Aim: The main goal of this observational study is to determine the prevalence of Human Papilloma Virus(HPV) infection, and Hepatitis B (Hep B) immunity amongst women of childbearing age 13 to 45 years) attending clinics at Mtshabezi Mission and Matobo clinic respectively; and assess behavioral risk factors of high school students at these catchment areas that can put them at risk for developing cancer of the cervix and liver. Question: Can screening for cancer, and vaccination against Hep B and HPV, and cognitive behavior intervention help in preventing related cancers amongst these groups of participants.
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Human Papilloma Virus infection
Timeframe: Baseline and 10 years post vaccination
Hepatitis B immunity
Timeframe: Baseline and six months to one year post vaccination.
cancer of cervix
Timeframe: Baseline assessment and 10 years post vaccination with Gardasil 9.
Cancer of the liver
Timeframe: Baseline and six months to one year post vaccination with Hep B.