The Monitoring Group of the Anti-Doping Convention (T-DO) conducted an evaluation visit to Belgium in January 2023. The evaluation team considered the decentralised responsibilities among the Flemish, French, and German-speaking Communities, and the Common Community Commission in the Brussels-Capital Region as well as the work of their respective national anti-doping organisations (NADOs).The findings of the evaluation report acknowledge the country's commitment to anti-doping efforts.

In addition to the measures taken by the four NADOs, Belgium has effective mechanisms of collaboration between public entities such as the Public Prosecutor's Office, the Federal Police, and the Federal Public Service for Health and the Ghent Anti-Doping Laboratory to strengthen the fight against doping.

Sports organisations such as the Belgian Olympic and Interfederal Committee (COIB), the Belgian Paralympic Committee (CPB) and sports federations play an important role through their involvement in prevention and education and their instrumental support for athletes.

The report highlights the functionality of the system despite its complexity. Practices such as referencing data protection laws in anti-doping legislation, implementing a cooperation agreement among the Communities, and establishing a cooperation protocol among NADOs and law enforcement were presented as best practices.

Belgium's dedication to combating doping was further highlighted through initiatives like "Play True Day" and educational efforts, such as the NADO of the French Community's education kit for primary school teachers. Efforts should be made to strengthen the operational independence of the four NADOs and increase their allocated resources. A full set of good practices and recommendations to further improve compliance are available in the evaluation report.