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National Cancer Control Programmes in Europe in 2024: State of Play and Alignment with the European Guide for Quality
Marjeta Kuhar1,2, Tit Albreht1,3, Polona Kastelic1
1National Institute of Public Health, Trubarjeva ulica 2, 1000 Ljubljana, Slovenia.
Introduction:
National Cancer Control Programmes (NCCPs) are essential policy documents guiding national cancer control planning. Their existence and quality are crucial for reducing cancer incidence, morbidity, and mortality, and for improving the quality of life of people with cancer and the population. The main aim of the present research, conducted within OriON Joint Action (2024-2025), was to explore and analyse the state of play, type, duration, evaluation, and quality of NCCPs across the European Union (EU) and selected countries, with a focus on the inclusion of key elements outlined in the European Guide for Quality NCCPs (Guide).
Methods:
A structured survey was prepared, validated, and carried out in 2024 across 34 countries, including EU Member States, Iceland, Montenegro, Norway, Turkey, and Ukraine. The results were analysed and presented in tables and figures. Descriptive analysis using frequencies and percentages was conducted.
Results:
The response rate was 100%. Of the 34 participating countries, 31 reported having an NCCP or equivalent cancer control document in 2024. Most countries had 1 comprehensive document, while 9 prepared multiple documents. The majority were defined as programmes and/or strategies, followed by plans and policies. In terms of quality, as recommended by the Guide, only 6 countries fully incorporated all suggested elements into their NCCPs.
Conclusions:
Our findings indicate that most European countries recognise the significant challenge posed by cancer as a major public health problem and have developed NCCPs or equivalent cancer control documents. However, in terms of quality, there remains considerable room for improvement.
Insights
Most European countries have National Cancer Control Programmes (NCCPs) to combat cancer. However, the quality of these crucial cancer control documents needs significant improvement to effectively reduce cancer burden.
Area of Science:
- Public Health
- Cancer Control
- Health Policy
Background:
- National Cancer Control Programmes (NCCPs) are vital policy tools for cancer prevention and management.
- The quality and implementation of NCCPs directly impact cancer incidence, morbidity, mortality, and quality of life.
- Assessing NCCPs is crucial for improving cancer care across populations.
Purpose of the Study:
- To analyze the status, characteristics, and quality of NCCPs in European countries.
- To evaluate the alignment of NCCPs with the European Guide for Quality NCCPs.
- To identify areas for improvement in national cancer control strategies.
Main Methods:
- A validated survey was conducted in 2024 across 34 European countries.
- Data on NCCP existence, type, duration, evaluation, and quality were collected.
- Descriptive analysis using frequencies and percentages was employed.
Main Results:
- 31 out of 34 countries reported having an NCCP or equivalent document in 2024.
- Most countries utilized comprehensive programs or strategies.
- Only 6 countries fully incorporated all recommended elements into their NCCPs, indicating a quality gap.
Conclusions:
- European nations acknowledge cancer as a major public health issue, evidenced by widespread NCCP development.
- Despite progress, substantial improvements are needed in the quality of NCCPs to enhance cancer control efforts.
- Further development and adherence to quality guidelines are essential for effective cancer control.
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