natgillin/translations-raw huggingface dataset:
Particularly positive aspects of these types of project were: (a) they were targeted on poverty-related issues and often provided basic services in remoter areas where government services were less present; (b) in sensitive areas such as HIV/AIDS many people, particularly youth, preferred to be assisted by NGOs rather than visit government health services; (c) these projects were easier than larger EDF projects for the Commission to supervise, and hence less prone to delay, since all project activities came under one NGO contract; (d) the projects provided high visibility for relatively low funding. 
Srskilt positiva aspekter av denna typ av projekt var fljande: a) De var inriktade p fattigdomsrelaterade frgor och tillhandahll ofta grundlggande tjnster i mer avlgsna omrden dr statliga inrttningar inte var lika tillgngliga. b) P knsliga omrden som hiv/aids vnde sig mnga mnniskor, srskilt ungdomar, hellre till enskilda organisationer n till statliga hlsovrdsinrttningar. c) Fr kommissionen var det lttare att vervaka dessa projekt n strre EUF-projekt.
In general, as noted in a recent evaluation of the health budget lines30, the weak point of such projects is their sustainability and wider impact because: (a) although the regulations governing the health general budget lines were intended to promote innovative projects, the fact that Commission procedures do not foresee the involvement of national health officials meant that projects were less likely to be taken up into national policies; (b) the Commission has not established a system to ensure that the lessons learned from successful projects are systematically disseminated; (c) although successful projects could have been scaled up using EDF financing, this relied on health being selected as a focal sector and delegations and national officials being well-informed on the project at the time of programming, none of which has generally been the case. 
Ssom konstaterats i en nyligen gjord utvrdering av budgetposterna fr hlso-och sjukvrd30 r den svaga punkten i dessa projekt i regel hllbarheten och det faktum att de kunde ha haft en strre inverkan p grund av fljande: a) Trots att mlet med de frordningar som styr de allmnna budgetposterna fr hlso-och sjukvrd var att frmja innovativa projekt innebar det faktum att kommissionens frfaranden inte frutser att nationella tjnstemn p hlsoomrdet ska medverka att det var mindre sannolikt att projekt skulle integreras i den nationella politiken. b) Kommissionen har inte faststllt ngot system fr att se till att lrdomar frn framgngsrika projekt fr systematisk spridning. c) Man hade kunnat anvnda EUF-finansiering fr att strka framgngsrika projekt.
A further concern is that while the projects themselves have a poverty focus, the award of projects does not adequately take into account the poverty levels of different countries. 
Ett annat bekymmer r att trots att projekten r fattigdomsinriktade beaktar man inte p lmpligt stt graden av fattigdom i olika lnder vid tilldelningen av projekt.
The NGO co-financing regulation has increasingly sought to address this issue by reducing the number of eligible countries. 
I frordningen om samfinansiering med enskilda organisationer har man i strre utstrckning frskt tgrda detta problem genom att minska antalet stdberttigande lnder.
30 Appraisal of the two legal bases on health, AIDS and population, Ecorys Research and Consulting, November 2006. 32 Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 
30 Appraisal of the Two Legal Bases on Health, AIDS and Population, Ecorys Research and Consulting, november 2006. 33 Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara
Each of these projects covered at least two, and generally several, countries and the countries did not border each other. 
Varje projekt omfattade tminstone tv och i allmnhet flera lnder, som inte grnsade till varandra.
As for intra-ACP projects, they were assessed as performing less well than projects carried out in a single country. 
Projekt mellan AVS-lnderna bedmdes prestera mindre bra n projekt som genomfrdes i ett enda land.
The projects suffered from both the difficulty NGOs had in implementing often complex projects across several countries in different regions and the difficulty the Commission headquarters had in monitoring these projects. 
Projekten led bde av att de enskilda organisationerna hade svrt att genomfra de ofta komplexa projekten i flera lnder i olika regioner och av att kommissionens huvudkontor hade svrt att vervaka projekten.
GLOBAL FUND THE COMMISSION’S MANAGEMENT OF ITS SUPPORT TO THE GLOBAL FUND The Commission played an important role in the setting up of the Global Fund but has done little to support or monitor it at country level 56. 
GLOBALA FONDEN KOMMISSIONENS F RVALTNING AV ST DET TILL GLOBALA FONDEN Kommissionen spelade en viktig roll vid inrttandet av globala fonden men har gjort lite fr att stdja eller vervaka den i de olika lnderna 56.
In the framework of its ‘accelerated action’ policy (see paragraph 2), the Commission has made a significant contribution to the establishment of the Global Fund. 
Inom ramen fr sin politik Ópskyndade insatserÓ (se punkt 2) har kommissionen bidragit stort till inrttandet av globala fonden.
It is represented on the Board and is consequently in a position to influence the overall principles according to which it operates (see Box 5). 
Den har en fretrdare i styrelsen och kan drfr pverka de vergripande principer som globala fonden fljer (se ruta 5).
The Global Fund has quickly become a major player in tackling HIV/AIDS, tuberculosis and malaria and by 2007 it had approved grants of 8 947 million USD for 136 countries, of which almost 60 % has been for sub-Saharan Africa. 
Globala fonden har snabbt blivit en viktig aktr i bekmpningen av hiv/aids, tuberkulos och malaria. Fram till 2007 hade den godknt bidrag fr 8 947 miljoner US-dollar till 136 lnder, av vilka nstan 60 % gick till Afrika sder om Sahara.
Over the period 2001–07, the Commission disbursed a total of 622,5 million euro to the Global Fund from the EDF intra-ACP funds (330 million euro) and the health general budget lines (292,5 million euro). 
Under perioden 2001Đ2007 betalade kommissionen totalt ut 622,5 miljoner euro till globala fonden frn de EUF-medel som var avsatta till projekt mellan AVS-lnder (330 miljoner euro) och de allmnna budgetposterna fr hlso-och sjukvrd (292,5 miljoner euro).
This represented 8,1 % of total contributions to the Global Fund, making the Commission the fourth biggest contributor. 
Detta belopp motsvarade 8,1 % av de totala bidragen till globala fonden, vilket gjorde kommissionen till den fjrde strsta bidragsgivaren.
However, a recent evaluation of the management of the Global Fund has noted that the Global Fund may experience difficulties in absorbing the increased contributions pledged by donors31. 
I en nyligen gjord utvrdering av frvaltningen av globala fonden noterades dock att globala fonden kan f svrt att absorbera de kade bidrag som utlovats av givarna31.
This reflects both the lack of capacity of some countries to translate their need for assistance into grant proposals of an acceptable standard and also their subsequent inability to disburse grants received. 
Detta visar bde att en del lnder inte har kapacitet att omvandla sitt behov av std till bidragsfrslag av en godtagbar standard och ocks att de inte kan betala ut de mottagna bidragen.
The significant role played by the Commission headquarters in the setting up of the Global Fund, as well as the considerable resources it has allocated to it, are in contrast to the limited role played in relation to the Global Fund by most Commission delegations. 
Den viktiga roll som kommissionens huvudkontor spelade vid inrttandet av globala fonden och ven de betydande resurser som den har beviljat, str i kontrast till den mer begrnsade roll som de flesta delegationerna spelar i globala fonden.
Guidance notes issued by Commission headquarters did not instruct but only ‘encouraged’ delegations to support Global Fund operations. 
I de anvisningar som kommissionens huvudkontor har utfrdat instruerades inte utan endast ÓuppmuntradesÓ delegationerna att stdja insatser inom globala fonden.
In none of the three main areas earmarked by Commission headquarters for delegations’ involvement have they played an active role: (a) actively participating in Global Fund country coordinating mechanisms (CCM) and help strengthen them: according to the Court’s survey, only 35 % of delegations participate in the CCMs. 
Delegationerna spelade ingen aktiv roll p ngot av de tre huvudomrden dr kommissionens huvudkontor hade bestmt att de skulle delta: a) Aktivt delta i globala fondens landssamordningsmekanismer (Global Fund Country Coordinating Mechanisms, CCM) och hjlpa till att strka dem: enligt revisionsrttens underskning deltar endast 35 % av delegationerna i CCM.
The most common reasons given for not attending were insufficient staff in the delegations and the fact that the health sector was not a focal sector for the Commission; (b) reporting on aspects of the Global Fund functioning in country: according to the Court’s survey, just 8 % of delegations reported regularly to Commission headquarters, 59 % reported occasionally while one third had never reported. 
De vanligaste sklen som angavs fr att frklara delegationernas frnvaro var personalbrist och det faktum att hlso-och sjukvrden inte var ett centralt omrde fr kommissionen. b) Rapportera om aspekter av den globala fondens funktion i de olika lnderna: enligt revisionsrttens underskning rapporterade endast 8 % av delegationerna regelbundet till kommissionens huvudkontor, 59 % rapporterade ibland, medan en tredjedel aldrig hade rapporterat.
While the Commission is on the Global Fund board, its lack of feedback on Global Fund operations from delegations has reduced its capacity to act at this level to improve the effectiveness of operations; (c) providing technical assistance for developing grant proposals and assisting implementation: in the face of the lack of capacity of national bodies to draw up grant proposals and then implement them (see paragraph 57), the Global Fund has particularly stressed the need for the international community to provide technical assistance in sub-Saharan Africa to address this problem, but the Commission has not responded to this need. 31 Evaluation of the organisational effectiveness and efficiency of the Global Fund to fight AIDS, tuberculosis and malaria’. October 2007 (Macro Consultancy). 
Kommissionen sitter i globala fondens styrelse, men delegationernas brist p terkoppling om globala fondens insatser gr det svrt fr kommissionen att agera p denna niv fr att insatserna ska bli mer ndamlsenliga. c) Tillhandahlla tekniskt bistnd fr att utarbeta bidragsfrslag och frmja genomfrandet: eftersom de nationella organen inte har kapacitet att utarbeta bidragsfrslag och sedan genomfra dem (se punkt 57) har globala fonden srskilt understrukit att det internationella samfundet mste tillhandahlla tekniskt bistnd i Afrika sder om Sahara fr att tgrda problemet. Kommissionen har dock inte gjort ngonting t detta. 31 Organisational Effectiveness and Efficiency of the Global Fund to Fight AIDS, Tuberculosis and Malaria, oktober 2007 (Macro Consultancy).
34 Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa EFFECTIVENESS OF THE GLOBAL FUND The Global Fund has made a significant contribution to tackling HIV/AIDS, malaria and tuberculosis but it depends on complementary long-term health system support from donors to become more effective 59. 
35 Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara GLOBALA FONDENS NDAMLSENLIGHET Globala fonden har bidragit stort till bekmpningen av hiv/aids, malaria och tuberkulos, men den mste kompletteras med ett lngsiktigt givarstd till hlso-och sjukvrdssystemen fr att bli mer ndamlsenlig 59.
One key measure of the effectiveness of the Global Fund is the output indicators used by the Global Fund to cover what it terms ‘Global Fund supported-programmes’.These indicators include outputs not only from programmes financed solely by the Global Fund but also from programmes which the Global Fund co-finances along with national governments and other external assistance. 
En viktig mtning av globala fondens ndamlsenlighet r de resultatindikatorer som den anvnder fr att tcka det den kallar Óprogram som fr std frn globala fondenÓ. Indikatorerna omfattar inte bara resultat av program som enbart finansieras av globala fonden utan ocks resultat av program som globala fonden samfinansierar med nationella regeringar och av annat externt bistnd.
This makes it difficult to determine what outputs can be specifically attributable to the Global Fund32. 
Drfr r det svrt att avgra vilka resultat som srskilt kan tillskrivas globala fonden32.
Nevertheless, it is clear that the Global Fund has made a major contribution to the outputs set out in Table 10. 
Det str dock klart att globala fonden har bidragit stort till de resultat som redovisas i tabell 10 nedan.
In the five countries visited, the Court noted in particular the Global Fund’s contribution to scaling up anti-retroviral (ARV) therapy and HIV/counselling and testing, but prevention of mother to child transmission (PMTCT) was proving difficult because of staffing shortages and cultural issues. 
I de fem lnder som besktes noterade revisionsrtten srskilt globala fondens bidrag till att strka behandling med antiretroviralt lkemedel (ARV) och hiv-rdgivning och hiv-provtagning, medan frebyggande tgrder mot verfring av smitta frn mor till barn (PMTCT) visade sig vara svra att genomfra p grund av personalbrist och kulturella skillnader.
More details of Global Fund interventions examined by the audit are given in Annex III. 
Nrmare uppgifter om globala fondens insatser som granskades vid revisionen finns i bilaga III.
32 Similarly it is difficult to determine from the grant performance reports on the Global Fund website for each grant financed what is the Global Fund contribution’s specific contribution to the outputs reported. GLOBAL FUND PERFORMANCE INDICATORS FOR ITS THREE SUBSAHARAN AFRICAN REGIONS AT 31 DECEMBER 2007 35 TABLE 10 HIV/AIDS % of target Activities Anti-retroviral therapy 93 % 1 100 000 people on ARV therapy HIV counselling and testing 101 % 16 million people reached Prevention of mother to child transmission (PMTCT) 64 % 100 000 HIV positive pregnant received a full course of prevention of mother-to-child transmission Support to orphans 116 % 2 million orphans provided with care and support Tuberculosis DOTS treatment 86 % 800 000 people on treatment Malaria Insecticide treated nets (ITN) 63 % 35 million nets distributed Anti-malarial treatment (ACT) 43 % 37 million malaria treatments delivered Other indicators Care and support 107 % 1,7 million people received care and support People trained 105 % 1,8 million people trained to deliver services Source: Global Fund. 
37 TABELL 10 GLOBALA FONDENS RESULTATINDIKATORER F R FONDENS TRE REGIONER I AFRIKA S DER OM SAHARA (PER DEN 31 DECEMBER 2007) Hiv/aids % av mlet Verksamheter Antiretroviral behandling 93 % 1 100 000 mnniskor i antiretroviral behandling Rdgivning och provtagning (hiv) 101 % 16 miljoner mnniskor har ntts Frebyggande tgrder mot verfring av smitta frn mor till barn (PMTCT) 64 % 100 000 hivpositiva gick en hel kurs i hur man frhindrar verfring av smitta frn mor till barn Std till frldralsa 116 % 2 miljoner frldralsa barn fick vrd och std Tuberkulos DOTS-behandling 86 % 800 000 mnniskor i behandling Malaria Myggnt behandlade med insektsmedel (ITN) 63 % 35 miljoner utdelade nt Artemisininbaserad kombinationsterapi 43 % 37 miljoner genomfrda malariabehandlingar Andra indikatorer Vrd och std 107 % 1,7 miljoner mnniskor fick vrd och std Utbildade personer 105 % 1,8 miljoner mnniskor utbildades till att tillhandahlla tjnster Klla: Globala fonden.
The Global Fund has been faced with the issue of whether it should follow a narrow interpretation of its mandate and focus exclusively on the three diseases or take a broader view and also provide funding for health systems support. In 2007 the Global Fund established a new policy position by which it would ‘provide funding for health systems strengthening within the overall framework of funding technically sound proposals focused on the three diseases’33. 
Globala fonden har vervgt om den ska gra en snv tolkning av sitt uppdrag och enbart inrikta sig p de tre sjukdomarna eller en vidare tolkning och ocks ge finansiering fr att stdja hlso-och sjukvrdssystemen. r 2007 intog globala fonden en ny politisk stndpunkt och beslutade att ge finansiering till att strka hlso-och sjukvrdssystemen inom den allmnna ramen fr finansiering av tekniskt hllbara frslag som r inriktade p de tre sjukdomarna33.
However, it is not yet clear how this concept will be implemented in practice, given the difficulty of isolating specific parts of health systems. 
Det r dock nnu oklart hur detta ska genomfras i praktiken med tanke p hur svrt det r att avgrnsa srskilda delar av hlso-och sjukvrdssystemen.
The Global Fund has, however, emphasised that the main support for health system strengthening should come from other donors: ‘There is an urgent need for their strategies to prioritise substantial long-term health system and infrastructure strengthening with additional finance’34. 
Globala fonden har dock understrukit att stdet fr att strka hlso-och sjukvrdssystemen i huvudsak br komma frn andra givare: Deras strategier mste snarast prioritera en grundlggande och lngsiktig frstrkning av hlso-och sjukvrdssystemen och infrastrukturen genom extra finansiering34.
Such finance is important both to achieve a better balance between health systems and disease-specific interventions and to make Global Fund support more effective since weaker health systems can be a bottleneck which reduces countries’ absorption capacity for Global Fund grants. 
En sdan finansiering r viktig bde fr att balansen mellan hlso-och sjukvrdssystem och sjukdomsspecifika insatser ska frbttras och fr att stdet frn globala fonden ska bli mer ndamlsenligt. Svaga hlso-och sjukvrdssystem kan bli en flaskhals som minskar lndernas frmga att absorbera bidrag frn globala fonden.
The fact that the Global Fund’s mandate is to tackle the three diseases means that the amount of support it provides to specific countries reflects more the disease burden in these areas than the overall income poverty levels in the country. 
Globala fondens uppdrag r att bekmpa dessa tre sjukdomar. Det betyder att det stdbelopp som den ger srskilda lnder mera speglar sjukdomsbrdan i dessa omrden n den vergripande fattigdomsnivn i landet.
That said, the Global Fund has had a poverty focus within countries. 
Globala fonden har dock inriktat sig p fattigdomsminskning inom lnder.
The role of the Global Fund in health system strengthening and poverty reduction are issues which have not received adequate attention from the Commission, at either board or country level. 
Globala fondens roll nr det gller att strka hlso-och sjukvrden och fattigdomsbekmpningen r en frga som inte har uppmrksammats tillrckligt av kommissionen, vare sig p styrelse-eller landniv.
This reflects the limited overall involvement of delegations in Global Fund operations and the insufficient priority Commission headquarters has given to ensuring delegations’ involvement (see paragraph 58). 
Detta visar att delegationernas medverkan i globala fondens insatser i regel har varit begrnsad och att kommissionens huvudkontor inte i tillrcklig grad har prioriterat att se till att de medverkar (se punkt 58).
COHERENT USE OF INSTRUMENTS AND INTEGRATION IN SECTORWIDE APPROACHES 63. 
KONSEKVENT ANVNDNING AV INSTRUMENT OCH INTEGRERING I SEKTORS VERGRIPANDE METODER 63.
The Commission’s overall health policy gave budget support a leading role in its strategy for assisting the health sector but stressed too the continuing relevance of other instruments. 
I kommissionens vergripande hlso-och sjukvrdspolitik fick budgetstdet en framtrdande roll i strategin fr att bist hlso-och sjukvrden, men samtidigt understrks att vriga instrument fortfarande r relevanta.
It also underlined the importance of there being a sound national health policy framework and of working within it: ‘Budget support, social sector support, programme and project support can be complementary as long as they support a nationally defined policy framework. 
Kommissionen betonade ocks hur viktigt det r att det finns en nationell ram fr en sund hlso-och sjukvrdspolitik och att man arbetar inom den: ÓBudgetstdet, stdet till den sociala sektorn samt projekt-och pro-gramstdet kan komplettera varandra s lnge de stder en nationellt faststlld politik.
Where budget support is not appropriate, Community funding will support programmes and projects within the context of a national framework and will focus on capacity building. 
I de fall dr budgetstd inte r lmpligt, kommer gemenskapsmedlen att stdja nationella program och projekt och inriktas p kapacitetsuppbyggnad.
Where a national framework is not in place, the Community will facilitate the evolution towards a sector-wide approach. 
I de fall dr det inte finns ngon nationell ram, kommer gemenskapen att medverka till utvecklingen av en sektorsvergripande strategi.
In most developing countries, the Community will, during a period of capacity and confidence building, maintain a mixed portfolio’35. 33 Minutes of November 2007 board meeting of the Global Fund. 
I de flesta av utvecklingslnderna kommer gemenskapen under en vergngsperiod d kapaciteten och frtroendet byggs upp att ha kvar flera olika instrument (projektfi-nansiering, gemensamma sektorsmedel, ronmrkt budgetstd)Ó35.
COHERENT MANAGEMENT OF INSTRUMENTS BY THE COMMISSION The Commission has not developed guidance for coherently managing the different instruments in the health sector 64. 
KONSEKVENT INSTRUMENTF RVALTNING AV KOMMISSIONEN Kommissionen har inte tagit fram ngra riktlinjer fr en konsekvent frvaltning av olika instrument inom hlsosektorn 64.
The Commission has not developed guidance on when it would be more appropriate to use General Budget Support or Sector Budget Support, or a combination of the two, to respond most effectively to the situation of a given country. 
Kommissionen har inte tagit fram ngra riktlinjer fr nr det r bst att anvnda allmnt budgetstd respektive sektorspecifikt budgetstd eller en kombination av dem bda, fr att reagera p situationen i ett visst land p ett s ndamlsenligt stt som mjligt.
While the Commission’s manual on Sector Budget Support does point to the benefits of using General Budget Support and Sector Budget Support in combination, the very limited number of health Sector Budget Support programmes financed by the Commission in sub-Saharan Africa has reduced the effectiveness of its General Budget Support (see paragraphs 36 to 46). 
specifikt budgetstd, men det mycket begrnsade antalet program fr sektorspecifikt budgetstd som kommissionen finansierar i Afrika sder om Sahara har dock gjort att det allmnna budgetstdet har blivit mindre ndamlsenligt (se punkterna 36Đ46).
Guidance is also lacking as to how projects at sectoral level can be linked to General Budget Support to make Commission interventions more effective. 
Riktlinjer saknas ocks fr hur projekt p sektorniv kan kopplas till allmnt budgetstd s att kommissionens insatser blir mer ndamlsenliga.