COMVIISSION OF THE EUROPEAN COMV1UNITIES 
C0M(93) 453 final 
Brussels, 29 September 1993 
Proposal for a Decision of the Council and the Ministers for Health 
of the Member States, meeting within the Council, 
concerning the extension to the end of 1994 of the 1991-1993 plan of action 
in the framework of the 'Europe against AIDS' programme 
(presented by the Commission) 
EXPLANATORY MEMORANDUM 
I. INTRODUCTION 
AIDS (Acquired immunodeficiency syndrome) is a disease caused by a virus (HIV) for which 
there is currently no vaccine or cure. Prevention of transmission of the virus is therefore of 
the utmost importance. 
During the 1980s there was a rapid increase in the number of people with AIDS in the 
European Community In 1982, 86 people were reported as being diagnosed with AIDS but 
by 1990 this number had risen to just under 14,000. The numbers are still continuing to 
increase overall. By 31 March 1993 83,973 AIDS cases had been reported. It is not possible 
to indicate precisely the number of people infected with HIV in the Community, but it is 
estimated that there are about 500,000. \ 
The changing pattern of the epidemic in the Community which emerges from the records and 
surveys made since the early 1980s reflects the modification of behaviour and Member States' 
response to the disease as well as scientific advances. Generally speaking, the growth rate 
among intravenous drug users (IVDUs) has recently been slowing down, whereas among 
heterosexuals and those classified as of "unknown" sexual preference it is going up. There are 
however significant, geographical variations in the trends observed for the three dominant 
categories (IVDUs, heterosexuals, and homosexuals), such as the increased rates of ». 
transmission among IVDUs in southern Member States, there have also been some impressive \ 
reductions in transmission frequency observed among people with certain risk behaviours in 
some Member States, notably homosexual men. 
The present picture is of a disease which, while not increasing at the very rapid rate of earlier 
years, is nonetheless continuing to spread and may well become endemic in certain groups in 
the absence of any early medical breakthrough. Worrying trends of relatively high 
transmission rates in particular settings, such as prisons, and among particular disadvantaged 
groups such as migrants, and the continued rise of cases through heterosexual transmission, ';; 
and among women, serve as pointers of further problems to come and of areas where j 
additional efforts need to be expended. In addition, the rising number of those adults and j 
children living with HIV and AIDS will place new burdens on service provision and could 
provoke further social problems of discrimination and stigma. 
Against this background, Member States have developed programmes to combat the spread ! 
of the disease and to deal with its consequences. In addition, to support and complement these I 
programmes a number of initiatives have been taken at Community level. The Council and i 
the Ministers for Health of the Member States meeting within the Council have adopted a 
number of texts on public health aspects of AIDS (see attached list) The Community has also 
established an AIDS assistance programme for developing countries and included an AIDS 
research component in the framework Programme for Research and Technological 
Development. 
In addition, on 4 June 1991, the Council and the Ministers for Health, meeting within the 
Council, adopted a Decision on a plan of action for a 'Europe against AIDS' programme. This 
programme in the field of public health was to run from 1991 to 1993 and was focused 
principally on preventive actions, such as information and education. As provided for in the 
Decision, the Commission sent to the Council on 10 March 1993 a report on the 
implementation of the plan of action in 1991-1992. In this the Commission reported on the 
means deployed to achieve the objectives laid down in the Council Decision and commented 
on the early results obtained as well as on the relative weight and pertinence of the activities 
undertaken, or requiring to be undertaken, to give full effect to the aims of the Decision, set 
against the backcloth of the trends described above. The Commission also stated its view 
that there would be value in further actions on the public health aspects of HIV and AIDS 
being undertaken by the Community after the plan of action expired at the end of 1993. 
Following consideration of the Commission's report, the Council and the Ministers for Health 
at their meeting of 27 May 1993 agreed to invite the Commission to take the initiatives 
necessary for the pursuit of the actions of the 'Europe against AIDS' programme in 1994 in 
anticipation of the coming into force of the Treaty on European Union which provides in its 
Article 129, for Community action in the field of public health. The subsequent evaluation in 
the Council of the effectiveness of the work undertaken concluded that the broad structure of 
the areas of action contained in the Council Decision could be maintained, but with a number 
of modifications in the objectives pursued, the introduction of new areas, and the deletion of 
others in order to retlect the changing needs of the Member States, increased knowledge of 
the problems posed by the disease, as well as its evolution and trends. In particular, it was felt 
that the old actions Nos 1 and 2 would have to be amalgamated, action 6 discontinued as it 
was conceived at a time where great fears had arisen about the possible economic impact of 
the disease, and action 8 pursued as part of other actions of the programme. Old action 7 was 
singled out as the most important, and it was deemed necessary to initiate new actions of 
information and awareness for specific target groups, taking account in particular of migrant 
and other disadvantaged populations, rather than for the population at large. It was agreed that, 
in accordance with the principle of subsidiarity Community action should be so designed as 
to assist the Member States in fully achieving their objectives in the fight against AIDS, and 
carried out in a way that maximises the added value accruing from Community's involvement, 
for example by downgrading support for conferences and increasing support for pilot projects 
and assistance structures, and continuing activities which had already demonstrated their 
worth 
The present proposal for a Council Decision takes account of the views expressed by Member 
States and reflects the experience accumulated by the Commission in implementing the first 
plan of action. As such it constitutes both an extension and a modification of the first plan, 
retaining the latter's general structure, changing or introducing actions as appropriate, and 
attempting to describe as tangibly as possible the results to be achieved by the action of the 
Community. Finally this proposal reflects more explicitly than the previous plan of action 
compliance with the principle of subsidiarity, recognizes the existence of diverse situations 
which exist in the Member States, and provides for appropriate consultation and assessment 
mechanisms concerning the actions to be undertaken. 
2. COMMENTS ON THE PROPOSAL FOR A COUNCIL DECISION 
Preamble 
This proposal for a Decision is intended to implement the conclusions of the Council and the 
Ministers for Health meeting within the Council of 27 May 1993 on the implementation and 
continuation of the "Europe against AIDS" programme. It consists of an operative part with 
three articles, and an annex listing the objectives of the actions proposed. 
The proposal responds directly to the wish of the Council that the programme "Europe against 
AIDS" should continue in 1994, following the expiry of the current plan of action. It also 
stresses, however, the need not just to continue with all the existing activities, but to tailor the 
actions for 1994 to reflect the results of the evaluation of the implementation of the 
programme and current trends in the development of the epidemic. 
Article 1 
This gives effect to the Council's wish to extend the plan of action for one year. 
Article 2 
This provides that the appropriations allocated for the activities provided for under the 1994 
plan of action shall be adopted under the budgetary procedure. As a guide, an amount of 
Ecu 9 million has been included in the preliminary draft budget for 1994 which has been 
approved by the Commission. 
Article 3 
This gives effect to the Council's wish to have a report on the implementation of the plan of 
action. However, it specifies that this shall be prepared after the actions have been completed. 
Area of Activity 1 
This brings together two important areas: measures to establish what people know about AIDS 
and what their attitudes and behaviour are; and measures designed to increase people's 
knowledge and improve their appreciation of the disease and its implications. 
A key role at Community level is to gather information on what has been done in Member 
States and to assess how successful their efforts have been. Member States can thus be helped 
to put their own experience into a broader perspective and improve the impact of their 
programmes by drawing on the experience gained elsewhere. 
The Community, while not running its own campaigns, can also help Member States to co­
ordinate certain information and education activities. Taking action on a Community-wide 
basis can increase the visibility and impact of campaigns, and helps to ensure that 
contradictory messages are not put out in different States. 
Telephone helplines, and more recently, computer data networks, play a valuable role in 
complementing public campaigns by giving individuals the information they need on their 
particular problems. However, such response mechanisms are not available everywhere, and 
it is important that those being set up provide a satisfactory level of service, for example, that 
their information is factually accurate and that individual confidentiality is preserved. The 
Community can therefore play a role in promoting the expansion of these services and in 
making available the knowledge and experience of those that are established to those just 
getting underway. 
Area of Activity 2 
Children and young people are a key target for prevention, and it is important that as many 
as possible are provided with information about the disease in a way that is appropriate to 
their level of maturity and their cultural background. Such information can be imparted both 
within a formal educational setting and outside it (in social clubs and on holiday, for 
example). But whatever the setting, information about AIDS should where possible be 
provided in connection with general health and sex education rather than in a totally separate 
manner. The Community can help the exchange of information in this area and the promotion 
of appropriate educational materials, etc., and so assist Member States in the development of 
their Programmes. 
Area of Activity 3 
Increasing tourism and travel within the Community and to and from the Community and 
other States bring with them greater possibilities for the spread of the disease. Attempting to 
combat this by controlling movement across borders has unacceptable consequences and is 
ineffective However, providing information and running specific campaigns can have a 
significant impact Such activities can often most easily and effectively be carried out at 
Community level since of necessity a number of States are involved 
Prisons also represent an important setting for the potential spread of HIV by means of drug 
users sharing needles or prisoners having unprotected sex. The actions taken in response to 
the threat of AIDS vary enormously between prisons, as does the approach taken and the help 
given to prisoners with HIV and AIDS. Exchange of ideas and information and the 
encouragement of new approaches can help to reduce the problem in this setting. 
Injecting drug users are also a key group, and indeed in some Community Member States they 
are the principal group with the disease. Efforts to exchange ideas about how to reduce the 
risk of infection and to spread good practice can help reduce the transmission within this 
group and from drug users to the general population. 
Preventive measures can also usefully be promoted at Community level aimed at women, 
particularly those in certain target groups, such as prostitutes. Women form a rising proportion 
of those with HIV and AIDS, and prevention work for them needs to be further developed. 
In addition to such preventive measures the Community can play a role with regard to those 
children who are themselves infected with HIV. As the epidemic spreads, so there are 
increasing numbers of babies and children with HIV, and they and their families need 
considerable support. Exchange of information about the position in the Member States can 
help identify problems and maximise the efficacity of the measures taken. 
Homosexual and bisexual men constitute a large, though falling, proportion of those infected. 
It is important to continue efforts at preventing new infections within this group, particularly 
those targeted at young men who may not have been exposed to preventive action previously. 
The Community can promote such action and help Member States to exchange views and 
information about how it can most effectively be undertaken. 
The adoption of various safety measures, such as the heat treatment of blood and the screening 
of blood donors, means that nowadays the risk of transmission of HIV through this route in 
the nowadays Community is minimal However it is important that any small remaining risks 
be reduced as far as possible. Work towards self-sufficiency in the Community represents an 
important way of pursuing this objective 
Area of Activity 4 
Community action cannot replace the work of Member States in providing social and 
psychological support for those with the disease However the Community can help to promote 
the collection and dissemination of information about the disease and support services so that, 
for example, those who need specialised support know where it is available, and it can also 
promote the exchange of experience about how such support can be effectively provided. 
Area of Activity 5 
The availability of accurate epidemiological data is a pre-requisite for the establishment of 
effective strategies to combat the disease. In this context the Community can play an 
important role in supporting the collection and analysis of data, particularly at the Community 
level. This can include helping to build up the links between the responsible centres in the 
Community and encouraging the development of specialised training in this field. 
In addition, the Community can also promote the exchange of information on the measures 
taken in Member States in response to the epidemic. Such exchanges can help Member States 
to gain a broader perspective on the situation and to maximise the impact of their own actions. 
Area of Activity 6 
Discrimination against those with HIV and AIDS has been vigorously opposed by the 
Community from the outset as being both morally indefensible and counterproductive in public 
health terms. At Community level experience in the different Member States can be reviewed 
and compared. 
Area of Activity 7 
The actions on the public health aspects of HIV/AIDS must be undertaken taking full account 
of the work being done on other aspects of AIDS in the Community, notably on research and 
assistance to developing countries. Liaison with the other programmes can help achieve 
synergy and avoid duplication and overlaps. 
3. LIST OF EUROPEAN COMMUNITY TEXTS ON AIDS 
Resolution of the representatives of the Governments of the Member States, meeting 
within the Council of 29 May 1986 on AIDS (OJ C 184, 23 July 1986, p. 21) 
Conclusions of the Council and of the representatives of the Governments of the 
Member States, meeting within the Council of 15 May 1987 concerning ADDS (OJ C 
178, 7 July 1987, p. 1) 
Conclusions of the Council and of the representatives of the Governments of the 
Member States, meeting within the Council of 31 May 1988 concerning AIDS (OJ 
C 197, 27 July 1988, p. 8) 
Resolution of the Council and of the Ministers of Education meeting within the 
Council of 23 November 1988 concerning health education in schools (OJ C 3, 5 
January 1989, p. 1) 
Conclusions of the Council and the Ministers for Health of the Member States, 
meeting within the Council on 15 December 1988 concerning AIDS (OJ C 28, 3 
February 1989, p. 1) 
Conclusions of the Council and the Ministers for Health of the Member States, 
meeting within the Council on 15 December 1988 concerning AIDS and the place of 
work (OJ C 28, 3 February 1989, p. 2) 
Resolution of the European Parliament of 30 March 1989 on the fight against AIDS 
(OJ C 158 of 26.06.89, p. 477) 
Conclusions of the Council and the Ministers for Health of the Member States, 
meeting within the Council on 16 May 1989 regarding the prevention of AIDS in 
intravenous drug users (OJ C 185, 22 July 1989, p. 3) 
Conclusions of the Council and the Ministers for Health of the Member States, 
meeting within the Council on 16 May 1989 on awareness measures for health care 
personnel (OJ C 185, 22 July 1989, p. 6) 
Conclusions of the Council and the Ministers for Health of the Member States, 
meeting within the Council on 16 May 1989 on the improvement of the general 
system for collecting epidemiological data, including the application of the new 
definition of AIDS cases (OJ C 185, 22 July 1989, p. 7) 
Conclusions of the Council and the Ministers for Health of the Member States, 
meeting within the Council on 16 May 1989 regarding future activities on AIDS 
prevention and control at Community level (OJ C 185, 22 July 1989, p. 8) 
Resolution of the Council and the Ministers for Health of the Member States meeting 
within the Council on 22 December 1989 on the fight against AIDS (OJ C 10, 16 
January 1990, p. 3) 
Decision of the Council and the Ministers for Health of the Member States, meeting 
within the Council on 4 June 1991 adopting a plan of action in the framework of the 
1991 to 1991 "Europe against AIDS" programme (OJ L 175, 4 July 1991, p. 26) 
Report from the Commission on the implementation of the plan of action in 1991-1992 
of the "Europe against AIDS" programme ((COM193) 42 final, 10 March 1993) 
Conclusions of the meeting of the Council and the Ministers for Health meeting within 
the Council of 27 May 1993 
Proposal for a Decision of the Council and the Ministers for Health of the 
Member States, meeting within the Council, concerning the extension 
to the end of 1994 of the 1991-1993 plan of action in the framework 
of the "Europe against AIDS" programme 
THE COUNCIL OF THE EUROPEAN COMMUNITIES AND THE MINISTERS FOR 
HEALTH OF THE MEMBER STATES. MEETING WITHIN THE COUNCIL. 
Having regard to the Treaty establishing the European Economic Community, 
Having regard to the proposal from the Commission,1" 
Having regard to the opinion of the European Parliament,'2* 
Having regard to the opinion of the Economic and Social Committee,13' 
Whereas the Conclusions of the Council and the Ministers for Health, meeting within the 
Council of 27 S liw.l stress that it is absolutely essential to continue the activities of the 
"Europe against AIDS" programme; 
'"OJ No 
,:' OJ No 
'•*• OJ NO 
Whereas the plan of action adopted by Decision 91/317 of the Council and the Ministers 
for Health of the Member States, meeting within the Council(4), of 4 June 1991 in the 
framework of the "Europe against AIDS" programme, expires at the end of 1993; 
Whereas in future specific measures to combat AIDS in the framework of Article 129 of 
the Treaty on European Union, signed at Maastricht on 7.2.1992, should be undertaken with 
priority given to encouraging cooperation between the Member States and support to their 
activities being provided where necessary; 
Whereas transitional measures are needed in the intervening period while waiting the entry 
into force of the Treaty on European Union so that activities already started can continue 
in 1994; 
Whereas extending the 1991-1993 plan of action until the end of 1994 will enable such 
activities to continue; 
Whereas, in extending the plan of action, account is taken of the content of the 
Communication from the Commission to the Council and the European Parliament on the 
implementation of the plan of action in 1991-1992 in the framework of the "Europe against 
AIDS" programme(5) and of its evaluation as provided for by the Decision of the Council 
and the Ministers for Health of the Member States meeting within the Council of 4 June 
1991 adopting a 1991-1993 plan of action in the framework of the "Europe against AIDS" 
programme, and of new factors which have emerged in the fight against AIDS; 
<4)0J L 175 of 4 7 1991, p. 26. 
'" COM (93) 42 final 
10 
HAVE DECIDED AS FOLLOWS 
Article 1 
I The 1991-1993 plan of action in the framework of the "Europe against AIDS" 
programme shall be extended until 31 December 1994. 
2. The Commission shall implement the 1994 plan of action set out in the Annex in 
close cooperation with the competent authorities of the Member States in 
accordance with the provisions of Article 1 of Decision 91/317/EEC 
Article 2 
The appropriations allocated for the activities provided for under the programme 
shall be adopted under the budgetary procedure 
Article 3 
1 The Commission, in collaboration with the advisory committee referred to in Article 
1(1) of Decision 91/317/EEC shall continuously assess the action undertaken and 
the priorities set 
2 The Council and the Minister for Health of the Member States, meeting within the 
Council, shall carry out an evaluation of the effectiveness of the action undertaken. 
To this end the Commission shall submit to the Council a report after the 
termination of the action plan. That report shall also be sent to the European 
Parliament. 
Done at 
II 
ANNEX 
1994 PLAN OF ACTION 
AREA OF ACTIVITY I. 
Assessment of the knowledge, attitudes and behaviour of the general public and 
certain target groups (populations with high-risk lifestyles or in high-risk 
environments, marginalised communities), information and awareness-raising 
campaigns for the public and these groups 
Promotion and assessment of the results of surveys on knowledge, attitudes and behaviour 
carried out in the Member States and at Community level. 
Assessment of the need for and desirability of undertaking studies to augment existing 
information in particular areas at Community level. 
Studies of the information campaigns for the general public and target sections of the 
population, such as homosexuals and biscxuals, minorities and migrants, dissemination of 
the results; encouragement of exchanges allowing experience in the Member States to be 
compared. 
Promotion of developments in methodology for measuring changes in knowledge, attitudes 
and behaviour, and for assessing the impact on the latter of prevention measures undertaken 
in Member States 
a 
Development of ways to increase co-ordination and links between campaigns in the 
Member States, and of possible Community measures which could complement or 
contribute to such campaigns, including the use of the media and production of specific 
materials, such as those designed to make information easily accessible to opinion formers 
and community leaders. 
Promotion of measures to increase public understanding and awareness of the problems 
caused by the epidemic for society as a whole and for the individuals and families directly 
affected. 
Encouragement of the development of telephone and computerised response mechanisms 
in the Community, and of centres providing information to the public or specific groups, 
and promotion of the exchange of experience between them 
Dissemination of the data on knowledge, attitudes and behaviour and on preventive 
measures. 
AREA OF ACTIVITY 2. 
Measures for children and young people 
Examination and exchange of information about HIV/AIDS education in schools, and other 
educational and training establishments for young people in the Member States and about 
how such education fits into the provision of sex education and general health education 
in schools and other educational institutions. 
Exchange of information on HIV/AIDS education programmes designed for children and 
young people outside the formal educational setting, and their interaction with general 
health education programmes within and outside of the education system 
13 
Promotion of pilot educational projects on HIV/AIDS which fit into general health 
education and promotion for children and young people inside and outside the formal 
education setting, including tailored programmes for minority groups. 
AREA OF ACTIVITY 3. 
Prevention of HIV transmission among particular 
groups and in particular settings 
Travel and tourism 
Studies and exchanges of information and experience on problems related to tourism, 
people travelling within the Community and to and from other countries, and to border 
areas with non-Community states; promotion of pilot projects and networks aimed at taking 
preventive action in tourist resorts, frontier areas and other relevant locations. 
Prisons 
Examination and exchange of information on the current regimes in the Community for 
people with HIV and AIDS in prisons and detention centres, including procedures on 
admittance, during incarceration and after release, education of prisoners, training of staff 
and the possibility of specific prevention and harm-reduction measures. 
Promotion of pilot projects in co-operation with the Member States, which take account of 
regulations and local circumstances aimed at developing new methods of providing care and 
support for those with HIV and AIDS, reducing the risks of transmission of HIV and 
improving the training provided to the staff concerned with health services in prisons . 
'4-
Injecting drug users 
Evaluation of the knowledge, attitudes and behaviour of injecting drug users with regard 
to HIV/AIDS and consideration of HIV prevention strategies; exchange of information and 
sharing of experience on methods concerning the supply of safe injecting equipment; 
assessment of the possible role of methadone programmes in the prevention of HIV 
transmission and examination of the interaction of the measures taken in Member States 
to combat drug abuse with those on HIV/AIDS, and the consequences for the epidemic. 
Women exposed to specific risks of infection by HIV 
Overview and exchange of information on the situation of women at particular risk of HIV 
in the Member States^ including prostitutes and women drug users, and of the preventive 
activities being undertaken for such women; promotion of pilot projects on prevention and 
support aimed at particular groups and settings 
Vertical transmission of HIV from mothers to children 
Examination and exchange of information on the transmission of HIV from mothers to 
children in Member States and on the situation of children and young people with HIV and 
their families, including access to educational institutions and social and psychological care 
and support; and promotion of pilot projects. 
Other groups with high-risk lifestyles 
Exchange of information among Member States on prevention measures tor groups such 
as young homosexual men and bisexuals, and promotion of pilot projects 
Safety of blood and blood products 
Continuation of efforts to promote Community self-sufficiency from voluntary non-
remunerated blood donations. Exchange of information among Member States on progress 
made towards this and in people's knowledge, attitudes and behaviour with regard to 
transfusions. 
AREA OF ACTIVITY 4. 
Social and psychological support 
Elaboration and dissemination of manuals, information bulletins and directories providing 
the latest information on prevention of transmission of HIV, care and therapy and on 
organisations providing information and support; encouragement of networks of 
organisations, particularly in the non-governmental sector. 
Exchange of experience about models of assistance and support for people with HIV and 
AIDS and promotion of pilot projects and of studies on the psycho-social aspects of 
HIV/AIDS 
AREA OF ACTIVITY 5. 
Gathering data on HIV/AIDS 
Appropriate support tor epidemiological monitoring systems in the Member States to 
improve the quality and accessibility of data at Community level, and for the work of the 
European Centre for the Epidemiological Monitoring of AIDS (WHO-EC Collaborative 
Centre in Paris) in order to ensure the further development of its work in providing accurate 
surveillance data at the Community level and carrying out analyses. 
lb 
Encouragement of efforts to increase and improve epidemiological training in HIV/AIDS 
and related fields in the Community and to build upon links between the responsible 
institutions in the Member States 
Examination of the specific circumstances and exchange of information concerning infected 
persons who remain asymptomatic for long time periods, as well as issues concerning the 
role of other diseases implicated in AIDS. 
Exchange of information on significant developments in each Member State and at 
Community level in the development of the epidemic and related problems, including 
economic issues, such as the costs for statutory services and on the measures being taken 
in response. 
AREA OF ACTIVITY 6. 
Combatting discrimination against people with HIV and AIDS and those close to them 
Study of the situation concerning the implementation in the Member States of the 
provisions on the fight against discrimination contained in the Resolution of the Council 
and the Ministers of Health of the Member States of 22 December 1989(6); examination and 
exchange of information, in co-operation with the Member States, of the measures taken 
in the Member States to avoid or alleviate discrimination, notably in the above areas. 
Analysis at Community level, in co-operation with the Member States of actual and 
potential discriminatory situations in the Member States, notably in the fields of 
employment, insurance, housing, education and the health care system. 
(6) OJNoC 10 of 16 1.1990, p. 3 
AREA OF ACTIVITY 7. 
Co-ordination with other programmes related to HIV/AIDS 
Promotion of closer links with other Community programmes related to HIV/AIDS, 
including research and international assistance in order to ensure complementarity with 
these programmes and enhancement of Community added value. 
mmrANTTAI. HECOBD SHEET 
Title of tliê action 
Proposal for a Decision of the Council and the Ministers for Health of the Member States» 
meeting within the Council, concerning me extension to the end of 1994 of the 1991-1993 plan 
of action in the framework of the "Europe against AIDS" programme. 
2. Budget heading concerned 
ItemB3-4301. 
3. Legal bases 
Resolution of the representatives of the Governments of the Member States, meeting within nie 
Council of 29 May 1986 on AIDS (OJ C 184,23 July 1986, p. 21) 
Conclusions of the Council and of the representatives of the Governments of die Member States, 
meeting whhin the Council of 15 May 1987 concerning AIDS (OJ C 178,7 July 1987, p. 1) 
Conclusions of the Council and the representatives of die Governments of the Member States, 
meeting wfthin die Council of 31 May 1988 concerning AIDS (OJ C 197,27 July 1988, p.8) 
Resolution of die Council and of die Ministers of Education meeting whhin the Council of 23 
November 1988 concerning health education in schools (OJ C 3, 5 January 1989, p. 1) 
Conclusions of the Council and the Ministers for Health of the Member States, meeting within 
the Council on 15 December 1988 concernmg AIDS (OJ C 28,3 February 1989, p. 1) 
Conclusions of die Council and die Ministers for Health of the Member States, meeting within 
die Council on 15 December 1988 concerning AIDS and the place of work (OJ C 28,3 February 
1989, p. 2) 
Resolution of die European Parliament of 30 March 1989 on the fight against AIDS (OJ C 158 
of26.06.89,p.477) 
Conclusions of the Council and the Ministers for Health of the Member States, meeting within 
the Council of 16 May 1989 regarding the prevention of AIDS in fatravenous drug users (OJ C 
185,22 July 1989, p. 3) 
Conclusions of die Council and the Ministers for Health oftheMenmer States, meeting widiin 
me Council of 16 May 1989 on awareness measures for health carepersonnel (OJ C185,22 July 
1989, p. 6) 
19 
Conclusions of the Council and th© Ministers for Health of the Member States, meeting within 
the Council of 16 May 1989 on the improvement of the general system for collecting 
epidemiological data* including die application of the new definition of AIDS cases (OJ C 185, 
22 July 1989, p. 7) 
Conclusions of the Councfl and the Ministers for Health of the Member States, meeting within 
die Council of 16 May 1989 regarding future activities on AIDS prevention and control at 
Community level (OJ C 185, 22 July 1989, p.8) 
Resolution of the Council and the Ministers for Healtii of the Member States, mcc&og within the 
Council of 22 December 1989 on the fight against AIDS (OJ C 10, 16 January 1990, p. 3) 
Decision of the Council and the Ministers for Health of the Member States, meeting within the 
Council of 4 June 1991 adopting a plan of action in die framework of tfco 1991 to 1991 °Europe 
against AIDS" programme (OJ L 175, 4 July 1991, p. 26) 
Report from the Commission on the plan of action in 1991-1992 of the "Europe against AIDS " 
programme ((COM 93) 42 final, 10 March 1993) 
Conclusions of the Meeting of the Council and the Ministers for Health meeting within the 
Council of 27 May 1993 
4. Description of the action 
4.1 General objective of the action: see Annex I to die proposal for aDecision of the Council 
and the Ministers for Health of the Member States meeting whhin the Council, 
concerning the extension to die end of 1994 of the 1991-1993 plan of action in the 
framework of the "Europe against AIDS" programme. 
4.2 Period covered by the action: from 1 January 1994 to 31 December 1994. Arrangements 
for renewal and extension of the action have not yet been fixed. 
5. Classification of the expenditure: non-compulsory. 
6. Type of expenditure: Subsidy for co-financing of projects with other sources from the public 
and/or private sector (subsidy not exceeding a certain percentage of the total amount of die 
projects proposed). 
10 
7. 
7 T 
7.2 financial impact 
Calculation of the total cost of the action: a total of ECU 9 million appeared to be needed for 
these activities, based on the amount which was scheduled for hnplementation of die "Europe 
against AIDS" programme in 1993 plus the amount required to reinforce certain actions. This 
sum was included In the preliminary draft budget for 1994, but the Council has adopted a budget 
of only ECU 8.3 million. 
Breakdown of die cost of die action: 
BREAKDOWN 
L Assessment ot knowledge and benaviour "995300—- 996.U0CT 
i. intorming and increasing me awareness ot 
the public 498.000 
X Meaitn education tor young people' 913.000 498.000 
4. iTeveagûtt ot mv transmission" 
5. Social support, counselling, treali near 1.660.000 
249.000 1.263.0UU 
1.660.000 
| o. estimating me cost ot managing mv 
infection 
7. Data collection 249.000 
1.577.000 249.000 
». linnancementotnnman resources 
y. Measures to comnat ajscnmmation 
HIV-infected persons 
TOIAX 415.000 4L5.000 
8300.000 y.ooo.ooo 
at 
F 
IrSESfflOWN—-
996.000 l. Assessment ot Knowledge and behaviour 
2. Measures armed at cniinrea ana young people" 2.526.000 
2.204.000 3. .Prevention ot JMUV transmission"" 
4. social support ana counselling 1.660.000 
249.0UU 5. Data collection 
o. Measures to comoat atscrmnnation H5.000 
250.000 7. coorrtrnation with, other progiaiiimes 
rorsn 8.300.000 
8. 
9. Anti-frand measures planned (and remits of such measures) 
Spot checks on contractors to verify what appropriations have been used, and in precisely what 
manner. Checks were carried out during the 1993 budgetary year and proved to be effective. 
effectiveness analysis 
9.1 Specific» quantifiable objectives, and target population: 
Synergy with actions undertaken by die international organisations active in this field; 
enhancement of drug abuse control measures as a result of AIDS prevention initiatives 
among drug users; highlighting of the necessary complementarity of actions to be 
undertaken under nie social, health and economic policies. 
Boost to Member States in the development of their own AIDS prevention measures, In 
their intra^imrmmity cooperation and in access to fefibrmation, through the creation of 
ff*ftn^njtfifwii>i networks. -
Maintenance of the balance between die economic factoraaM me public health and social 
welfare imperatives. 
23L 
9.2 Justification for the action: 
Rational use of the budget appropriation based on: 
1) practical application of die principle of subsidiarity as regards identifying the actions to 
be undertaken and co-financed; 
2) identification of target groups and appropriate information media. 
The Ccanmission wfll be assisted in nnplementmg the programme by an advisory committee composed 
of representatives of the Member States. This connnittee wfll conduct regular examinations of a broad 
range of problems and advise die Commission on die levels of priority to be given to die actions 
proposed. 
The programme wiil mainly involve supporting projects undertaken in die Member States. 
Projects submitted will be selected on the basis of the following criteria: 
conformity with at least one of the defined objectives» 
examinailon of the project's "Comnmniry added value" (transnational participation, 
development cf a model applicable in other Member States, information useable in other 
Member States» etc.), 
clarity and justification of die stated objectives, 
appropriateness of the methodology chosen, 
die proposing organisation's competence and experience, 
commensurateness of the project's budget with die stated objectives, 
. support for the project from the national authorities. 
9.3 Monitoring and evaluation of projects 
Selected performance indicators 
- Results and conclusions of die meetings of experts. 
Analysis of proceedings of coUoquia and of die lists of participants (in terms both of 
quality and numbers). 
Esthnation of the target population affected, and media impact 
Evaluation of certain projects by Commission officials and/or collaborators (financial and 
technical aspects). 
Analysis of interim reports on the actions funded, so that corrective measures can be 
applied if necessary. 
Entrostment of certain impact studies to outside organisations. 
Appropriateness of the methodology used by the organisers. 
Commensurateness of die project's budget with the objectives. 
Clarity of the stated objectives. 
Competence and experience of the organisations involved. 
Dissemination of the results. 
T^iihiatiftn «Y**»"* and ftwimwBr of mirations 
PrtaHfrWrnr nf interim and final reports on the various actions undertatan. 
Devetooment of a standard "actionem 
with thWfinal reports, and checking of these forms by officials (either in the 
Commission or on die spot). 
9.4 Compatibility with the financial programme 
Is the action covered by die DG's financial programme for me years concerned? 
Oiûyme objectives are fixed in advaiice.^ 
to the competent department in die course of the year. 
Actions are selected on the basis of criteria such as: 
compatibility with die objectives, 
the "Community added-valne1^ 
expected effectiveness and profitability, 
population targeted or reached by die action. 
10. Aà^nist^veerpenifitiire 
Pfrrnml ne^fld solriv far the action itself 
madoltiontomeexisthigpersonnel (One Aofficial, one Anational expert, and^mreeextra-muros 
staff comprising two at B level and one at C level), mere will need to be four A officials, one 
B official;aiidtwo C officials. The addMoiial staff could be obtamed by a redM 
whhin the Commission's departments. 
Staff rTpmprfations required 
Tne estimated appropriations needed are 693,000 in 1994. 
14 
ISSN 0254-1475 
COM(93) 453 final 
DOCUMENTS 
EN 05 
Catalogue number : CB-CO-93-500-EN-C 
ISBN 92-77-59544-2 
Office for Official Publications of the European Communities 
L-2985 Luxembourg 
2Q