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. 2020 Dec 16;152(1):32–39. doi: 10.1002/ijgo.13482

Table 1.

A five “I” framework for action on the primary prevention of cervical cancer

Domain Strategies
Innovation (product and process)
  • Healthy HPV vaccine market for more equitable and accessible vaccine prices

  • New vaccine product technologies that can increase ease of vaccination and leverage thermostability (including CTC strategies)

  • Innovation in dose and schedule

  • Multidose vaccine vials, especially to support school‐based vaccination

  • Programmatic innovation in delivery of vaccination

Investment (global and local)

  • Increased and coordinated global Investments

  • In‐country investments for introduction and sustainability

  • Investments for market shaping for improved access in MICs

Integration (of services and of communications)

  • Integration at service delivery and demand generation levels

  • Coordination across global funders to ensure inclusion in adolescent health investments as part of universal health coverage

Information (data for action and accountability)

  • Strengthening systems to get better, real‐time data for understanding gaps in coverage

  • Data on equity of coverage

  • Costing data to design most efficient delivery strategies

Influence (advocacy, communications, and partnerships)

  • Civil society engagement, connections with gender equality initiatives, and advocacy to generate political will

  • Convergence of action of various stakeholders: products, health systems, public sector, private sector, global investment, in‐country investments, community action

Abbreviations: CTC, controlled temperature chain; MIC, middle‐income country.