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Immunization Branch

 Evidence-Based Strategies for Improving HPV Vaccination Levels 

Recommend HPV vaccine using the presumptive/announcement approach. 

  • ​Use a statement rather than a question: “Your child is due for the HPV vaccine today to help protect against cancers caused by HPV. We’ll give that shot at the end of the visit.” Multiple studies describe the effectiveness of this strategy, and it has been repeatedly demonstrated that a healthcare provider recommendation is the single best predictor of vaccination. See  American Academy of Pediatrics’ Q&A with common questions from parents. 

Use the “HPV vaccine is cancer prevention” message, because parents identify cancer prevention as important in their decision to vaccinate their children. 

  • “HPV vaccine is important because it prevents cancer. That is why I recommend that your daughter/son be vaccinated today.” Emphasize your belief in the importance of the HPV vaccine. 

If a parent asks about delaying the series, explain that there are no benefits to waiting until later to get immunized. 

  • “HPV vaccination works best at the recommended ages of 9 to 12 years, plus if your daughter/son starts the series now, she/he only needs two doses instead of three.” 

Start the HPV vaccine series on time and schedule follow-up appointments for the next dose(s) before the patient leaves the clinic. Use reminders and recalls to inform patients that vaccinations are due or late. 

Recommend the HPV vaccine series starting at age 9 to give families ample time to finish the series. Providers who start recommending HPV vaccine at ages 9 and 10 have had high success in ensuring kids are fully protected. 

 

Online Webinars and Resources 

  • View American Cancer Society’s  video on how to use the announcement approach to make a recommendation for HPV vaccination at age 9. 

  • View American Cancer Society’s  action guides for health plans, clinicians, support staff, dentists, and other audiences to increase HPV vaccination rates. ​

Patient Educational Resources 

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