Results: Notified vaccination coverage for girls aged 12–17 years nationally was 83% for dose 1, 78% for dose 2 and 70% for dose 3. The Australian Capital Territory and Victoria recorded the highest three-dose coverage for the 12–17-year-old cohort overall at 75%. The highest national three-dose coverage rate by age was achieved in 12-year-olds (74%). In Queensland, coverage among Indigenous girls compared with non-Indigenous girls was lower with each dose (lower by 4% for dose 1, 10% for dose 2 and 15% for dose 3). This pattern was not seen in the NT, where initial coverage was 17% lower among Indigenous girls, but the course completion rate among those who started vaccination was identical (84%).
Conclusions: The catch-up HPV vaccination program delivered over 1.9 million doses of HPV vaccine to girls aged 12–17 years, resulting in 70% of girls in this age group being fully vaccinated. The range in coverage achieved and the lower uptake documented among Indigenous girls suggest that HPV vaccination programs can be further improved.
- 1. Brotherton JM. How much cervical cancer in Australia is vaccine preventable? A meta-analysis. Vaccine 2008; 26: 250-256.
- 2. Ball SL, Winder DM, Vaughan K, et al. Analyses of human papillomavirus genotypes and viral loads in anogenital warts. J Med Virol 2011; 83: 1345-1350.
- 3. Australian Bureau of Statistics. Schools, Australia, 2010. Canberra: ABS. (ABS Cat. No. 4221.0.) http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/4221.0Main+Features12010? OpenDocument (accessed Jan 2013).
- 4. Gertig DM, Brotherton JML, Saville M. Measuring human papillomavirus (HPV) vaccination coverage and the role of the National HPV Vaccination Program Register, Australia. Sex Health 2011; 8: 171-178.
- 5. Chief Medical Officer. Guidance on revaccination where HPV vaccine doses have been given at less than recommended minimum intervals: January 2009. Canberra: Department of Health and Ageing, 2009. http://www.health.gov.au/internet/immunise/publishing.nsf/Content/cmo-full-advice-hpv-cnt/$File/CMO-full-advice-hpv.pdf (accessed Oct 2013).
- 6. Leask J, Jackson C, Trevena L, et al. Implementation of the Australian HPV vaccination program for adult women: qualitative key informant interviews. Vaccine 2009; 27: 5505-5512.
- 7. Brotherton J, Gertig D, Chappell G, et al. Catching up with the catch-up: HPV vaccination coverage data for Australian women aged 18-26 years from the National HPV Vaccination Program Register. Commun Dis Intell Q Rep 2011; 35: 197-201.
- 8. Ali H, Donovan B, Wand H, et al. Genital warts in young Australians five years into national human papillomavirus vaccination programme: national surveillance data. BMJ 2013; 346: f2032.
- 9. Tabrizi SN, Brotherton JM, Kaldor JM, et al. Fall in human papillomavirus prevalence following a national vaccination program. J Infect Dis 2012; 206: 1645-1651.
- 10. Brotherton JM, Fridman M, May CL, et al. Early effect of the HPV vaccination programme on cervical abnormalities in Victoria, Australia: an ecological study. Lancet 2011; 377: 2085-2092.
- 11. Queensland Department of Education and Training. Closing the Gap: education strategy. Brisbane: Queensland Government. http://deta.qld.gov.au/indigenous/pdfs/closing-gap-13072011.pdf (accessed Jan 2013).
- 12. Northern Territory Department of Health. NT HPV Vaccination Program Remote Project Report June 2009. Dr Rosalind Webby, Head of Immunisation, NT Department of Health.
- 13. Kulasingam S, Connelly L, Conway E, et al. A cost-effectiveness analysis of adding a human papillomavirus vaccine to the Australian National Cervical Cancer Screening Program. Sex Health 2007; 4: 165-175.
- 14. Centers for Disease Control and Prevention. National and state vaccination coverage among adolescents aged 13-17 years – United States, 2011. MMWR Morb Mortal Wkly Rep 2012; 61: 671-677.
- 15. Fagot JP, Boutrelle A, Ricordeau P, et al. HPV vaccination in France: uptake, costs and issues for the National Health Insurance. Vaccine 2011; 29: 3610-3616.
- 16. Information Services Division Scotland. HPV immunisation uptake statistics. HPV Immunisation Programme – School Year 2011/12. Publication date – 25 September 2012. http://www.isdscotland.org/Health-Topics/Child-Health/Publications/2012-09-25/2012-09-25-HPV-Uptake-Report.pdf?49483889342 (accessed Jan 2013).
- 17. Potts A, Sinka K, Love J, et al. High uptake of HPV immunisation in Scotland — perspectives on maximising uptake. Euro Surveill 2013; 18: pii=20593.
- 18. O’Donnell H, Broun K, Mullins R. A new partnership approach to school-based HPV immunisation in Victoria. Presented at the 13th National Immunisation Conference; 2012 Jun 19-21; Darwin, NT, Australia.
- 19. Ogilvie G, Anderson M, Marra F, et al. A population-based evaluation of a publicly funded, school-based HPV vaccine program in British Columbia, Canada: parental factors associated with HPV vaccine receipt. PLOS Med 2010; 7: e1000270.
- 20. Cooper Robbins SC, Bernard D, McCaffery K, et al. “Is cancer contagious?”: Australian adolescent girls and their parents: making the most of limited information about HPV and HPV vaccination. Vaccine 2010; 28: 3398-3408.
- 21. Mak DB, Bulsara M, Goggin LS, Effler PV. Resending a consent form and information package to non-responders increases school-based consent return rate. Aust N Z J Public Health 2011; 35: 89-90.
- 22. Watson M, D’Onise K, Lynch J, Brotherton JML. What are the barriers to better three-dose coverage with HPV vaccination in school based programs? Aust N Z J Public Health 2013. In press.
- 23. Brotherton JML, Mullins RM. Will vaccinated women attend cervical screening? A population based survey of human papillomavirus vaccination and cervical screening among young women in Victoria, Australia. Cancer Epidemiol 2012; 36: 298-302.
- 24. Kouyoumdjian FG, Bailowitz A. Completion of the human papillomavirus vaccine series in females attending an urban immunization clinic. Pediatr Infect Dis J 2011; 30: 718-719.
- 25. Watson M, Shaw D, Molchanoff L, McInnes C. Challenges, lessons learned and results following the implementation of a human papilloma virus school vaccination program in South Australia. Aust N Z J Public Health 2009; 33: 365-370.
- 26. Queensland Health Immunisation Program. Evaluation of the School Based Vaccination Program (2007-2009) Stakeholders’ report. Brisbane: Queensland Government. http://www.health.qld.gov.au/immunisation/documents/sbvpevaluation.pdf (accessed Jan 2013).
- 27. Australian Institute of Health and Welfare. National best practice guidelines for collecting Indigenous status in health data sets. Canberra: AIHW, 2010. (AIHW Cat. No. IHW 29.) http://www.aihw. gov.au/publication-detail/?id=6442468342& tab=2 (accessed Oct 2013).
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