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Cervical cancer in Bulgaria since EU accession in 2007: a struggle in the face of political instability

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  • Todorova, Irina
  • Panayotova, Yulia
  • Kotzeva, Tatyana
  • Greenley, Rachel
  • McKee, Martin

Abstract

Bulgaria has one of the highest cervical cancer incidence rates in the EU, driven by persistently low screening uptake and HPV vaccination coverage. Despite the preventable nature of the disease, efforts to implement effective prevention strategies have been undermined by political instability, fragmented governance, and systemic health system weaknesses.

Suggested Citation

  • Todorova, Irina & Panayotova, Yulia & Kotzeva, Tatyana & Greenley, Rachel & McKee, Martin, 2026. "Cervical cancer in Bulgaria since EU accession in 2007: a struggle in the face of political instability," Health Policy, Elsevier, vol. 164(C).
    • Handle: RePEc:eee:hepoli:v:164:y:2026:i:c:s0168851025002519
    DOI: 10.1016/j.healthpol.2025.105497
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    References listed on IDEAS

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    1. Rigby, Samuel & Greenley, Rachel & Uuskula, Anneli & Tisler, Anna & Suurna, Maria & Jesse, Maris & Bardou, Marc & McKee, Martin, 2024. "Expanding eligibility and improving quality of cervical cancer screening in Estonia: The 2021 reforms," Health Policy, Elsevier, vol. 144(C).
    2. Hristina Lebanova & Svetoslav Stoev & Emilia Naseva & Violeta Getova & Wei Wang & Ugne Sabale & Elina Petrova, 2023. "Economic Burden of Cervical Cancer in Bulgaria," IJERPH, MDPI, vol. 20(3), pages 1-12, February.
    3. Serrano-Alarcón, Manuel & Mckee, Martin & Palumbo, Leonardo & Salvi, Cristiana & Johansen, Anne & Stuckler, David, 2024. "How to increase COVID-19 vaccination among a population with persistently suboptimal vaccine uptake? Evidence from the North Macedonia mobile vaccination and public health advice caravan," Health Policy, Elsevier, vol. 139(C).
    4. Irina Todorova & Adriana Baban & Anna Alexandrova-Karamanova & Janet Bradley, 2009. "Inequalities in cervical cancer screening in Eastern Europe: perspectives from Bulgaria and Romania," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(4), pages 222-232, August.
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