CELEX: 51993PC0453
Language: en
Date: 1993-09-29
Title: 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

COMVIISSION OF THE EUROPEAN COMV1UNITIES
                                                  C0M(93) 453 f i n a l
                                                  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)
 ---pagebreak---                              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.
 ---pagebreak--- 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.
 ---pagebreak--- 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.
 ---pagebreak---  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
 ---pagebreak--- 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.
 ---pagebreak--- 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.
 ---pagebreak--- 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
 ---pagebreak---        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
 ---pagebreak--- 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
 ---pagebreak--- 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
 ---pagebreak---                                          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
 ---pagebreak--- 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
 ---pagebreak--- 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-
 ---pagebreak---   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
 ---pagebreak--- 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
 ---pagebreak---  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)
    O J N o C 10 of 16 1.1990, p. 3
 ---pagebreak--- 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.
 ---pagebreak---                                   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 theframeworkof 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 thefightagainst 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 infatravenousdrug 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
 ---pagebreak---    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
 ---pagebreak--- 7.        financial impact
7 T       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 budgetfor1994, but the Council has adopted a budget
          of only ECU 8.3 million.
7.2      Breakdown of die cost of die action:
  BREAKDOWN
    L Assessment ot knowledge and benaviour            "995300—-               996.U0CT
  i. intorming and increasing me awareness ot          498.000                 498.000
  the public
  X Meaitn education tor young people'                 913.000                 1.263.0UU
  4. iTeveagûtt ot m v transmission"
   5. Social support, counselling, treali near         1.660.000               1.660.000
| o. estimating me cost ot managing m v                249.000
   infection
   7. Data collection                                  249.000                 249.000
   ». linnancementotnnman resources                    1.577.000
  y. Measures to comnat ajscnmmation                   415.000                 4L5.000
  HIV-infected persons
                        TOIAX                          8300.000                y.ooo.ooo
                                              at
 ---pagebreak--- F
  IrSESfflOWN—-
    l. Assessment ot Knowledge and behaviour                     996.000
    2. Measures armed at cniinrea ana young people"           2.526.000
    3. .Prevention ot JMUV transmission""                     2.204.000
    4. social support ana counselling                         1.660.000
    5. Data collection                                           249.0UU
    o. Measures to comoat atscrmnnation                          H5.000
    7. coorrtrnation with, other progiaiiimes                    250.000
                               rorsn                          8.300.000
  8.      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.
  9.       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.
                  BoosttoMember States in the development of their own AIDS prevention measures, In
                  their intra^imrmmity cooperation and in accesstofefibrmation,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
 ---pagebreak---        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.
 ---pagebreak---         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 thefinancialprogramme
                  Is the action covered by die DG'sfinancialprogramme for me years concerned?
Oiûyme objectives arefixedin 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 solrivfarthe 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 befourA officials, one
          B official;aiidtwo C officials. The addMoiial staff could be obtamed by a r e d M
          whhin the Commission's departments.
          Staff rTpmprfations required
          Tne estimated appropriations needed are 693,000 in 1994.
                                                 14
 ---pagebreak---                                                                      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
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