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Since 2018 Jhpiego Tanzania has worked very closely through multiple donors funded programs-GAVI, UNICEF and USAID to support implementation of routine immunization services for under five children, adolescent girls with HPV Vaccination and above 18 with COVID 19 vaccination services. Jhpiego pioneered implementation of HPV integrated services as a feasible, acceptable and sustainable model. Integrating the HPV-Plus strategy into schools is a promising strategy for expanding access to HPV vaccine and other adolescent health services. HPV vaccination uptake was high in supported regions offering HPV-Plus, both during demonstration and scale-up...