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2016/SOM3/HWG-LSIF/WKSP/010
Session 4

Human Papillomavirus Vaccination Programme in

Malaysia
Submitted by: Malaysia

Accelerating Action on Human Papillomavirus and

Cervical Cancer Prevention and Control -
Implementing Policy Recommendations Workshop
Lima, Peru
23 August 2016
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Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016

August 23rd 2016: Lima, Peru
Session 4: Establishing and Sustaining Political Will and Public Support for Cervical
Cancer Prevention and Control

HPV Vaccination Programme

in Malaysia

Lokman Hakim Sulaiman, MD, MScPH, PhD

Senior Consultant Public Health Physician
Deputy Director General ( Public Health)
Ministry of Health Malaysia

Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016

Introducing New Vaccine Into National Immunisation Program

WHA Resolution / New
Propose introduction of new vaccine into NIP technology / Health
Technology Assessment
/ Proposal from
Professional Bodies
National Committee On Immunisation Policy and Practices
Implementation of Pharmacovigilance on
Health Education and Vaccine Use and Policy decision body of
National Immunisation Vaccines Safety
Promotion Committee Cost Committee the MOH
Programme Committee • Technical committees

Awareness campaign Implementation Introduction, Procurement, Vaccine safety

Risk communication Monitoring coverage Vaccine use and wastage AEFI

Administrative approval
Program Manager for vaccine use:
Resource implication
Gov. Cabinet Meeting
Financing new
Ministry of Finance
vaccination initiative
(New Policy Budget)

National implementation

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Why HPV vaccination ?: Gaining political support

Cervix, Uteri stage at diagnosis among
Malaysian citizen 2008

Stage 4 Stage 1
17% 24%
Stage 3
21%

Stage 2
38%

Source: Aljunid, 2007. HUKM

Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016

Communication Strategies: Gaining Public Support

Theme: HPV Vaccine as Cervical Cancer Vaccine

Media Campaign Based Public Access to Rumours Surveillance and
on Health Belief Model Interactive Information Program Monitoring
1. Cervical cancer is 1. Social Media 1. Response to media and
preventable - HPV Facebook public queries
2. Parental awareness on - HPV twitter 2. Provide guideline to
voluntary vaccination implementers
2. Phone Hot line
3. Persuade girls to 3. Monitor potential program
complete 2 doses of 3. Email threat and proposed counter
vaccination as scheduled 4. Print and electronic measures
advertisement

Addressing the religious and cultural aspect of the HPV vaccination

Leading to establishment of Fatwa or religious ruling on HPV vaccination for the Muslim.
Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016 4

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COMPETITIVE PROCUREMENT PROCESS: Financial sustainability

2 yearly
vaccine
Door to
door 1.5 million doses/ 2 Side Benefits of vaccine
procurement vaccine year cycle procurement
contract delivery

Procurement • 856 vaccine refrigerators

Process
supplied to 651 health
Penalty system for Cold chain
failure to comply with monitoring facilities
contract
• RM1 million/ 2 years for
Staggered
vaccine delivery promoting vaccination
according 2014 – 2015: B
requirement
Price USD 12.84/ dose • Supplies of disposable
2012 – 2013 : B injection consumables
Price: USD 13.98 /dose
• 2014 – 2015: Maintenance of
the vaccine refrigerators
• 2010-2015 – assist in funding
2010 – 2011 : A
Price : USD16.53 /dose
training
• 2010-2011: funding hotline
service 5

Program
target:
completion AEFI REPRTED TO PHARMACEUTICAL BUREAU
at 95%
2010 to 2015

YEAR 2010 2011 2012 2013 2014 2015

Total Dose of
689,490 679,924 692,530 728,604 677,120 440,708
Vaccine Delivered

No of AEFI Report 414 2992 947 947 745 793

recieved 0.06 % 0.44 % 0.26 % 0.13 % 0.11 % 0.18 %

Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016

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1 Political Will and commitment

2 Public trust in Malaysian Expanded Program in Immunisation

3 School Health Services Infrastructure

Factors
Contributing to
Success 4 Existing strong relationship with Ministry of Education

5 Effective Risk Communication Strategy

Addressing Religious Issues

6

Competitive Procurement Mechanism

7 7
Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016

Thank you
Asia Pacific Economic Cooperation (APEC) Cervical Cancer Workshop 2016