From cervical cancer to HPV elimination in Bulgaria: Building robust data systems and infrastructure

Cervical cancer is one of the most preventable cancers, yet it continues to place a heavy and unnecessary burden on women in Bulgaria. The country now stands at an important turning point in the fight against HPV-related cancers. Despite persistently high cervical cancer incidence and mortality, recent developments, including the introduction of gender-neutral HPV vaccination and the commitment to establish a nationwide cervical cancer screening program, create a renewed opportunity to strengthen prevention efforts. At the same time, improving health data infrastructure and monitoring systems can provide the foundation needed to deliver more effective and equitable prevention programs. This report (white paper) sets out a clear, evidence-based roadmap to support Bulgaria in building the systems required to accelerate progress toward cervical cancer elimination and reduce the broader burden of HPV-related cancers across the population. By focusing on robust registries, integrated information systems, and improved monitoring and evaluation mechanisms, the report outlines practical steps to move from fragmented initiatives toward coordinated, data-driven national action.