The European Women and Cancer Policy Index assesses policies addressing women’s needs either directly (gender-responsive policies) or indirectly, either in the field of cancer control or among public health or social measures with impact on the cancer field, i.e.:
By contrast, cancer or relevant public health/social policies reaching women but without a specific gender-responsive element, and cancer control issues impacting women but without any strong evidence for a higher impact on them than on men, would not be considered in scope for the Index.
When it comes to the types of indicators that are included, the Index combines readily available data intelligence into a benchmarking framework for relevant national policy measures and their impacts on women. In practice, this means that indicators should:
Ideally, and where possible, the latter types of indicators (policy levers and performance indicators) should be combined to reflect both national policy status and its impact in practice. Where relevant, the Index also displays context information items, without including them in the calculation of any benchmarking score.
In this sense, the categorisation of indicators used for the Index follows an approach inspired by European Union monitoring and benchmarking frameworks in the social protection field, including the EU Monitoring Framework on the Council Recommendation on access to affordable, high-quality long-term care.
The following sections include details of indicators included in the Index for each of its categories, as well as corresponding sources, under this categorisation.
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Policy lever |
Performance indicator |
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Tobacco |
Women-specific interventions in national tobacco control (educational programmes, demand reduction, research) Source: Women-specific indicators included in the WHO FCTC Implementation Database |
Estimated age-standardised tobacco use prevalence rate among women aged 15 and older Source: WHO global report on trends in prevalence of tobacco use |
|
Alcohol |
Women-specific interventions in national alcohol control (pregnancy warnings, protection against gendered marketing) Source: WHO Global status report on alcohol and health and treatment of substance use disorders and desk research |
Alcohol Per Capita (APC) consumption among women Source: WHO global report on trends in prevalence of tobacco use |
|
Overweight |
Women-specific interventions in national overweight policies (prenatal nutrition counselling, postpartum weight management) Source: desk research |
Age-standardised estimated percentage of women aged 18+ years with a body mass index (BMI) of 25 kg/m2 or higher Source: WHO Global Health Observatory |
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HPV |
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Policy lever |
Performance indicator |
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Breast cancer screening |
Breast cancer screening implementation (level of organisation, type of organisation, target age group, screening interval) Source: European Cancer Screening Policy Index 2026 (unpublished) |
Breast cancer screening examination coverage rate among target population of women Source: Organisation for Economic Co-Operation and Development (OECD) Data Explorer |
|
Cervical cancer screening |
Cervical cancer screening implementation (level of organisation, type of organisation, target age group, screening interval, primary screening test offered, availability of self-sampling) Source: European Cancer Screening Policy Index 2026 (unpublished) |
Cervical cancer screening examination coverage rate among target population of women Source: OECD Data Explorer |
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Policy lever |
Performance indicator |
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Quality of care |
Survival rates for women’s cancers |
N/A |
Estimated age-standardised relative 5-year survival rates for breast, uterine, thyroid, ovarian, cervical, vulvar and vaginal cancer |
|
Mortality-to-incidence ratios for women’s cancers |
N/A |
Mortality-to-incidence ratios for breast, uterine, thyroid, ovarian, cervical and vulvar cancer |
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|
Quality of life |
Fertility preservation |
Fertility treatment policy score Source: Fertility Europe - European Atlas of Fertility Treatment Policies 2024 |
N/A |
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Policy lever |
Performance indicator |
Context information |
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Legal definition or identification of informal carers |
Existence of a legal definition of informal carer and/or legislation in place to identify informal carers |
N/A |
N/A |
|
Support to informal carers |
Existence of support available to informal carers (respite care, training, counselling and care leave) |
N/A |
N/A |
|
Financial compensation and social protection |
Existence of compensation available for informal carers |
N/A |
N/A |
|
Women providing informal care |
N/A |
N/A |
Share of people women informal care or assistance at least once per week on Average Source: Eurostat |