Cancer Control in Slovenia: Achievements and Challenges After 15 Years of a National Programme

Abstract Issue Cancer is one of the greatest public health burdens in developed countries, including Slovenia. The Slovenian National Cancer Control Programme (NCCP) has played a key role in addressing this issue over the past 15 years. National strategic programmes are crucial for addressing cancer challenges. Description of the problem Cancer is an ongoing challenge in Slovenia. Incidence rates are rising by about 2% per year. It is the second most common cause of death, with a stable mortality rate. With earlier diagnosis and more effective treatment, the number of cancer survivors is increasing. This puts pressure on healthcare services, especially amid workforce shortages and regional disparities. The NCCP addresses this challenge through a systemic approach to prevention, detection, treatment, and follow-up, aiming for equitable access and better survival and quality of life. Results Over the last 15 years, Slovenia has made significant progress in cancer control. Organised screening programmes for cervical, breast, and colorectal cancer have been established and achieved high participation rates, contributing to an increase in survival of more than 10 percentage points, above the EU average, and a decrease in age-standardized incidence rates for men. Monitoring the quality of cancer care by the Slovenian Cancer Registry has enabled continuous improvements. The programme also supports actions on equal access, rehabilitation and palliative care. Lessons The Slovenian experience shows that a coordinated, strategic national programme can effectively address the cancer burden. Key lessons include the importance of early detection, multidisciplinary care, continuous monitoring and quality improvement. Slovenia highlights the importance of long-term planning, investment in health professionals, and a collaborative approach involving health policy, health professionals, and civil society. Key messages • Slovenia’s NCCP improved early detection, survival, and access to cancer care over 15 years. • Strategic planning, evaluation, and collaboration are key to tackling cancer burden.