Karachi inches up in HPV drive, still trails Sindh


Sindh’s HPV drive at 48%, but Karachi lag and refusals hinder overall gains

By Mukhtar Alam

KARACHI: Karachi — often described as the city of enlightened people — has consistently struggled at the bottom of HPV vaccination coverage lists. However, it recorded a slight improvement, with rates rising by three percentage points on the 10th day of the ongoing national campaign to vaccinate adolescent girls against cervical cancer, it emerged on September 26.

According to data released by the Sindh Directorate of Immunisation, combined coverage across Karachi’s districts reached 36% on September 25, compared to 33% on September 23. While Sukkur and Shaheed Benazirabad also showed improvement on September 24, they failed, unlike Karachi, to sustain the upward momentum the following day.

A comparative analysis showed Sindh maintaining an edge over Punjab, Kashmir, and Islamabad, reporting 58% daily coverage on September 24–25 and 57% on September 23, the eighth day of the campaign. The HPV drive, scheduled to conclude on September 27, is being monitored closely by federal and provincial health authorities.

A senior official described Karachi’s modest progress as “encouraging” and expressed hope that coverage rates in both the city and Sindh overall would improve further if the vaccination timeline was extended and activities were realigned.

As of September 25, the campaign’s 10th day, Sindh’s overall vaccination rate stood at 48% of the total target, while its cumulative daily coverage held steady at 58%.

The official campaign report noted:

“Coverage trends show improvement in Karachi division, while declines were reported in Hyderabad, Mirpurkhas, Larkana, SBA, and Sukkur divisions. Outreach monitoring highlights that only 7% of previously missed girls have been reached. RCA findings confirm refusal as a major barrier, with parental concerns and lack of awareness as primary reasons. Immediate corrective actions are needed to enhance coverage, address refusals, and strengthen monitoring mechanisms.”

Declines were reported in five districts of Hyderabad/Mirpurkhas and four districts in Larkana, Shaheed Benazirabad, and Sukkur divisions. The report urged authorities to confront parental misconceptions, lack of sensitisation, and community resistance. “Multiple refusal schools remain uncovered; coordinated efforts by DCs, DEOs, DEOCs, and CSOs are required,” it stressed.

Poor-performing districts (below 75% coverage) included Keamari (14%), East (29%), Central (32%), South (31%), Malir (37%), Korangi (39%), Jacobabad (43%), Tando Allahyar (48%), Hyderabad (51%), Mirpurkhas (54%), Shikarpur (56%), SBA (61%), Jamshoro (63%), West (67%), Matiari (68%), Thatta (69%), Khairpur (71%), Umerkot (71%), Dadu (71%), Larkana (72%), and Tando Mohammad Khan (74%).

Low-performing districts (75–84% coverage) were Kashmore (78%), Tharparkar (79%), and Badin (84%), the report concluded.

Photos: Official source

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