High HPV vaccination uptake rates for adolescent girls after regional governmental funding in Shiki City, Japan

Y. Hayashi* (Corresponding Author), Y. Shimizu, S. Netsu, S. Hanley, R. Konno

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


In Japan, the bivalent HPV vaccine was approved in October, 2009 and became available as a non-routine vaccine from December, 2009. While routine vaccinations are free, the cost and responsibility for non-routine vaccinations are left to the individual. In exceptional circumstances regional governments fund non-routine vaccinations. This was the case in Shiki City, Saitama Prefecture, where a high uptake rate for individual (non-school based) HPV vaccination was obtained.

On January 20, 2010, the mayor of Shiki City announced to the media his decision to vaccinate adolescent girls in Shiki City against HPV. A project team for HPV vaccination was set up in the city's Health Promotion Center. To gain mutual consent for HPV vaccination, senior health professionals, city officials, the head of the board of education, school principals and health-care teachers met several times. The cohort to be vaccinated was 1254 girls aged 12–15 years. Individual notifications were mailed to each girl on April 23, 2010, along with information about the HPV vaccine.

As of April 10th, 2011, the uptake rate for girls aged 15 years old was 90.7% for the 1st dose. The vaccine registry is managed by the health care system of the city. The success of the HPV vaccination program and high uptake rates in Shiki City is a good model for the nationwide HPV vaccination program that started in February, 2011.

► A well-considered setting for both public health and educational professionals. ► Education and communication are key words for successful implementation. ► Linkage of registry of vaccination and screening is important for monitoring.
Original languageEnglish
Pages (from-to)5547-5550
Number of pages4
Issue number37
Early online date27 Jun 2012
Publication statusPublished - 10 Aug 2012


  • HPV vaccine
  • Regional governmental funding
  • High uptake
  • vaccination rates


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