Paper Title
THE FACTORS AFFECTING SCHOOL-BASED AND FACILITY-BASED HPVV ACCINATION PROGRAMMES AMONG FEMALE ADOLESCENTS

Abstract
The Human Papillomavirus (HPV) is a persistent global health concern with a significant disease burden. Hence, the World Health Organization (WHO) recommends immunisation programmes to target female adolescents. However, the diverse sociocultural, economic, and political landscapes in different countries, particularly in terms of HPVvaccinationimplementationandpolicies,necessitatesanin-depthinvestigationofthecross-culturalnuancesthat may be fundamentally different from Western countries. Thus, considering the significant lack of comparative studies focusing on HPV vaccination implementation effectiveness amongAsian countries with similar economicbackgrounds, this study conducted a systematic literature review (SLR).The search strategy for this SLR was guided by a comprehensive eligibility criteria which highlight that up-to-date peer-reviewed articles must be gathered from PubMed, PLOS ONE, and Google Scholar. The database search led to the inclusion of 13 studies, comprised of cohortstudies(4),analyticcross-sectionalstudies(3),caseseries(1),economicevaluation(4),and systematic review (1).All of these were appraised through the JBI critical appraisal checklist and CASP checklist to ensure methodological validity.Afterwards, a qualitative secondary analysis and thematic analysis were accomplished to further contextualise the SLR findings, and compare them with other countries and regions as well. The research findings highlight that, although both Singapore’s school-basedandSouthKorea’sfacility-basedapproachesexhibited significant effectiveness in implementing HPV vaccination programmes within their respective populations, there is a notable difference in terms of public perception, knowledge, and resource availability amongst the two high-income countries. Furthermore, several factors were identified to be affecting the effectiveness of these vaccination programmes which ultimately revolves around accessibility, parental decision-making, information literacy and programme awareness, and cost. Hence, the recommendations highlight that a more proactive campaign and increased accessibility is necessary to enhance the effectiveness of the vaccination programmes, for female adolescent students and the general public. Keywords – Human Papilloma Virus, Vaccination Programme, Female Adolescent Students