Cervical cancer remains the second most common cancer among Nigerian women and a leading cause of cancer-related mortality. In 2023, Nigeria launched its first nationwide human papillomavirus (HPV) vaccination campaign, reaching over 12.9 million girls. However, sustaining uptake continues to be hindered by social, behavioral, and gender-related barriers, particularly among adolescents. Recognizing that girls' perspectives are often overlooked in program design, this study applied a human-centered design (HCD) approach to capture and amplify the experiences of adolescent girls and their caregivers in Toungo and Fufore local government areas (LGAs) of Adamawa State, North-East Nigeria. Two co-creation workshops were convened with in-school and out-of-school girls (n=16, 10–14 years) and their caregivers (n=16), including both vaccinated and unvaccinated participants. Using participatory tools such as user personas and journey maps, participants identified barriers and co-developed solutions. Findings were refined in a multi-stakeholder workshop involving health, education, and community representatives, leading to actionable strategies. Results on HPV vaccination experiences in Adamawa State reveal that a mix of low awareness, social influence, entrenched gender roles, and structural barriers shapes uptake. Mothers play the most consistent role in supporting girls, though fathers' approval remains important. Community and religious leaders, peers, and access challenges shape perceptions. Solutions: peer education, school initiatives, male engagement, and interactive community approaches. The study underscores the value of including adolescent girls' voices in HPV vaccine programming and demonstrates how HCD can guide culturally sensitive, gender-responsive interventions to improve vaccine uptake.
Cervical cancer remains the second most common cancer among Nigerian women and a leading cause of cancer-related mortality. In 2023, Nigeria launched its first nationwide human papillomavirus (HPV) vaccination campaign, reaching over 12.9 million girls. However, sustaining uptake continues to be hindered by social, behavioral, and gender-related barriers, particularly among adolescents. Recognizing that girls' perspectives are often overlooked in program design, this study applied a human-centered design (HCD) approach to capture and amplify the experiences of adolescent girls and their caregivers in Toungo and Fufore local government areas (LGAs) of Adamawa State, North-East Nigeria. Two co-creation workshops were convened with in-school and out-of-school girls (n=16, 10–14 years) and their caregivers (n=16), including both vaccinated and unvaccinated participants. Using participatory tools such as user personas and journey maps, participants identified barriers and co-developed solutions. Findings were refined in a multi-stakeholder workshop involving health, education, and community representatives, leading to actionable strategies. Results on HPV vaccination experiences in Adamawa State reveal that a mix of low awareness, social influence, entrenched gender roles, and structural barriers shapes uptake. Mothers play the most consistent role in supporting girls, though fathers' approval remains important. Community and religious leaders, peers, and access challenges shape perceptions. Solutions: peer education, school initiatives, male engagement, and interactive community approaches. The study underscores the value of including adolescen ...
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