In Korofina, Bamako, a gathering at the local civil registry brings together women and young girls. Amin Dem, a midwife, leads the discussion. “Initially, there was a lot of hesitation. Girls were afraid, and so were parents. But through awareness campaigns, attitudes have shifted,” she explains.

The persistent myth that the vaccine causes infertility remains the biggest concern. “When we take the time to explain, especially in local languages, people understand,” Amin Dem adds.

a groundbreaking step forward in prevention

Launched in November 2024, the HPV vaccine marks a turning point for Mali. With a single-dose regimen now providing full protection, over 145,000 10-year-old girls were vaccinated between January and September 2025. Of these, over 113,000 were in school, while about 32,400 out-of-school girls were reached. Authorities acknowledge the need to intensify efforts to reach the latter group, who are often most at risk of being left behind.

Dr. Ibrahima Téguété, obstetrician-gynecologist at CHU du Point G, sees this progress aligning Mali closer to 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. “Introducing the vaccine is a huge achievement. It finally allows us to take primary prevention action,” he notes. Yet he remains realistic about system limitations: “We only have one radiotherapy unit. The final ‘90’ will be difficult to reach.”

collective mobilization drives progress

While the campaign relies on public health structures, civil society plays a crucial role. In Bamako, NGO Solidaris223 has organized numerous awareness sessions since the launch. “We’ve engaged in every district. Mothers came to ask where they could vaccinate their daughters,” shares its president, Amina Dicko.

At the Djiguiya Center in Bamako, an entire day was dedicated to vaccination. “Seventy boarding students received their dose, and none experienced side effects,” confirms director Mme Togo Mariam Sidibé.

Teenagers themselves share their stories. Awa, 10, admits: “I was scared of the needle, but it went fast. I’m happy because it protects us for the future.” Haby, vaccinated at school, adds: “Our 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 reflect strong collective commitment: “Initial vaccine stocks were used up quickly. This shows real determination.”

misinformation persists but is waning

Rumors about fertility continue to fuel resistance. “Some claim the vaccine harms girls. That’s completely false,” insists Dr. Téguété. Amin Dem sees daily improvements: “Now, some mothers come on their own to request the vaccine. Once we explain, everything changes.”

Fannata Dicko, whose daughter was vaccinated, illustrates this shift. “I vaccinated my daughter because cervical cancer is serious. My mother-in-law had it this year and died. I’ve seen how much suffering it causes. Prevention is essential so my daughter never has to go through this.”

Despite progress, vaccine deployment faces obstacles. “Between Mopti and Gao, road travel is sometimes impossible,” Dr. Téguété admits. To overcome this, some supplies are airlifted to regional capitals.

sustained commitment ensures equitable access

The vaccine remains entirely free for all 10-year-old girls, thanks to joint efforts by the government and technical and financial partners, including Gavi, which ensures affordable access. This gratuity guarantees equity even in remote areas. “If we maintain this effort for a few more years, we’ll have vaccinated all girls aged 9 to 14,” says the specialist.

hope on the horizon despite challenges

Prevention efforts aren’t new. From 2016 to 2022, the Weekend 70 program increased cervical cancer screening rates from 15% to over 70% in Bamako’s district. Yet misinformation remains a major barrier. “What people don’t know, they fear. We must keep explaining, informing, and discussing,” emphasizes Dr. Téguété.

He also praises religious leaders’ involvement. “Their support has greatly reassured families.” In Bamako, results are visible: parents are more confident, and more girls are getting vaccinated. “Bamako isn’t all of Mali, but it’s a good indicator of what we can achieve together.” 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 signals the start of a profound transformation in women’s health in Mali. As Dr. Téguété reminds us, “Behind every vaccinated girl is a woman saved.”