Of the respondents, 36% believed in vaccination and preferred to know more about it; 43.24% claimed that their family members were very supportive towards screening and vaccination; and 21.3% felt embarrassed and were afraid to undergo the screening procedure, as they had no prior experience and were unsure of how the procedure was conducted. 2017;35(43):57535. There is no treatment for HPV infection, but majority of the infections are cleared off by the body within 2 years. /Interpolate false 2013;13(25). 2013;38(2):679. Achieving high uptake of human papillomavirus vaccine in Cameroon: lessons learned in overcoming challenges. Federal government websites often end in .gov or .mil. In a 2-dose series, the second dose should be given 6-12 months after the first dose (0, 6-12-month schedule). May 5, 2010 Approval letter Cervarix. Free vaccination was offered to eligible recipients (year seven) in Malaysia which was usually at the age of 13 in the index year. You will get a list of the nearest PPV near your area but you have to call to make appointment. https://doi.org/10.1186/s12905-018-0596-y. B-G-01, B-G-02, B-G-03, B-G-03A, B-G-05 Some people report having very mild side effects, like a sore arm from the shot. Chaturvedi S. Vaccines. Howell-Jones R, Bailey A, Beddows S, et al. HPV vaccination is recommended at ages 1112 years. HPV vaccines can be given starting at age 9 years. We thank the Director General of Health, Ministry of Health, Malaysia for permission to publish this report. Written parental consent was obtained prior to vaccination. Eligibility: Adults and children 4 years of age and over. Written parental consent was obtained prior to vaccination. There are 2 types of HPV vaccines available, namely "Gardasil" and "Cervarix". b1yw'- bv|HLu;#H-N'e8-@eObYq0I]CXpjy3w#_E}K=Ucf ZKE2 Fz~=Pt\R!:"Rt\T8@uB'XRd;IVM*|9M1~_.>gr$l{d'_|$}]2kr1p>NiP:e69)cx;we01c1YU*Nh iQf#b9Gi>W$3a#DdV}.[MK( !^S )0N]+4Twk 2014;21(2):e25564. Information such as the programme website link was provided in every pamphlet and poster and also in electronic media. -. Kabakama S, Katherine E, Gallagher KE, Howard N, Mounier-Jack S, HED B, et al. Saving Lives, Protecting People, HPV Vaccines: Vaccinating Your Preteen or Teen, HPV and Oropharyngeal Cancer Fact Sheet, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. Availability of health personnel to respond to public concerns further increased public confidence with the MOH new policy. Like many other Malaysians, I was waiting for MySejahtera Update for my booster shot but since the government announced that everyone can walk in for your AstraZeneca booster shot, many are finding the nearest PPV Pusat Pemberian Vaksin in Malaysia. Human papillomavirus vaccines: WHO position paper, may 2017. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. MOH had successfully engaged various subgroups to talk and discuss regarding the introduction of HPV immunization through print, electronic and social media (face book and twitter) and telephone hotline. The World Health Organization recommends a school-based approach for effectively delivering HPV vaccine in countries that have a fairly high enrolment of girls in schools [44]. It can be taken at private clinics and specialist hospitals, and at AWCSH. The authors declare that they have no financial or personal relationship(s) that may have inappropriately influenced them in conducting the research or writing this paper. Deputy Minister of Women, Community and Family Development, Hannah Yeoh said to counter these cancers, the government had resorted to implementing the human papillomavirus (HPV) vaccination. KUALA LUMPUR, Nov 1 Female adolescents aged 13 and 14 years who have yet to be given the human papillomavirus (HPV) vaccine to prevent cervical cancer will be vaccinated through the school health service next year, the Dewan Rakyat was told today. BMC Womens Health. Since HPV vaccination was first recommended in 2006, infections with HPV types that cause most HPV cancers and genital warts have dropped 88% among teen girls and 81% among young adult women. https://doi.org/10.1371/journal.pone.0160707. Epidemiology of cervical cancer with special focus on India. By using this website, you agree to our It was measured by total number of recipients who received a complete immunisation course over estimated total number of female students (Fig. HPV vaccination works extremely well. Human papillomavirus and related diseases in MalaysiaSummary Report: ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). HPV is a very common disease and it is estimated that 80 percent of men and women will be infected with the HPV virus at some point in their lives. Various strategies for prevention have been developed including vaccination, cervical cytology (Pap testing), and HPV DNA based screening, for early detection and effective treatment. HPV vaccines can be given starting at age 9 years. Accessed 17 July 2017. This paper aims to describe the new policy and model for delivery of HPV vaccination, and the initial experiences and results from pilot implementation from the Malaysian school base HPV program vaccination and factors contributing to its successful implementation over the last 6 years. Only a few respondents (8.1%) talked about the time constraints and busy work schedules that prevented them from going to medical appointments. Available at http://www.who.int/immunization/diseases/hpv/en/. Ferrer HB, Trotter C, Hickman M, Audrey S. BMC Public Health. What does HPV vaccine prevent? HPV Vaccination Malaysia | Sunway Specialist Centre Damansara Hilton S, Hunt K, Langan M, Bedford H, Petticrew M. Newsprint media representations of the introduction of the HPV vaccination programme for cervical cancer prevention in the UK (20052008). BMC Cancer. The operation room was spearheaded by the Director of the Family Health Development Division, with support from various technical officers responsible for technical documentation of the progress, adverse reactions, public enquiries, ICT requirements and daily operations. Vaccinations and Immunizations | Mount Sinai - New York Your privacy choices/Manage cookies we use in the preference centre. The completion rate for the second dose was slightly lower than the first dose. Vaccination coverage provides information on vaccination uptake in the total population, including those girls not in school and therefore not offered vaccination. HPV vaccination is recommended at ages 11-12 years. https://doi.org/10.1186/s12889-018-6316-6, DOI: https://doi.org/10.1186/s12889-018-6316-6. Where Can My Daughter Can Get Her Immunisation? Int J Women's Health. Studies have shown that this vaccination will reduce all HPV related cancers by 90% and the benefits of the vaccine lasts more than 10 years. Haghshenas M, Golini-Moghaddam T, Rafiei A, et al. Tagline (Translation Lindungi Anak Gadis Anda dari Kanser Serviks: Protect Your Daughter from Cervical Cancer) (Translation Pastikan anak anda mendapat pelalian HPV hari ini: Ensure your daughter receives HPV vaccination today) (Translation Dapatkan pelalian HPV di sekolah atau di klinik kesihatan Kementerian Kesihatan Malaysia: Get the HPV vaccination in school or government health clinic, Ministry of Health Malaysia) (Translation Diberi percuma untuk murid perempuan tingkatan 1 dan remaja perempuan 13 tahun pada tahun semasa: Given free of charge to form 1 school girl and adolescent girl aged 13 in the index year) (Translation Dapatkan pelalian yang lengkap (3 suntikan) untuk perlindungan terbaik: Get complete HPV vaccination (3 injections) for best protection)(Translation Pelalian HPV mencegah anak anda dari kanser servik akibat jangkitan HPV: HPV vaccination prevent your daughter from cervical cancer due to HPV infection) (Translation Untuk maklumat lanjut: Kunjungi klinik kesihatan dan hospital berhampiran atau Layari www.myhealth.gov.my: For further information: Visit nearest clinic and hospital or surf www.myhealth.gov.my). The data is updated regularly with the most recent official country reporting collected through the WHO/UNICEF joint reporting process. /Type /XObject PubMed The introduction of HPV vaccination was projected to prevent 89% of cervical cancer caused by HPV 16 and HPV 18 [29] and save substantial annual costs for HPV related treatments [30, 31]. Multi-site study of HPV type-specific prevalence in women with cervical cancer, intraepithelial neoplasia and normal cytology, in England. 11 clinics available in Malaysia Recovery time varies Find the best clinics for Human Papillomavirus (HPV) Vaccine in Malaysia MyMediTravel currently has no pricing information available for Human Papillomavirus (HPV) Vaccine procedures in Malaysia. Not married / has never been married before; and 3. Electronic, printed and social media were the main communication channels employed in creating public awareness towards accepting HPV vaccination [39,40,41]. The vaccination can be started at age 9 years. Of cervical cancer cases, 80% are attributed to serotypes 16 and 18; therefore, early detection of premalignant lesions and infections from these viruses is important. Teens and young adults who start the series later, at ages 15 through 26 years, need three doses of HPV vaccine. This site needs JavaScript to work properly. Dont hesitate to approach us at Sunway Specialist Centre Damansara in Kota Damansara, Selangor to get your HPV vaccination today! Center for Disease Control and Prevention. /ColorSpace /DeviceRGB >> Summary Report; 2018. sharing sensitive information, make sure youre on a federal There is now a vaccine that can prevent HPV infection and eliminate the risk of cervical cancer. A total of 242,638 girls aged between 12 to 13years studying in year seven were approached during the launch of the program in 2010. Whenever the children were refused immunization by their parents, the school health teams would call the parents to determine reasons for refusal and made a remark on the student registration form. Globally, the incidence of cervical cancer is estimated to be at 500,000 cases with 300,000 deaths yearly. MMWR Morb Mortal Wkly Rep. 2012;61:25861. Ethical issues surrounding HPV vaccination and parental rights to adequate information was not compromised in the process of obtaining parental written consent. Avisena Womens and Childrens Specialist Hospital (AWCSH) consultant obstetrician and gynaecologist, Dr Raja Arif Shah Raja Ismail, said the vaccine, introduced in 2010 by the government for 13-year-old schoolchildren, was one of the methods to reduce cervical cancer by up to 70 per cent if every woman took the vaccine. The HPV vaccines became available in 2006 [26]. Provided by the Springer Nature SharedIt content-sharing initiative. NSTP/NURUL SYAZANA ROSE RAZMAN KUALA LUMPUR: Cervical, ovarian, and uterine cancer were among top 10 dreaded diseases to affect Malaysian women. Dev World Bioeth. Vaccination schedule for Malaysia - World Health Organization {D$4=$E8n\S\g[/_=|uxGrirj q!rH93.5?. The impact of the COVID-19 pandemic on the national HPV immunization Although the vaccine is very effective at reducing the risk of cervical cancer, this does not mean that you should stop having cervical smears. HPV infection is associated with various health problems such as genital warts, cancers of male and female genitalia and of the oropharynx [2,3,4]. Reports of recipients experiencing AEFI were collected and monitored by the Malaysian Adverse Drug Reactions Advisory Committee (MADRAC). Not pregnant nor have severe allergies or serious diseases that require immediate medical attention. Ogembo JG, Manga S, Nulah K, Foglabenchi LH, Perlman S, Wamai RG, et al. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The protection provided by HPV vaccines lasts a long time. HPV is the commonest sexually transmitted infection (STI) [1, 2]. NAM developed the theory and performed the computations, wrote draft manuscript and contributed to the final manuscript. We have seen that taking vaccines is effective and important, such as to contain Covid-19 where now we can return to the previous way of life even in the new norms. 2017;92:24168. Recently, I paid for my Sinovac booster shot and . stream Malaysia National Cancer Registry Report (MNCR) 20122016. Immunization, Vaccines and Biologicals; Human papillomavirus (HPV).Available at http://www.who.int/immunization/diseases/hpv/en/. While the disease is most common among women aged 40-64, all ages are at risk once they are sexually active. >> Vaccine. All recipients of the HPV vaccine were identified through school enrolments obtained from education departments from each district in Malaysia. Springer Nature. Lack of knowledge about the disease, inadequate health literacy, low perception of cancer risk, behaviour and attitude towards the preventive programme and lack of systematic, population based, active recruitment approaches to women were the factors that contributed to the low percentage of women seeking and receiving the service [21, 22, 25]. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. -, Jerip A.R., Kipli M., New N.D.H., Tan C.S. It improved to 98.3% in 2011 and increased to 99.3, 99.4 and 99.6% in 2012, 2013 and 2014, 99.6% from 2015 and 99.1% from 2016 cohort who received 2 doses. Malaysia. eISBN: 978-967-2887-06-5 . Setiawan D, Kotsopoulos N, Wilschut JC, Postma MJ, Connolly MP. Knowledge and willingness of parents towards child girl HPV vaccination in Debre Tabor Town, Ethiopia: a community-based cross-sectional study. The progress of implementation on the level of consent and coverage of immunization were reported to National Policy and Practices on Immunisation committee regularly. The HPV vaccine helps to keep people from getting infected with a germ called "human papillomavirus" or "HPV". 2013;8:20. This school base grade cohort approach was preferred, as it clearly defined the target population and allowed precise estimates of vaccine doses and consumables required to be procured. NM developed the theory and wrote the draft manuscript, discussed the results and contributed to the final manuscript. Infect Agent Cancer. Vaccine strategies: Optimising outcomes. School-based programmes require the stable commitment of and strong collaboration between health and education authorities. Through an effective health communication programs, HPV vaccination was successfully introduced and found broad-based support from policy decision-makers, healthcare professionals, and the general public as well as by the target population [38]. 2 0 obj Diagnosis can be carried out by polymerase chain reaction (PCR)-based HPV DNA analysis and Pap smear, which act as a viable preventive strategy. Br J Educ Soc Behav Sci. World Health Organization. A specific tagline and a logo were created by Health Education Division, Department of Public Health, MOH for the female students to associate themselves with the HPV vaccination (Fig. Buku Panduan PelaksanaanPelalian HPV UntukParamedik. 1 was obtained prior to starting the programme. 2013;14(5):299199. http://fh.moh.gov.my/v3/index.php/component/jdownloads/send/36-sektor-kesihatan-sekolah/204-hpv?Itemid=0, https://doi.org/10.1016/j.vaccine.2011.01.067, https://doi.org/10.1016/j.vaccine.2014.01.087. (1) Background: This study determined the adoption of the human papillomavirus (HPV) vaccine and the willingness to get vaccinated in Malaysian women. The dataset during the current study is available from the archive of Family Health Development Division through corresponding author upon reasonable request with permission of Ministry of Health, Malaysia. De Vuyst H, Alemany L, Lacey C, et al. https://doi.org/10.3747/co.21.1720. Vaccine. Human papillomavirus vaccines: WHO position paper, may 2017recommendations. Collaboration with MOE was strengthened at national, state, district and operational levels. BMC Public Health Sharifa Ezat WP, Rozita H, Jamsiah M, Ahmad Zailani Hatta MD, Aqmar Suraya S, Azlin A. Accessed 17 Jul 2017, https://doi.org/10.1016/j.socscimed.2009.11.027, https://doi.org/10.1016/j.vaccine.2006.05.124, https://doi.org/10.1186/s12889-016-3517-8. Children aged 9 through 14 years who have received two doses of HPV vaccine less than 5 months apart will need a third dose. Approximately 230,000 girls in secondary schools were offered HPV vaccine per year by 646 school health teams throughout the country from 2010 to 2016. The ruling stipulates Immunising women with HPV vaccine that has been determined to have no element of doubt in its content and will not harm the recipient, is permissible for the prevention of cervical cancer [34, 35]. The approach used in Malaysian school-based immunisation program is recommended as it was able to deliver HPV vaccination with good coverage. HPV infection does not necessarily mean cancer, but this should prompt you to be up to date with your regular cervical smears. /Length 945 2018;18(Suppl 1):0180596. RJ developed and discussed the strategies for the programme and contributed to the final manuscript. This vaccine protects against nine HPV types (6, 11, 16, 18, 31, 33, 45, 52, and 58). Available at http://irep.iium.edu.my/16091/1/HALAL_PHARMACEUTICAL-2011.pdf. 8600 Rockville Pike These double-stranded deoxyribonucleic acid (DNA) viruses are the main causative agents in cervical intraepithelial neoplasia and cancer [5]. Cervical Cancer is cancer of the cervix (also known as the neck of the womb) and is the second most common cancer among Malaysian women between the ages of 15-44. The .gov means its official. /Length 2976 Human Papillomavirus and Related Diseases in Malaysia. Chesson HW, Ekwueme DU, Saraiya M, Watson M, Lowy DR, Markowitz LE. 1). For advertisements, contact me at [emailprotected], Your email address will not be published. Ann Intern Med. (1) Background: This study determined the adoption of the human papillomavirus (HPV) vaccine and the willingness to get vaccinated in Malaysian women. People who have never had sex before are also advised to have the vaccination regardless of their age. The most common side effects of HPV vaccine are usually mild and include: To prevent fainting and injuries from fainting, adolescents should be seated or lying down during vaccination and for 15 minutes after getting the shot. Were E, Nyaberi Z, Buziba N. Perceptions of risk and barriers to cervical cancer screening at Moi teaching and referral hospital (MTRH), Eldoret, Kenya. Since HPV vaccination was introduced in 2006, more than 71 countries have adopted HPV vaccination as a primary strategy for the prevention of cervical cancer [18]. HPV vaccine: Who needs it, how it works - Mayo Clinic Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Social mobilisation, consent and acceptability: a review of human papillomavirus vaccination procedures in low and middle-income countries. Putrajaya: Malaysia Cancer Statistics, Data and Figure, National Cancer Institute, Ministry of Health; 2017. p. 502. 2020:117. We thank The Ministry of Education, Malaysia for their support in making the program a success. Highlighting the relationship of the vaccination and cervical cancer in the context of the Malaysian culture and religious belief further enhanced the uptake of vaccination in school. Tell your doctor about any severe allergies. MeSH 3). World Health Organization. Vaccination is not recommended for everyone older than age 26 years. Achieving high uptake of human papillomavirus vaccination in Malaysia through school-based vaccination programme, https://doi.org/10.1186/s12889-018-6316-6, http://www.cdc.gov/std/hpv/stdfact-hpv.htm, http://www.who.int/immunization/diseases/hpv/en/, https://doi.org/10.1186/s13027-016-0114-5, http://www.who.int/cancer/prevention/diagnosis-screening/cervical-cancer/en/, https://doi.org/10.1016/j.vaccine.2012.07.092. MMWR Morb Mortal Wkly Rep. 2016;65:14058. Weiss WM, Choudhary M, Solomon R. Performance and determinants of routine immunization coverage within the context of intensive polio eradication activities in Uttar Pradesh, India: social mobilization network (SM net) and Core Group polio project CGPP. Soc Sci Med. xXmO0^IuXBHvi06:4CF+=v[TH6p7;l xH!9nQ:An
w;n(Sdrp|'0 Since late 2016, only Gardasil-9 (9vHPV) is distributed in the United States. Mothers support for voluntary provision of HPV vaccine in schools. M. Nor Asiah and B. Saidatul Norbaya contributed equally to this work. U.S. Food and Drug Administration. Kim JJ, Ortendahl J, Goldie SJ. 2011;11(1):5864. https://doi.org/10.4103/0970-0218.112429. This transfer of the virus can happen as most people are asymptomatic. Accessed 17 Jul 2017. It was a very successful immunization program with good responses from students and parents until the start of COVID-19 pandemic in 2020. . Human papilloma virus associated cancers - United States, 20042008. How to find the nearest PPV Pusat Pemberian Vaksin in Malaysia. Relevant individual information on the vaccination were captured and documented in HPV vaccination registration forms and individual vaccination cards. The first dose is routinely recommended at ages 1112 years old. Gandhi G, Lydon P. Updating the evidence base on the operational costs of supplementary immunization activities for current and future accelerated disease control, elimination and eradication efforts. People who received HPV vaccines were followed for at least about 12 years, and their protection against HPV has remained high with no evidence of decreasing over time. (2) Methods: An online survey was conducted with women from across Malaysia to gather their views on the barriers that prevent them from accessing HPV services. Norrafizah J, Nor Asiah M, Suraiya SM, et al. https://doi.org/10.1016/j.vaccine.2012.07.092. 2006;24S3:2108. Instagram@sunwayspecialistdamansara 2011;29(14):25427. Compliance to religious requirement was fundamental to HPV vaccine uptake amongst the Muslim population in Malaysia. Khor S. How to Get Free Mammogram & HPV DNA Tests at Government ClinicsSays. On average, two symptoms were notified in every report received. The risk of cervical cancer can be reduced by regular cervical smears. %PDF-1.7 Information on breast cancer is everywhere and their understanding should be in line with age in identifying the risk of cancer themselves, she said. In 2006, 4 years of planning was started by the Ministry of Health, Malaysia (MOH), to implement the HPV (human papillomavirus) vaccination programme. We can reduce the rate of cervical cancer by 60 to 70 per cent if we promote the HPV vaccination for all women. PubMed Percent of 13year old girls vaccinated, 20102016 *Source for all figures: Family Health Department, Ministry of Health Malaysia 2018. Once someone is infected with HPV, the vaccine might not be as effective.Also, response to the vaccine is better at younger ages than it is at older ages. 2011;11(1):15. 2009;151(8):53845. The Papanicolaou smear (Pap smear) screening services initially aimed at post-partum mothers in family planning programs. TA verified the results, supervised the findings of this work and contributed to the final manuscript. 2007;7:77. https://doi.org/10.1186/1471-2334-7-77. If you're already married or are born before 1991, you can still get vaccinated at RM540 for the entire course of vaccines (RM180 per shot). Int J Commun Based Nurs Midwifery. The Ruling on Using Human Papilloma Virus Vaccine (HPV); The 92th Muzakarah (Conference) of the Fatwa Committee National Council of Islamic Religious Affairs Malaysia held on 1517 December 2010. What is the common Side Effects of HPV Vaccines? [(accessed on 22 November 2022)]. Fri Sat 9am 5.30pm, Address The situation is also similar to taking HPV vaccine to prevent cervical cancer, he said. One can get the vaccine from as young as 9 years old until theyre 45 for both gender. The existing relationship with the Ministry of Education (MOE) was an enabling factor in facilitation of voluntary parental consent through schools. The main reason stated by students for not continuing their vaccination course was the experience of side effects during first dose. A qualitative study of HPV vaccine acceptability among health workers, teachers, parents, female pupils, and religious leaders in Northwest Tanzania. When should my child get HPV vaccine? If the second dose is administered after a shorter interval, a third . Contrarily to what is more popularly advertised, men too can take HPV vaccine. Our appreciation goes to everyone at all schools who were involved with this program. Between 2007 and 2011, a total of 4352 new cases of cervical cancer were reported by the National Cancer Registry. Monday, 01 Nov 2021 2:40 PM MYT. It also does not prevent other sexually transmitted diseases. Dose #1 11-12 years (can start at age 9) Dose #2 6-12 months after the first dose Children ages 11-12 years should get two doses of HPV vaccine, given 6 to 12 months apart. << Prior to 2010, cytology-based screening was the main preventive measure for cervical cancer in Malaysia. Other activities carried out were rumours surveillance, public forums, health talks, print and electronic media campaigns. Teens and young adults through age 26 years who didnt start or finish the HPV vaccine series also need HPV vaccination. A total of 232,645 from 242,638 (95.9%) parents consented to the immunisation in 2010. CDC recommends that 11- to 12-year-olds receive two doses of HPV vaccine 6 to 12 months apart. Reasons for not completing were similar to the reasons stated for the second dose. Females can be given either of the two vaccines. 2015;15(3);14351. Advocacy efforts produced fruitful results and was reflected in 2007 which was done by sharing education information through multimedia coverage and cost effectiveness of HPV vaccine against cervical cancer [29, 48]. Sunway Nexis Ground Floor, South Entrance Jalan PJU 5/1, Kota Damansara 47810 Petaling Jaya, CAS Privacy Analysis of factors contributing to the low survival of cervical cancer patients undergoing radiotherapy in KenyaHawkins SM, ed. Two doses of the HPV vaccine are recommended for all boys and girls at ages 9-14 years and this is given within 6 months. Keywords: The highest drop for the third dose was in 2010 from 98.9 to 97.9% while the lowest drop was 0.3% in 2014. Fewer teens and young adults are getting genital warts. 1. 2016. Of these cases, 34.5% occurred among women aged 5059years and 64.4% were detected at stage 1 and 2 [13, 14]. This cervical vaccine protects your child before they are exposed to a disease. On the day of the vaccination, the school health nurses delivered a brief introduction on the HPV infection, cervical cancer, and HPV vaccine to the recipients. This is something useful I wanted to share for everyone who wants to know the nearest PPV Pusat Pemberian Vaksin in Malaysia for your COVID-19 booster shot. Buang SN, Jahis R. Lessons learned: building the school-based HPV program in Malaysia and opportunities for piggybacking. Accessed 18 Jan 2017. That's why the HPV vaccine is recommended earlier rather than later, to protect your child long before they are ever exposed to the virus. It is strongly advised to develop a well-designed and knowledge-based application on the efficacy of screening and vaccination among Malaysian women. The minimum interval is 5 months between the first and second dose. Department of statistics. >> The success of the implementation in Malaysia was due to careful program planning at national, states and district levels. Ilter E, Celik A, Haliloglu B, Unlugedik E, Midi A, Gunduz T, Ozekici U. Int J Gynecol Cancer. Need for Malaysian women to get HPV vaccination Achieving high uptake of human papillomavirus vaccination in Malaysia through school-based vaccination programme. 38 p. Report No. It is advisable to complete all the doses to ensure that you are fully protected. Cervical cancer is the second most frequent cancer in the low-income countries and fourth in the world [7].It is the most common malignant cancer of the female reproductive organs [8, 9]. Active reporting was encouraged by providing an AEFI form to all recipients. This paper examines how the various strategies used in the implementation over the last 7years (20102016) that unique to Malaysia were successful in achieving optimal coverage of the target population.