The event brings together representatives of supreme audit institutions from the region and beyond, as well as experts from SIGMA, UNDP, and the European Court of Auditors, to exchange experiences and advance audit approaches in addressing the challenges of climate change

Audit findings indicate that, despite long-standing implementation and progress achieved in the planning and execution of screening programs, under conditions of limited budgetary resources, the programs do not ensure sufficient coverage of the target population nor timely diagnosis at a scale that would allow for a systematic confirmation of their contribution to the early detection of malignant diseases and the reduction of mortality. Data show that in over 80% of female patients with cancer, treatment begins at later stages

Budget transfers for pensions reached 690 million euros in 2024, and in 2025, these transfers are expected to exceed this level. The Strategy for Older Persons expired more than five years ago. At the same time, long-term care services are available to less than 1 percent of the elderly population, indicating the need for comprehensive systemic reforms. There is a risk of increasing social exclusion and further pressure on public finances in the coming decades

In 2024, the Public Enterprise “Kolektorski Sistem – Skopje” (Collector System–Skopje) invoiced only 33% of the treated wastewater, and with accumulated liabilities of 493.108.000 denars (over 8 million euros) and a blocked bank account since its establishment, the enterprise faces serious financial challenges, reduced liquidity, and risks to the sustainability of its operations

The State Audit Office conducted a compliance audit of public procurements at the Ministry of Inter-Community Relations in 2023 and identified weaknesses in procurement planning, the awarding of public procurement contracts, the monitoring and verification of delivered goods and services, and the submission of required supporting documentation