Belgium tops the list of European countries in cervical cancer prevention, the Cervical Cancer Prevention Policy Atlas shows. Cervical cancer is preventable and treatable. Yet every year, over 25,000 women die from the disease in Europe, making it the 2nd most common female cancer deaths in women aged 15 to 44.

HPV
The Human papillomavirus (HPV) is the main cause of cervical cancer. HPV is a common sexually transmitted infection, which can be acquired by men and women. Governments consequently have a responsibility to prevent cervical cancer incidence and mortality by providing national HPV vaccinations, effective cervical cancer screenings and quality online information.

Belgium’s prevention policies
Belgium, but particularly Flanders stands out for its policy. Since 2011 girls have been receiving HPV vaccination at the age of twelve. Since September 2019 boys are also vaccinated free of charge. Screeings for HPV are organized and information about HPV and cervical cancer is easily accessible through government supported websites, such as allesoverseks.be by Sensoa.

Disastrous figures for Eastern European countries
Belgium shares its leading position with Denmark, Ireland and the United Kingdom. In Western Europe, France, Luxemburg and Spain are lagging at 74%. The situation in Eastern European countries is disastrous, with figures as low as 17% in ex-Yugoslavian republics.

The Cervical Cancer Prevention Policy Atlas is an initiative of the European Parliamentary Forum for Sexual and Reproductive rights and was first launched in January 2020. 

In the Flemish government agreement for 2019-2023, the government is committed to combating sexual and gender based violence, with particular attention for the prevention of forced marriages, honour-related crimes and female genital mutilation. Sexual health should equally receive the needed attention. In Flanders’ international cooperation the government is also quoted as being committed to projects that improve equality between the sexes, with a special focus on women’s education and the promotion of SRHR.

The promise of 0.7%
The new Flemish government will contribute to the realisation of the SDG Agenda 2030 in developing countries. Belgium currently spends only 0.4% of its GNI on development cooperation, despite the legal obligation of 0.7%. In the coming legislature, the Flemish government promises to make further efforts to finally reach the 0.7% standard at Belgian level.

Flanders' bilateral cooperation plans
The Flemish government is to continue its bilateral cooperation with Malawi and Mozambique, whereas cooperation with South Africa will be reoriented from development to “strong political-economic diplomatic cooperation”. The new Flemish Prime Minister Jambon also expressed the intention to set up a new cooperation with one or more countries in the North and East Africa region. The future partner country is said to be selected based on  its current cooperation with the EU in the fight against human trafficking and illegal migration. The new government is thus joining the trend of using development cooperation funds for the management of migration flows.

Should we be counting on the private sector?
In addition, the new government is looking at the private sector to step in with development cooperation through public-private partnerships. Public funds are only deemed needed where private partners cannot bear the risk (alone), or when they fail to deliver a suitable solution. The call for private sector support for development should not come at the cost of social sectors, including SRHR, as these are traditionally dependent on ODA support. Mechanisms seeking to mobilise private sector resources are primarily focused on non-social sectors such as infrastructural projects. Moving away from traditional ODA support and towards private sector mechanisms thus brings a real risk of reducing donor investments in sectors such as health, education and SRHR.

​Finally, the government sets out to move part of the development cooperation resources towards more Flemish emergency aid. Increasing support for humanitarian aid is welcome, but it should not come at the cost of development cooperation, which could help prevent disasters from happening in the first place. 

Body & Rights, the e-tutorial developed by Sensoa the expertise centre for sexual health and member association of IPPF in Belgium and commissioned by the Institute of Tropical Medicine and Be-cause Health, the Belgian platform for international health is now available in English. 

At the conference of the World Association for Sexual Health (WAS) in Prague, Belgium stood out again as one of the most progressive and exemplary countries worldwide when it comes to promoting sexual and reproductive health and rights.