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Introduction: Internationally, cultural factors are associated with vaccine uptake and completion in ethnic minority communities. Whilst Australia has achieved high human papillomavirus (HPV) vaccination, little is known about how culture or ethnicity influences HPV vaccination engagement. To address these gaps, we partnered with our Local Health District to explore how one culturally and linguistically diverse (CALD) community engages with school and HPV vaccination. Methods: We adapted a participatory research method (the World Café) to engage one local CALD community the Macedonian community (Our bi-cultural researcher and participants preferred the term ‘Macedonia’ rather than The Republic of North Macedonia as outlined in the 2018 Prespa agreement) in New South Wales (Australia) to discuss HPV and school vaccination. Our qualitative analysis combined deductive codes taken from the Tailoring Immunization Programme framework, inductive codes guided by narrative inquiry (tempora

Health districtMulticultural healthMulticultural health serviceImmunization programmeLocal health districtWorld cafNorth macedoniaNew south walesTailoring immunization programmePublic contributionWorld cafesMulticultural health officerCultural diversityHuman papillomavirusSchool delivery