Overcoming skepticism through education

In late October, a community awareness session in Korofina, Bamako, brought together women and young girls at the local civil registry. Amin Dem, a midwife, initiated the discussion: « Initially, there was significant hesitation. Girls were afraid, and so were parents. But with consistent awareness campaigns, attitudes have shifted dramatically. »

The primary concern revolved around the false myth that the vaccine could cause infertility. « When we take the time to explain—especially in their own language—they understand, » Amin explains. Her observation reflects the broader trend: targeted communication is dismantling barriers, one conversation at a time.

A landmark advancement in prevention

Introduced in November 2024, the HPV vaccine represents a turning point for Mali. With a single-dose regimen now offering complete protection, over 145,000 girls aged 10 were vaccinated between January and September 2025. Of these, more than 113,000 were in school, while approximately 32,400 out-of-school girls were reached. Authorities acknowledge the need for additional efforts to engage this vulnerable group, often at higher risk of being overlooked.

Dr. Ibrahima Téguété, a gynecologist-obstetrician at the Point G University Hospital, sees this progress as a step closer to the WHO’s 90-70-90 targets: vaccinating 90% of girls against HPV, screening 70% of women at key ages, and ensuring treatment access for 90% of those with lesions. « The vaccine’s introduction is deeply satisfying. It finally allows us to take primary preventive action, » he remarks. However, he remains realistic about system limitations: « We have just one radiotherapy unit. Reaching the final ‘90’ will remain a challenge. »

Collective mobilization drives success

While the campaign relies on public health structures, civil society plays a pivotal role. In Bamako, the NGO Solidaris223 has conducted numerous sensitization sessions since the rollout began. « We’ve intervened in every commune. Mothers came to us asking where they could get their daughters vaccinated, » shares Amina Dicko, its president.

At the Djiguiya Center in Bamako, an entire day was dedicated to vaccination. « Seventy boarding school girls received their dose, and none experienced side effects, » confirms Director Togo Mariam Sidibé.

Teenagers themselves are sharing their experiences. Awa, 10, admits: « I was afraid of the needle, but it went quickly. I’m happy because it protects us for the future. » Haby, vaccinated at school, adds: « The teacher explained why it’s important. I asked my mother, and she reassured me. I’m proud to be vaccinated. » For Dr. Téguété, these initiatives highlight collective commitment: « Initial supplies were used up rapidly. That proves there’s real will to make this work. »

Reducing resistance, but challenges remain

Myths about fertility continue to fuel some resistance. « Some spread false claims that the vaccine is harmful. This is entirely untrue, » Dr. Téguété insists. Amin Dem witnesses this transformation daily: « Now, some mothers come to us on their own asking for the vaccine. Once explained properly, everything changes. »

Fannata Dicko’s story illustrates this shift. « I vaccinated my daughter because cervical cancer is a grave illness. My mother-in-law died from it this year. I’ve seen how much suffering women endure. I chose prevention so my daughter would never have to go through that. »

Despite progress, challenges persist. « Travel between Mopti and Gao is sometimes impossible by road, » Dr. Téguété notes. To overcome this, some supplies are airlifted to regional capitals.

Sustaining momentum and ensuring equity

The vaccine remains entirely free for all 10-year-old girls, a measure supported by the government and technical and financial partners, including Gavi, which reduces costs for the country. This ensures equitable access, even in remote areas. « If we maintain this effort for a few more years, we’ll have vaccinated every girl aged 9 to 14, » the specialist predicts.

A hopeful horizon despite obstacles

Prevention efforts have been underway since 2016. Between 2016 and 2022, the Weekend 70 program increased cervical cancer screening rates in Bamako’s district from 15% to over 70%. Yet misinformation remains a major hurdle. « What people don’t know, they fear. We must keep explaining, informing, and talking, » Dr. Téguété emphasizes.

He also praises the involvement of religious leaders: « Their support has greatly reassured families. » In Bamako, results are visible—parents are more confident, and more girls are receiving the vaccine. « Bamako isn’t all of Mali, but it’s a strong indicator of what we can achieve together, » he says.

Amin Dem shares this optimism: « Before, people asked why we were talking about cancer here. Now, they come seeking answers. »

For professionals and associations alike, the HPV vaccine marks the beginning of a profound transformation in women’s health in Mali. As Dr. Téguété reminds us, « Behind every vaccinated girl, there’s a woman saved. »