Ravonna Martin, MD, MBA, Executive Director/Founder, IDA Lee Project in DRC presents on partnerships to increase vaccine uptake and deliver HPV vaccination in DRC.

2. Partnerships in Immunization:
HPV vaccination pilot program in the
DRC

3. Why is vaccination needed?
Cancers seen everyday by ilp:
Breast Cancer
Cervical Cancer
Anal Cancer
Head & Neck Cancer
Vulvar Cancer

4. Breast Cancer
The presence of HPV DNA in breast cancer
www.jpccr.eu/The-presence-of-HPV-DNA-in-
breast-cancer,71443,0,2.htm
The role of human papillomavirus infection
in breast cancer. - NCBI
https://www.ncbi.nlm.nih.gov/pubmed/2131
8737
Human papillomavirus infection and risk of
breast cancer: a meta ...
https://www.ncbi.nlm.nih.gov/pmc/articles/
PMC4791894

5. Terminal
Breast
Cancer
Sexually transmitted virus strongly
linked to risk of breast cancer ...
https://www.theguardian.com 2016
HPV may lead to breast cancer -
National Breast Cancer Foundation
nbcf.org.au ,2016
The presence of HPV DNA in breast
cancer
www.jpccr.eu/The-presence-of-HPV-
DNA-in-breast-cancer,71443,0,2.htm

6. Breast
Cancer
Human papillomavirus in infants:
transmission, prevalence, and persistence
DE LaCour, C Trimble - Journal of pediatric
and adolescent gynecology, 2012 - Elsevier

7. Vulvar Cancer
Squamous cell
carcinoma HIV-
Vaccination against HPV-16 oncoproteins for
vulvar intraepithelial neoplasia
GG Kenter, MJP Welters, ARPM Valentijn… -
… England Journal of …, 2009 - Mass Medical
Soc
Heterogeneous etiology of squamous
carcinoma of the vulva
CL Trimble, A Hildesheim, LA Brinton, KV
Shah… - Obstetrics & …, 1996 - Elsevier

8. Anal Cancer
Prevalence of anal human papillomavirus
infection and anal HPV-related disorders
in women: a systematic review
…, MC Sebring, AE Mendez, FS Ba,
DD Trimble… - American journal of …,
2015 - Elsevie
HPV vaccine against anal HPV infection and
anal intraepithelial neoplasia
JM Palefsky, AR Giuliano, S Goldstone… -
… England Journal of …, 2011 - Mass Medical
Soc
CDC - HPV-Associated Anal Cancer Rates by
Race and Ethnicity
www.cdc.gov › ... › HPV and Cancer ›
Statistics › Rates by Race and Ethnicity
HPV vaccine against anal HPV infection and
anal intraepithelial neoplasia
JM Palefsky, AR Giuliano, S Goldstone… -
… England Journal of …, 2011 - Mass Medical
Soc

9. Cervical
Cancer
Primary cervical cancer screening with
human papillomavirus: end of study results
from the ATHENA study using HPV as the
first-line screening test
TC Wright, MH Stoler, CM Behrens, A
Sharma… - Gynecologic …, 2015 - Elsevier
Human papillomavirus types in
invasive cervical cancer worldwide: a meta-
analysis
GM Clifford, JS Smith, M Plummer, N
Munoz… - … journal of cancer, 2003 -
ncbi.nlm.nih.gov
Human papillomavirus is a necessary cause
of invasive cervical cancer worldwide
JMM Walboomers, MV Jacobs, MM
Manos… - The Journal of …, 1999 -
researchgate.ne

10. Head Cancer
Biopsy shows:
Squamous cell
carcinoma
The Contagious Head and Neck Cancer: The Role of Human ...
https://www.omicsonline.org/.../the-contagious-head-and-
neck-cancer-the-role-of-hu...
The role of HPV in head and neck cancer and review of the HPV
vaccine
https://www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed
Central (PMC)

11. WHO RDC
pilot
Program
Statistics
Genotypes of virus
present
Determine vaccine
Plan for training
helpers
Plan for distrtribution
Successful programs

12. Partners:
• Congolese Women
• Your staff
• The organization’s supporters
• Community-in & out of country
• In country organizations
• WHO
• Universities
• local/countrywide government
• EPI
• PATH
• Stability of Government
• Organizations globally
• CDC
• NIH
• Global healthcare researchers
• ACA
• Pharmaceutical companies
• CCIH
• Panzi
• Vaccine alliance
• GAVI
• CMMB

13. What can I do?
-Investigate what is being done
-What has been done?
-Learn about the chain of command for your country
-Don’t reinvent the wheel
-Let your voice and data be heard
-Follow protocols with fresh eyes
-Remember the WHY!!!
-