STATE AUDIT OFFICE
GUARDIAN OF PUBLIC FUNDS
Final audit report
Who we are and what we do
The State Audit Office (SAO) is the independent supreme audit institution of the Republic of North Macedonia, which transparently, timely and objectively informs the competent authorities and the public about audit findings identified with performed audits
Audit reports
Announcements & News
23.06.2026
11.06.2026
Status of audits
Planning | Execution | Draft | FINAL
2025
Health care
IV-Конечен
02.06.2026
02.06.2026
Sustainable development goals

"Let’s learn to manage risks to prevent consequences"
Maksim Acevski, MScAuditor General
State Audit Office Participates in International Conference on Skopje’s Future and Sustainable Urban Development in the Context of “European Capital of Culture 2028”
The State Audit Office participated in the conference “Shaping the Future of Skopj
State Audit Office Initiates Preparation of New Strategic Documents
A delegation from the State Audit Office, headed by Auditor General Maksim Acevski, participated in a strategic workshop on the preparation of the Office’s new strategic documents
SAO Hosts International Workshop on Environmental Auditing and Climate Change
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
Breast Cancer Screening Coverage Ranges from 0.8% to 5.4% and Cervical Cancer Screening Coverage from 10.3% to 15.5% of the Target Population, Remaining Significantly Below European Recommended Levels for Organized Population Screening
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
Reforms to Ensure a Sustainable Pension System and Adequate Care for the Elderly
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






















