Austria was the first country to recommend gender neutral HPV vaccination in 2007. Countries like the US and Australia have moved forward to a gender neutral HPV vaccination, since 2014 Austria has a school based program where girls and boys from 9-11 get teh HPV vaccine for free.
The current status of the Austrian HPV vaccination program is reported
The target population is 9-10, the school based program has achieved an uptake for girls and boys of >60%. The 2-dose schedule is used. The early age of vaccination has facilitated the program. A catchup for 12-14 year old adolescent is in place, the receive the 2 doses at a reduced prize of 50€/dose. Since September 2016 the ninevalent vaccine is used in the public program, the transition went smoothly and is almost finished. Gender neutral vaccination is considered as cost-effective in Austria.
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2. Boiron L, Joura E, Largeron N, Prager B, Nikoglou T. Estimating the cost-effectiveness profile of a universal vaccination programme with a nine-valent HPV vaccine In Austria. Value Health 2015;18(7):A585.