At A Glance
The South Dakota Comprehensive Cancer Control Program (SDCCCP) worked with Sanford Health, an integrated health care system, to increase the state’s vaccination rates for human papillomavirus (HPV) vaccine. HPV vaccination rates increased in seven clinics using health care systems interventions. The percentage of young people aged 11 to 26 years who had completed the three-dose HPV vaccine series increased by 7 percentage points, while the percentage who had not received any doses of HPV vaccine decreased by 14 percentage points.
Public Health Challenge
Approximately 80 million people in the United States, about 1 in 4, are currently infected with HPV. About 14 million people, including teens, become infected with HPV each year. HPV infection can cause anal, cervical, throat, penile, vaginal, and vulvar cancers. According to a 2012–2013 report to The President’s Cancer Panel, widespread vaccination against HPV could sharply reduce the number of cervical and other cancers and conditions caused by the virus. In 2015, only 32.4% of girls and 22% of boys aged 13 to 17 years in South Dakota had completed the three-dose HPV vaccine series. The national rate was 41.9% for girls and 28.1% for boys. The state’s rates are far below the Healthy People 2020 objective to increase vaccination coverage for males and females aged 13 to 15 years to 80%.
From June 1, 2015 to June 30, 2016, SDCCCP and Sanford Health worked together to increase HPV vaccination rates by using interventions proven to improve health care systems. Seven primary care clinics participated, focusing on males and females aged 11 to 26 years. By using client reminders and provider feedback, they successfully reached about 12,000 young people. The feedback showed providers what worked and motivated them to make changes to increase their vaccination rates. Sanford Health also used community-based activities, like panel discussions with cancer survivors and providers and screenings of the "Someone You Love: The HPV Epidemic" documentary to raise awareness.