natgillin/translations-raw huggingface dataset:
However, this is a good time for building on these achievements by: • developing sharper priorities that are driven by stakeholder expectations and citizens’ needs as well as meeting policy goals and high standards of probity; • monitoring its activities against not only the aims of each project but also the overall aims of the programme decision; • communicating its priorities and actions more crisply to stakeholders, and targeting tailored messages to members of the wider public health community. 
Detta r dock ett bra tillflle att dra nytta av dessa resultat genom att Ľ ta fram tydligare prioriteringar som bygger p de berrda parternas frvntningar och medborgarnas behov och ven uppfylla politiska ml och hga krav p redbarhet, Ľ vervaka verksamheterna inte enbart i frhllande till syftet med varje projekt utan ven i frhllande till det vergripande syftet med programbeslutet, Ľ p ett tydligare stt meddela sina prioriteringar och tgrder till berrda parter och ge skrddarsydda budskap till medlemmar i folkhlsosamhllet i stort.
Understanding what is required to deliver this would be facilitated by developing a logic model capable of tracing the precise causal relationships that are anticipated to connect the programme activities to its intended outcomes.’ 
Det skulle bli lttare att frst vad som krvs fr att stadkomma detta om det fanns en logisk modell som kan identifiera de exakta orsakssamband som frvntas koppla programverksamheten till dess avsedda utfall.
(Wija J. Oortwijn et al, Interim evaluation of the Public Health Programme 2003–08. 
(Wija J. Oortwijn et al, Interim evaluation of the Public Health Programme 2003Đ2008.
Special Report No 2/2009 — The European Union’s Public Health Programme (2003–07): an effective way to improve health? PROGRAMME OBJECTIVES NEITHER SPECIFIC, NOR MEASURABLE OR TIME-DEPENDENT 19. 
Srskild rapport nr 2/2009 Đ Europeiska unionens folkhlsoprogram (2003Đ2007): Ett ndamlsenligt stt att frbttra hlsan? PROGRAMMLEN R VARKEN SPECIFIKA, MTBARA ELLER TIDSBUNDNA 19.
Objectives are defined, in the Commission’s activity-based management (ABM) system, as the desired effects of an activity. 
I kommissionens verksamhetsbaserade frvaltningssystem faststlls mlen ssom de nskade efffekterna av en verksamhet.
They should not be a description of the activity itself, but rather illustrate the change to be achieved by that activity25. 
De ska inte vara en beskrivning av sjlva verksamheten utan i stllet illustrera den frndring som ska uppns genom denna verksamhet25.
In fact, as illustrated by the ‘health determinants’ strand, the PHP programme decision listed the possible activities in very broad and general terms. 
Ssom illustreras av komponenten Óbestmningsfaktorer fr hlsanÓ rknade man i beslutet om folkhlsoprogrammet upp de mjliga verksamheterna i mycket allmnna ordalag.
The global policy objective, ‘to promote health and prevent disease through addressing health determinants across all policies and activities’, was not broken down into specific, measurable and time-dependent targets (see Box 4). 
Det vergripande politiska mlet Óatt frmja hlsa och frebygga sjukdomar genom att beakta faktorer som pverkar hlsan i samband med all politik och alla tgrderÓ delades inte upp i specifika, mtbara och tidsbundna ml (se textruta 4).
It is not obvious from the programme decision how these activities are expected to contribute to the broad policy objective of promoting health and preventing disease, or how achievement of this global objective could be assessed. 
I programbeslutet framgr det inte tydligt hur dessa verksamheter frvntas bidra till det omfattande politikmlet att frmja hlsa och frebygga sjukdom och inte heller hur uppfyllelsen av detta vergripande ml kan bedmas.
ABSENCE OF STRATEGIC PLANNING AND LACK OF PRIORITY-SETTING 22. 
DET SAKNAS STRATEGISK PLANERING OCH INGA PRIORITERINGAR HAR FASTSTLLTS 22.
If spending programmes are to have any measurable impact, they need to be concentrated on selected activities that are identified through strategic planning according to a rigorous set of priorities. 
Om utgiftsprogram ska ha ngon mtbar effekt mste de inriktas p utvalda verksamheter som identifieras genom strategisk planering enligt en strikt uppsttning prioriteringar.
The number of priorities should be commensurate with the available budget, as having too many priorities will reduce the chances of achieving impact in any individual area. 
Antalet prioriteringar br motsvara den disponibla budgeten eftersom mjligheterna att uppn effekt p ngot enskilt omrde minskar om det finns alltfr mnga prioriteringar.
Each year the EU Member States spend an average of 1 400 euro per capita on health27. 
Varje r gr EU:s medlemsstater av med cirka 1 400 euro per capita till hlsa27.
While this expenditure includes health promotion and health information measures, the bulk of it is related to delivery of health services and medical care, which the Treaty makes the exclusive remit of Member States. 
I denna utgift ingr visserligen hlsofrmjande tgrder och hlsoinformation, men huvuddelen av utgifterna gr till att tillhandahlla hlsotjnster och medicinsk vrd, vilket enligt frdraget faller under medlemsstaternas exklusiva behrighet.
25 European Commission, SPP/ABM guide, second edition, October 2004, p. 
25 Europeiska kommissionen, SPP/ABM guide, andra upplagan, oktober 2004, s.
26 Article 27(3) of Council Regulation (EC, Euratom) No 1605/2002 of 25 June 2002 on the Financial Regulation applicable to the general budget of the European Communities (OJ L 248, 16.9.2002, p. 1). 
26 Artikel 27.3 i rdets frordning (EG, Euratom) nr 1605/2002 med budgetfrordning fr Europeiska gemenskapernas allmnna budget (EGT L 248, 16.9.2002, s. 1).
27 WHO Regional Office for Europe, Copenhagen, ‘Public expenditure on health, purchasing power parity euro per capita, WHO estimates for 2003–05’, Health for All database (HFA-DB), (http://www.euro.who. int/hfadb), October 2008. 
27 WHO:s regionalkontor fr Europa, Kpenhamn, Public expenditure on health, purchasing power parity euro per capita, WHO estimates for 2003Đ2005, Health for All database (HFA-DB), (http://www.euro.who.int/hfadb), oktober 2008.
16 Special Report No 2/2009 — The European Union’s Public Health Programme (2003–07): an effective way to improve health? 
16 Srskild rapport nr 2/2009 Đ Europeiska unionens folkhlsoprogram (2003Đ2007): Ett ndamlsenligt stt att frbttra hlsan?
2 The objective is not measurable or quantifiable, no performance indicators are defined. 
2 Mlet r varken mtbart eller kvantifierbart, inga resultatindikatorer har faststllts.
3 On the basis of the ‘activities’ stated in the programme decision as ‘objectives’, it is achievable at least to some degree. 
3 P grundval av de ÓverksamheterÓ som angetts i programbeslutet som ÓmlÓ r det uppnbart tminstone i viss utstrckning.
4 No time span is indicated. (so that progress can be checked) Achievable Relevant Measurable SMART criteria Special Report No 2/2009 — The European Union’s Public Health Programme (2003–07): an effective way to improve health? 
4 Inget tidrymd r angiven. Specifikt Mtbart SMART-kriterier Uppnbart Relevant (med en tidsfrist) Srskild rapport nr 2/2009 Đ Europeiska unionens folkhlsoprogram (2003Đ2007): Ett ndamlsenligt stt att frbttra hlsan?
The PHP budget of approximately 59 million euro per year assigned to health promotion and information measures, and to countering health threats, amounts to 13 cents for each European citizen. 
Folkhlsoprogrammets budget fr att frmja och informera om hlsa och hantera hot mot folkhlsan p cirka 59 miljoner euro per r uppgr till 13 cent per europeisk medborgare.
In this situation, an appropriate response by the EU would be to target its relatively small budget on a few selected priority activities in areas of clear European added value — those issues which can be most effectively addressed at international level. 
Ett lmpligt tillvgagngsstt frn EU skulle i denna situation vara att inrikta den relativt lilla budgeten p ett ftal utvalda prioriterade verksamheter p omrden dr det europeiska mervrdet r tydligt, det vill sga p frgor som effektivast kan tgrdas p internationell niv.
The priorities to be addressed in the field of public health are set out in AWPs, which provide a source of guidance for project proposers. 
De prioriteringar som ska tgrdas p folkhlsoomrdet faststlls i de rliga arbetsplanerna, som r en klla till vgledning fr dem som lgger fram frslag.
The AWPs for 2003–07 contained extensive lists of topics for each programme strand, covering a broad range of issues. 
De rliga arbetsplanerna fr 2003Đ2007 innehll utfrliga frteckningar ver mnen fr varje programkomponent och tckte ett brett spektrum av frgor.
Each year, nine such topics were proposed under the ‘health determinants’ strand (with an annual budget of approximately 18 million euro). 
Varje r freslogs nio sdana mnen enligt komponenten Óbestmningsfaktorer fr hlsanÓ (med en rsbudget p cirka 18 miljoner euro).
A further three areas were funded in some but not all years28 (see Annex I). 
Ytterligare tre omrden fick finansiering en del men inte alla r28 (se bilaga I).
Between one and seven annual areas for potential action were set, ranging from specific to general, for each of these nine topics (see examples in Box 5). 
Mellan ett och sju rliga omrden fr eventuella tgrder, svl srskilda som allmnna, faststlldes fr vart och ett av dessa nio mnen (se exempel i textruta 5).
These annual ‘action areas’ were defined in terms of activities for which project proposals could be submitted, not as objectives towards which progress could be assessed. 
Dessa rliga ÓtgrdsomrdenÓ faststlldes i form av verksamheter fr vilka projektfrslag kunde lmnas in och inte som ml mot vilka framsteg skulle kunna bedmas.
As a result, the AWPs for 2003–07 set a total of 154 ‘action areas’ for the ‘health determinants’ strand alone. 
Som en fljd av detta faststlldes totalt 154 ÓtgrdsomrdenÓ i de rliga arbetsplanerna fr 2003Đ2007 enbart nr det gllde komponenten Óbestmningsfaktorer fr hlsanÓ.
During the same period, only 149 projects were funded under that programme strand, meaning that, even under optimum circumstances, not all of these areas could be tackled through a project. 
Under samma period finansierades endast 149 projekt enligt denna programkomponent, vilket innebar att man inte ens under optimala frhllanden skulle kunna ta itu med alla dessa omrden genom ett projekt.
In reality, coverage of priorities was even lower because several projects addressed the same ‘action areas’. 
I sjlva verket var omfattningen av prioriteringar till och med nnu mindre eftersom flera projekt inriktade sig p samma ÓtgrdsomrdenÓ.
Moreover, broad health topics like nutrition, alcohol and mental health were often only addressed by one or two projects in a given year (see Annex I). 
Dessutom behandlades ofta breda hlsofrgor som ÓkostÓ, ÓalkoholÓ och Ópsykisk hlsaÓ av endast ett eller tv projekt under ett visst r (se bilaga I).
Since organisations and consortia were invited to apply for funding under often very general headings (see examples in Box 5), proposals submitted to the Commission very often lacked strategic focus. 
Eftersom organisationer och konsortier uppmanades att anska om finansiering enligt ofta mycket allmnna rubriker (se exempel i textruta 5) saknade de frslag som lmnades in till kommissionen mycket ofta strategisk inriktning.
This is a problem in particular in areas where projects were expected to provide background studies or otherwise contribute to policy development. 
Detta r srskilt ett problem p omrden dr projekten frvntades tillhandahlla bakgrundsstudier eller p annat stt bidra till utvecklingen av politiken.
In these areas, tendering (and the use of service contracts) allows for a more precise definition of the expected deliverables. 
P dessa omrden gr upphandlingen (och anvndningen av tjnstekontrakt) det mjligt att mer exakt definiera de frvntade resultaten.
This was however limited to a maximum of 10 % of the PHP budget. 
Ett vre tak p maximalt 10 % av folkhlsoprogrammets budget faststlldes dock.
This ceiling has been increased to 20 % under PHP2 (see Box 2). 
Taket kade till 20 % i det andra folkhlsoprogrammet (se textruta 2).
18 Special Report No 2/2009 — The European Union’s Public Health Programme (2003–07): an effective way to improve health? 
18 Srskild rapport nr 2/2009 Đ Europeiska unionens folkhlsoprogram (2003Đ2007): Ett ndamlsenligt stt att frbttra hlsan?
(2005) Nutrition and physical activity ‘Develop innovative measures to improve dietary habits and physical activity habits in all population groups.’ (2003) Mental health ‘Building on the review of existing best practices, develop strategies for implementation of interventions in relevant settings aiming at promoting mental health and preventing depression, suicide and related disorders.’ (2003) Sexual and reproductive health ‘Taking account of information from the health monitoring system, develop health promotion strategies and define best practices to address sexual education (teenage pregnancy, family planning) and prevention of sexually transmitted diseases such as HIV/AIDS, including consideration of approaches in school settings and those targeting specific groups.’ 
Tonvikten kommer att lggas vid att frebygga sjlvmord och depressioner.Ó (2003) Sexuell och reproduktiv hlsa ÓInformationen frn systemet fr hlsovervakning br ligga till grund fr att utveckla strategier fr hlsofrmjande, faststlla bsta metoder i frga om sexualundervisning (tonrsgraviditeter, familjeplanering) och frebygga sexuellt verfrbara sjukdomar som t.ex. hiv/aids, bland annat genom insatser i skolmilj och insatser som inriktas p specifika grupper.Ó (2004) Frebyggande av personskador ÓStd kommer att ges till ett utbyte av bsta praxis i frga om barnskerhet fr alla medlemsstater, EES-lnderna och kandidatlnderna och till att anordna en europeisk konferens fr att frmja barnskerhet.
(2006) Environmental determinants ‘Priority will be given in 2004 to actions which support the development of health and environment policies and strategies, and the integration of health and environment concerns in other Community policies. A specific focus will be on the provision of advice and expertise to develop activities, including legislative work and other initiatives on health aspects related to the environment, particularly in relation to air pollution (including indoor air pollution) and electromagnetic fields.’ 
Srskild tonvikt kommer att lggas vid rdgivning och tillhandahllande av sakkunskap fr att ta fram tgrder, t.ex. lagstiftning och andra initiativ om hlsoaspekter p milj, i synnerhet i samband med luftfroreningar (ven inomhus) och elektromagnetiska flt.Ó Socioekonomiska bestmningsfaktorer ÓAtt ta itu med socioekonomiska bestmningsfaktorer kommer ven fortsttningsvis att vara en av huvudprioriteringarna i programmet.
INDICATORS AT PROGRAMME LEVEL INADEQUATE TO MONITOR ACHIEVEMENTS 29. 
INDIKATORER P PROGRAMNIV R OTILLRCKLIGA F R ATT VERVAKA RESULTAT 29.
Under ABM, the Commission DGs are required to define clear, meaningful and logically linked objectives for their activities, and to identify appropriate performance indicators for monitoring achievement. 
Enligt ABM r kommissionens generaldirektorat skyldiga att faststlla klara, meningsfulla och logiskt sammankopplade ml fr sina verksamheter och identifiera lmpliga resultatindikatorer fr att vervaka insatserna.
Indicators should be defined both for impact (difference made to the target group) and output (means through which the difference will be brought about)29. 
Man br faststlla indikatorer fr bde inverkan (den frndring som stadkommits fr mlgruppen) och output (verktyg med hjlp av vilka frndringen ska stadkommas)29.
The absence from the PHP decision or the AWPs of an explicit intervention logic and specific, measurable and time-dependent objectives impeded the development of such performance indicators. 
Det faktum att det saknades en tydlig interventionslogik och specifika, mtbara och tidsbundna ml i beslutet om folkhlsoprogrammet och de rliga arbetsplanerna hindrade utarbetandet av resultatindikatorer.
For example, DG SANCO’s annual management plans did not include any impact indicator for the ‘health determinants’ objective until 2006. 
I de rliga arbetsplanerna vid GD Hlso-och konsumentfrgor ingick till exempel inte ngon effektindikator fr mlet Óbestmningsfaktorer fr hlsanÓ frrn 2006.
The impact indicator Healthy Life Years (measuring the number of years that a person of a certain age can expect to live without ill health) was the outcome of a project co-financed by the Commission and was specified as a Lisbon structural indicator in 2005. 
Effektindikatorn Ófriska levnadsrÓ (som mter det antal r som en person i en viss lder kan frvntas leva utan dlig hlsa) var resultatet av ett projekt som medfinansierades av kommissionen och specificerades som en strukturindikator i Lissabonstrategin 2005.
31. However, even the impact indicator subsequently developed was still too general to be used for monitoring or evaluation and was not linked to any quantified target. 
31. ven om en effektindikator sedan togs fram var den fortfarande alltfr allmn fr att kunna anvndas till vervakning eller utvrdering, och den var inte kopplad till ngot kvantifierbart ml.
As the example illustrates, the impact indicator was framed as an objective rather than a way to measure achievements (see Box 6). 
Ssom exemplet visar var effektindikatorn mer utformad som ett ml n som ett stt att mta insatser (se textruta 6).
29 European Commission, Secretariat General: SPP/ABM guide, second edition, October 2004, p. 
29 Europeiska kommissionen, generalsekretariatet: SPP/ABM guide, andra upplagan, oktober 2004, s.
26 ff. 
26 ff.
20 BOX 6 IMPACT INDICATOR FOR PHP ‘HEALTH DETERMINANTS’ STRAND IN THE 2006 AMP ‘Increase awareness and response from stakeholders and public policy, with regard to lifestyle-related health determinants, particularly concerning nutrition and physical activity, alcohol and diseases with a key public health relevance.’ Special Report No 2/2009 — The European Union’s Public Health Programme (2003–07): an effective way to improve health? 
20 TEXTRUTA 6 EFFEKTINDIKATOR F R FOLKHLSOPROGRAMMETS KOMPONENT ÓBESTMNINGSFAKTORER F R HLSANÓ I DEN RLIGA F RVALTNINGSPLANEN F R 2006 ka medvetenheten och responsen frn berrda parter och offentlig politik med hnsyn till livsstilsrelaterade bestmningsfaktorer fr hlsan, srskilt nr det gller kost och motion, alkohol och sjukdomar med stor relevans fr folkhlsan. Srskild rapport nr 2/2009 Đ Europeiska unionens folkhlsoprogram (2003Đ2007): Ett ndamlsenligt stt att frbttra hlsan?
The situation has improved recently, in that the activity statements for the 2009 preliminary draft budget set impact indicators and quantified targets in relation to the public awareness of certain health determinants (see Box 7). 
Situationen har frbttrats p senare tid p det sttet att man i verksamhetsfrklaringarna i det preliminra budgetfrslaget fr 2009 faststller effektindikatorer och kvantifierade ml i frhllande till allmnhetens medvetenhet om vissa bestmningsfaktorer fr hlsan (se textruta 7).
However, at the time of this report the Commission had not yet used these indicators to assess the effectiveness of the PHP as a whole or of individual projects. 
Nr denna rapport skrevs hade dock kommissionen nnu inte anvnt dessa indikatorer fr att bedma hur ndamlsenligt folkhlsoprogrammet var som helhet eller i enskilda projekt.
In fact, the audit found that the Commission had not set up an adequate monitoring system at any stage which would have enabled it to carry out such a performance measurement (see paragraphs 70 to 73). 
Vid revisionen upptckte revisionsrtten att kommissionen inte hade inrttat ett lmpligt vervakningssystem i ngot skede vilket skulIe ha gjort det mjligt att mta resultaten (se punkterna 70Đ73).
21 BOX 7 SELECTED INDICATORS FOR THE OBJECTIVE OF ‘FOSTERING GOOD HEALTH IN AN AGEING EUROPE’ IN THE 2009 AMP • ‘Level of public awareness of unhealthy behaviours and lifestyle-related health risks and health determinants, in particular on nutrition, physical activity and alcohol’ to be raised from 66 % to 80 %; • ‘Share of citizens who have their blood pressure measured each year’ to be raised from 59 % to 80 %; • ‘Share of population aware of the health risks of tobacco smoke for non-smokers’ raised from 75 % to 80 %. 
21 TEXTRUTA 7 UTVALDA INDIKATORER F R MLET ÓFRMJA GOD HLSA I ETT LDRANDE EUROPAÓ I DEN RLIGA F RVALTNINGSPLANEN F R 2009 Ľ Allmnhetens medvetenhet om ohlsosamt beteende och livsstilsrelaterade hlsorisker samt bestmningsfaktorer fr hlsan, srskilt nr det gller kost, motion och alkohol, ska ka frn 66 % till 80 %. Ľ Andel medborgare som mter sitt blodtryck varje r ska ka frn 59 % till 80 %.
Special Report No 2/2009 — The European Union’s Public Health Programme (2003–07): an effective way to improve health? PROGRAMME IMPLEMENTATION: FROM PROJECT DESIGN TO RESULTS 34. 
Srskild rapport nr 2/2009 Đ Europeiska unionens folkhlsoprogram (2003Đ2007): Ett ndamlsenligt stt att frbttra hlsan? PROGRAMGENOMF RANDE: FRN PROJEKTUTFORMNING TILL RESULTAT 34.
For a programme to be effective, its projects need to achieve positive results. 
Fr att ett program ska bli ndamlsenligt mste dess projekt uppn positiva resultat.
This is more likely to be the case if, before a project is launched, its objectives, target groups and intended results have been defined and it has been identified how the results will produce the intended impacts. 
Det r sannolikare att detta blir fallet om man har faststllt ml, mlgrupper och frvntade resultat och identifierat hur resultaten kommer att stadkomma den frvntade effekten innan projektet startar.
In this policy area, effective implementation also requires from the Commission, as programme manager, that (a) it has an adequate overview of its project portfolio to ensure coherence and consistency; and (b) the projects funded clearly demonstrate European added value (EAV). 
Fr att ett program ska genomfras p ett ndamlsenligt stt inom detta politikomrde krvs det ocks att kommissionen i sin egenskap av programfrvaltare a) har tillrcklig verblick ver sin projektportflj fr att garantera enhetlighet och konsekvens, b) ser till att de finansierade projekten tydligt visar europeiskt mervrde.
PROJECT OBJECTIVES NOT SPECIFIC, VERIFIABLE AND QUANTIFIABLE 35. 
PROJEKTMLEN R VARKEN SPECIFIKA, KONTROLLERBARA ELLER KVANTIFIERBARA 35.
Projects should be designed in a way that makes it likely they will be effective. 
Projekt br utformas p ett sdant stt att det r sannolikt att de blir ndamlsenliga.
As at programme level, an important part of project design is to set SMART objectives; these should be logically derived from the policy objectives as defined in the programme decision. 
P programniv r en viktig del av projektutformningen att faststlla SMART-ml.
The Court’s analysis of the grant agreements for the audited projects showed that promoters presented a mixture of activities and outputs rather than objectives when submitting their proposals. 
Revisionsrttens analys av bidragsverenskommelserna fr de granskade projekten visade att projektledarna hade presenterat en blandning av verksamheter och output i stllet fr ml nr de lmnade in sina frslag.
Typical project ‘objectives’ were the exchange of information between organisations in the field, capacity-building and the promotion of ‘good practices’ (see Box 8). 
Typiska projektml var informationutbyte mellan organisationer p omrdet, kapacitetsuppbyggnad och frmjande av god praxis (se textruta 8).
30 ‘Rules, criteria and procedures for the selection and funding of actions under the public health programme’ (OJ C 62, 15.3.2003). 
30 Bestmmelser, kriterier och frfaranden fr urval och finansiering av tgrder i folkhlsoprogrammet (EUT C 62, 15.3.2003).