HPV immunization sample forms

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Comprehensive Cervical Cancer Control: A Guide to Essential Practice. 2nd edition. Geneva: World Health Organization; 2014.

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Comprehensive Cervical Cancer Control: A Guide to Essential Practice. 2nd edition.

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Annex 6HPV immunization sample forms

Sample Form 6.1. Girl's personal HPV vaccination card (PDF, 49K)

Sample Form 6.2. HPV vaccine coverage monitoring forms for vaccine providers at the service delivery site level¹⁰ (PDF, 64K)

Sample Form 6.3. Reporting of national HPV vaccine coverage for the WHO–UNICEF joint reporting form¹³ (PDF, 49K)

Sample Form 6.4. Reporting of adverse events following immunization (AEFIs) (PDF, 66K)

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Bookshelf ID: NBK269604

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Comprehensive Cervical Cancer Control: A Guide to Essential Practice. 2nd edition. Geneva: World Health Organization; 2014. Annex 6, HPV immunization sample forms.
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