministry of Health, Maputo 1100, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9430-5897","authenticated-orcid":false,"given":"Neiva","family":"Banze","sequence":"additional","affiliation":[{"name":"Instituto Nacional De Sa\u00fade (INS), Maputo 1120, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humberto","family":"Inguane","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Maputo 1100, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Epif\u00e2nia Orlando","family":"Raimundo","sequence":"additional","affiliation":[{"name":"Instituto Nacional De Sa\u00fade (INS), Maputo 1120, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia P\u00e9rez","family":"Martin","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Maputo 1100, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1080-3629","authenticated-orcid":false,"given":"Laura","family":"Guay","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC 20036, USA"},{"name":"Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhoderick","family":"Machekano","sequence":"additional","affiliation":[{"name":"Elizabeth Glaser Pediatric AIDS Foundation, Washington, DC 20036, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e1525","DOI":"10.1016\/S2214-109X(25)00264-5","article-title":"Global burden of cancer attributable to HIV: A worldwide incidence analysis","volume":"13","author":"Huang","year":"2025","journal-title":"Lancet Glob. 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