natgillin/translations-raw huggingface dataset:
This Special Report was adopted by the Court of Auditors in Luxembourg at its meeting of 19 November 2008. For the Court of Auditors Vítor Manuel da Silva Caldeira 44 RECOMMENDATIONS ON COHERENT USE OF INSTRUMENTS No 10: The Commission should establish and disseminate clear guidance on when each instrument should be utilised and how they can be used in combination to maximise synergy, including: (a) defining in what circumstances General Budget Support should be used, when Sector Budget Support should be used and when the two instruments should be used together; (b) providing for increased and more effective use of the project instrument to support Budget Support and Global Fund interventions in the health sector; (c) taking account of Global Fund operations whenever the Commission plans a health sector intervention, including through General Budget Support. 
46 REKOMMENDATIONER OM KONSEKVENT ANVNDNING AV DE OLIKA INSTRUMENTEN Nr 10: Kommissionen br faststlla och sprida tydliga riktlinjer om nr de olika instrumenten ska anvndas och hur de br kombineras fr att maximera synergieffekterna, och ven a) definiera under vilka frhllanden allmnt budgetstd br anvndas, nr sektorspecifikt budgetstd br anvndas och nr de tv instrumenten br kombineras, b) vidta tgrder fr en kad och mer ndamlsenlig anvndning av projektinstrumentet fr att strka budgetstdet och globala fondens insatser inom hlso-och sjukvrdssektorn, c) beakta globala fondens insatser nr den planerar en insats inom hlso-och sjukvrden, ocks inom ramen fr allmnt budgetstd.
No 11: The choice of instruments to be used should take more specific account of the situation of the country and in particular whether it has a well-defined sector policy. 
Nr 11: Nr man vljer instrument br man mer specifikt beakta situationen i landet och srskilt om det har en vldefinierad sektorspolitik.
No 12: The Commission should more closely align its health sector interventions, including Global Fund interventions, with SWAps. 
Nr 12: Kommissionen br i strre utstrckning anpassa sina insatser p hlsoomrdet, inbegripet globala fondens insatser, till sektorsvergripande metoder.
In countries where SWAps do not yet exist, it should work towards establishing them. 
I lnder dr sdana metoder nnu inte finns br den arbeta fr att ta fram dem.
45 Source: ECA. 
47 Klla: ECA.
Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 
Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara
Target is expected to be met by 2015 if prevailing trends persist, or the problem that this target is designed to address is not a serious concern in the region. 
Mlet frvntas uppns till 2015 om nuvarande trender hller i sig eller om det problem som ska tgrdas inte r ett allvarligt bekymmer i regionen.
Target is not expected to be met by 2015. 
Mlet frvntas inte uppns till 2015.
No progress, or a deterioration or reversal. 
Inga framsteg eller en frsmring eller tillbakagng.
ANNEX III COUNTRY SUMMARIES SWAZILAND OVERVIEW OF HEALTH SITUATION Swaziland has the worst HIV/AIDS prevalence rate in the world at 34 % of the population. 
BILAGA III SAMMANFATTNINGAR F R VARJE LAND SWAZILAND VERSIKT VER HLSOSITUATIONEN Swaziland har den hgsta frekomsten av hiv/aids i vrlden med 34 % smittade personer av befolkningen.
Closely related to this, it also has the highest TB prevalence rate, cases rising from 856 per 100 000 people in 2000 to 1 182 per 100 000 in 2006. 
Antalet fall har stigit frn 856 fall per 100 000 invnare 2000 till 1 182 per 100 000 invnare 2006.
Life expectancy has fallen from 60 years in 1998 to just 31 years in 2004. 
Den frvntade livslngden har sjunkit frn 60 r 1998 till bara 31 r 2004.
There are an estimated 130 000 orphans and vulnerable children (OVC) in a total population of one million. 
Uppskattningsvis finns det 130 000 frldralsa och utsatta barn av en total befolkning p en miljon.
Both infant and under-five mortality have increased since 1997, rising from 78 and 106 per 1 000 live births respectively in 1997 to 85 and 120 in 2006. 
Bde spdbarnsddligheten och ddligheten bland barn under fem r har kat sedan 1997. Den har stigit frn 78 respektive 106 ddsfall per 1 000 levande fdda barn 1997 till 85 respektive 120 r 2006.
HIV/AIDS is the cause of 47 % of under-five deaths. 
Hiv/aids r orsaken till 47 % av ddsfallen bland barn under fem r.
There has been a rapid rise in maternal mortality from 230 deaths per 100 000 live births in 1999 to 370 in 2006, the principal causes being not only HIV/AIDS but also the limitations of the health system. 
Mdraddligheten har kat snabbt frn 230 ddsfall per 100 000 levande fdda r 1999 till 370 r 2006. Detta beror inte enbart p hiv/aids utan ocks p brister i hlso-och sjukvrden.
EDF PROJECTS HIV/AIDs prevention and care programme (HAPAC) HAPAC I (2001–05; 2,25 million euro) largely achieved its objectives in relation to developing new VCT services, building up the home-based care network in one of Swaziland’s four regions and supporting measures to strengthen the treatment of STIs. 
EUF-PROJEKT Program fr frebyggande och vrd av hiv/aids (HAPAC) HAPAC I (2001Đ2005; 2,25 miljoner euro) uppndde till stor del sina ml att inrtta nya centrum fr frivillig rdgivning och provtagning (fr hiv/aids), bygga upp ntverk fr hemsjukvrd i en av Swazilands fyra regioner och vidta stdtgrder fr att strka behandlingen av sexuellt verfrbara sjukdomar.
The main result of HAPAC II (2006–08; 2 million euro) has been to maintain services set up under HAPAC I but the modest further expansion of services foreseen for this follow-up project have only been achieved to a limited degree. 
HAPAC II (2006Đ2008; 2 miljoner euro) gjorde det framfr allt mjligt att bevara de tjnster som inrttades via HAPAC I, men det blygsamma mlet att bygga ut de tjnster som omfattades av detta uppfljningsprojekt uppnddes endast i begrnsad omfattning.
HAPAC II was financed because the sustainability of HAPAC I had not yet been assured but sustainability remains a major problem and some VCT centres were expected to close at the end of the project, in 2008. 
HAPAC II fick finansiering fr att hllbarheten i HAPAC I nnu inte hade skerstllts, men hllbarheten r fortfarande ett stort problem.
ANNEX III NGO COFINANCING GENERAL BUDGET LINE Integrated HIV/AIDS and livelihood project This project is intended to assist persons living with HIV/AIDS and orphans and vulnerable children through home-based care and helping them increase food security through growing their own food. 
BILAGA III ALLMNNA BUDGETPOSTEN SAMFINANSIERING MED ENSKILDA ORGANISATIONER Integrerat projekt fr hiv/aids och frsrjningsmjligheter Detta projekt ska bist hivsmittade/aidssjuka personer och frldralsa och utsatta barn genom hemsjukvrd och hjlpa dem att ka livsmedelstryggheten genom egen odling och matproduktion.
The project was still at an early stage. 
Projektet befinner sig fortfarande i ett inledningsskede.
While very relevant, the objectives appeared to be too ambitious for a project of little more than three years. 
Mlen r ytterst relevanta, men alltfr ambitisa fr ett projekt p drygt tre r.
GLOBAL FUND Swaziland has so far received the highest per capita support from the Global Fund in the world (105 million USD, approximately 100 USD per capita). 
GLOBALA FONDEN Swaziland har hittills ftt det hgsta stdet per capita frn globala fonden i vrlden (105 miljoner US-dollar, cirka 100 US-dollar per capita).
The great majority of the funding has been for HIV/ AIDS.The low amount of funding for tuberculosis does not reflect the scale of the problem. 
Den strsta delen av finansieringen har gtt till bekmpningen av hiv/aids.
The results of Global Fund-supported programmes are rather mixed. 
De resultat som uppns genom program som fr std av globala fonden r ganska blandade.
Care and support to families and communities affected by HIV/ AIDS, VCT services and home-based care components have generally progressed well. 
Generellt har komponenterna vrd och std till familjer och samhllsgrupper som drabbats av hiv/aids, centrum fr frivillig rdgivning och provtagning (fr hiv/aids) och hemsjukvrd gjort goda framsteg.
On the other hand, parts of the components on ARV treatment and monitoring, PMTCT support, and prevention work amongst youth have been less effective. 
Dremot har delar av de komponenter som gller antiretroviral behandling och uppfljning, std till frebyggande tgrder mot verfring av smitta frn mor till barn och frebyggande arbete bland ungdomar inte varit lika ndamlsenliga.
Global Fund reporting requirements have been a catalyst for improving monitoring and evaluation systems and data reliability. Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 50 
Globala fondens krav p rapportering har blivit en katalysator som medfrt att svl vervaknings-och utvrderingssystemen som uppgifternas tillfrlitlighet har frbttrats. Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara 52
ANNEX III LESOTHO OVERVIEW OF HEALTH SITUATION Lesotho’s HIV/AIDS prevalence rate of 23 % is one of the highest. 
BILAGA III LESOTHO VERSIKT VER HLSOSITUATIONEN Frekomsten av hiv/aids i Lesotho ligger p 23 % och r ett av de hgsta talen i vrlden.
Closely associated with this is the extremely high prevalence of tuberculosis. 
Detta hnger nra samman med den extremt hga frekomsten av tuberkulos.
HIV/AIDS and TB are the main reasons why life expectancy has plummeted since the mid-1990s from 60 years to just 41 years. 
Hiv/aids och tuberkulos r de frmsta orsakerna till att den frvntade livslngden har rasat sedan mitten av 1990-talet frn 60 r till endast 41 r.
There are an estimated 180 000 orphans and vulnerable children, approximately 10 % of the population. 
Uppskattningsvis finns det 180 000 frldralsa och utsatta barn, vilket motsvarar ungefr 10 % av befolkningen.
While malaria does not exist in Lesotho, other concerns include the growing level of non-communicable diseases. 
Malaria finns visserligen inte i Lesotho, men det finns anledning att oroa sig ver spridningen av icke verfrbara sjukdomar.
Partly as a result of HIV/AIDS, infant mortality has considerably increased, from an average of 75 per 1 000 live births over the period 1995–99 to 91 over the period 2000–04. 
Spdbarnsddligheten har kat markant, delvis p grund av hiv/aids. Den har kat frn ett genomsnitt p 75 ddsfall per 1 000 levande fdda under perioden 1995Đ1999 till 91 under perioden 2000Đ2004.
At the same time, maternal mortality has risen dramatically from 282 per 100 000 live births in 1993 to 762 in 2004. 
Samtidigt har mdraddligheten kat dramatiskt frn 282 ddsfall per 100 000 levande fdda r 1993 till 762 r 2004.
Budgetary resources have not increased to address this situation and are allocated disproportionately to secondary and tertiary care and to urban areas. 
Man har inte kat budgetmedlen fr att tgrda denna situation, utan de tilldelas sekundrvrd och tertirvrd och ven stadsomrden p ett oproportionerligt stt.
The country is losing health workers to other countries and due to HIV/AIDS-related deaths. 
Landets hlso-och sjukvrdspersonal minskar i antal p grund av flytt till andra lnder och hiv-/aidsrelaterade ddsfall.
The eighth EDF programme was halted by the Commission because of the government’s lack of commitment to public finance management reform and the programme also faced difficulties in providing reliable data for performance indicators. For these reasons support under the ninth EDF, although originally programmed, was not granted. Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 51 
Ett program inom ttonde EUF stoppades av kommissionen p grund av att regeringen inte engagerade sig tillrckligt i reformen av frvaltningen av de offentliga finanserna och p grund av att programmet hade svrt att tillhandahlla tillfrlitliga uppgifter om resultatindikatorerna. Drfr beviljades inte std frn nionde EUF trots att det var planerat frn brjan. Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara 53
ANNEX III EDF PROJECTS The eighth EDF project ‘Support to health sector reform’ (1,8 million euro) made an important contribution to the health sector decentralisation process in Lesotho, both in its support to the overall planning of the process and its piloting of decentralisation in three districts, even if the pilot phase of nine months was too short. 
BILAGA III EUF-PROJEKT Ett EUF-projekt inom ttonde EUF, som skulle ge std till reformen av hlsosektorn (1,8 miljoner euro), bidrog stort till decentraliseringen av hlso-och sjukvrden i Lesotho, bde genom att stdja den vergripande planeringen av denna process och leda decentraliseringen i tre distrikt, ven om pilotfasen p nio mnader var fr kort.
The Government of Lesotho has subsequently extended decentralisation to all 10 districts, although serious capacity and resource constraints exist. 
Lesothos regering har drefter utkat decentraliseringen till samtliga tio distrikt, men stora begrnsningar i frga om kapacitet och resurser kvarstr.
NGO COFINANCING PROJECT: HOMEBASED CARE FOR PEOPLE LIVING WITH HIV/AIDS OR TERMINAL ILLNESSES AND OVCS Overall, this is a successful project with 600 people trained as care providers, each with an average of 10 clients although only limited support is delivered to orphans and vulnerable children. 
PROJEKT SOM SAMFINANSIERAS MED ENSKILDA ORGANISATIONER: HEMSJUKVRD F R PERSONER SOM R HIVSMITTADE/AIDSSJUKA ELLER LIDER AV OBOTLIGA SJUKDOMAR OCH F R F RLDRAL SA OCH UTSATTA BARN Generellt var detta ett framgngsrikt projekt: 600 personer utbildades till vrdgivare, var och en med i genomsnitt tio patienter, medan stdet till frldralsa och utsatta barn var begrnsat.
GLOBAL FUND Under the main grant implemented so far (HIV/AIDS, Round 2) more than 15 000 people are receiving ARV treatment, compared with a target of 12 500, as a result of approximately equal shares of Global Fund and government financing. 
GLOBALA FONDEN Det viktigaste program som hittills har genomfrts (hiv/aids, fas 2) har gjort att mer n 15 000 personer har ftt antiretroviral behandling, jmfrt med mlet p 12 500.
However, the monitoring system may include people who have dropped out of treatment and those who have died whilst on treatment. 
I vervakningssystemet kan dock personer ing som har hoppat av eller dtt under behandlingen.
Only approximately 30 % of those needing ARVs are receiving them. 
Endast cirka 30 % av dem som behver antiretroviral behandling fr det.
There has been a large expansion of VCT sites but the number of people being tested for HIV is 20 % less than foreseen. 
Centrumen fr frivillig rdgivning och provtagning (fr hiv/aids) har blivit mnga fler, men antalet personer som hivtestats r 20 % frre n planerat.
For the care and support for OVCs it was not clearly defined what the support package would include and it was difficult to establish what the OVCs had received. Condom distribution targets have been exceeded but only partly due to Global Fund financing and there was a need to ensure that the condoms distributed to and available in health centres were then actually obtained and used by the youth. 
Nr det gller vrden av och stdet till frldralsa och utsatta barn var det oklart vad stdpaketet skulle innehlla och svrt att faststlla vad barnen faktiskt hade ftt. Mlet fr utdelning av kondomer har verskridits, men endast delvis tack vare finansiering frn globala fonden. Det fanns ven behov av att se till att ungdomarna verkligen frsg sig med och anvnde de kondomer som fanns p hlso-och sjukvrds-centralerna.
Some progress has been made on youth education for HIV/AIDS prevention. 
Vissa framsteg har gjorts nr det gller utbildning av ungdomar i hur man frebygger hiv/aids.
PMTCT support was the most problematic area, with only one of the six indicator targets being achieved. This is in part the consequence of shortages of health personnel. Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 52 
Stdet till frebyggande tgrder mot verfring av smitta frn mor till barn har varit det mest problematiska omrdet: endast ett av de sex ml som var knutna till indikatorerna uppnddes. Detta beror delvis p att det saknas hlso-och sjukvrdspersonal. Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara 54
ANNEX III KENYA OVERVIEW OF HEALTH SITUATION All the major health indicators declined in the 1990s and health indicators continued to show a downward trend under the first national health sector strategic plan (1999–2004). 
BILAGA III KENYA VERSIKT VER HLSOSITUATIONEN Alla viktigare hlsoindikatorer frsmrades under 1990-talet och denna nedtgende trend fortsatte under genomfrandet av den frsta nationella strategiska planen fr hlso-och sjukvrdssektorn (1999Đ2004).
Thus, there was an increase in under-five mortality from 11,2 % to 11,5 %. 
Drmed kade ddligheten hos barn under fem r frn 11,2 % till 11,5 %.
The only area of clear improvement was in HIV prevalence, which fell from 13 % in 1994 to 6 % in 2005. 
Det enda omrde som visade en klar frbttring var frekomsten av hiv, som sjnk frn 13 % r 1994 till 6 % r 2005.
The deterioration in major health indicators reflects declining use of services in public health facilities, shortages of health workers and their uneven distribution between urban and rural areas and public and private sectors, as well as stagnating contributions from the national budget to health. 
Frsmringen av de viktigaste hlsoindikatorerna beror p att de tjnster som finns tillgngliga i offentliga hlso-och sjukvrdsinrttningar anvnds i mindre utstrckning, att det saknas hlso-och sjukvrdspersonal, att personalen r ojmnt frdelad mellan stad och landsbygd och offentlig och privat sektor och ven p att bidrag frn den nationella budgeten till hlso-och sjukvrd har stagnerat.
The second national health sector strategic plan (2005–10), supported by donors through a ‘joint planning of work and funding’, is attempting to reverse this decline. 
Inom den andra nationella strategiska planen fr hlso-och sjukvrdssektorn (2005Đ2010), som fr std av givare inom ramen fr en gemensam planering av arbete och finansiering (Joint Planning of Work and Funding), frsker man vnda denna nedtgende trend.
GENERAL BUDGET SUPPORT In view of the still relatively low expenditure on health, weaknesses in health and general public finance management systems, and the fact that only one of the four performance indicator targets was achieved, General Budget Support cannot be considered to have been very effective in Kenya in improving health services. 
ALLMNT BUDGETST D Det allmnna budgetstdet har inte visat sig vara srskilt ndamlsenligt nr det gller att frbttra hlso-och sjukvrdstjnsterna i Kenya: utgifterna fr hlso-och sjukvrd r fortfarande relativt lga, systemen fr hlso-och sjukvrd och allmn frvaltning av de offentliga finanserna r bristflliga och endast ett av de fyra ml som r knutna till resultatindikatorerna har uppntts.
EDF PROJECTS The eighth EDF project ‘District health services and systems development programme’ (DHSSDP) has made a significant contribution in the central and eastern regions to improving the access and quality of the public and non-public services, with a particular focus on the people more at risk and on the communities. 
EUF-PROJEKT Ett projekt inom ttonde EUF, programmet fr hlsovrdstjnster i distrikt och systemutveckling (District Health Services and Systems Development Programme, DHSSDP) har bidragit stort till att frbttra tillgngen till och kvaliteten p offentliga och icke-offentliga tjnster i de centrala och stra regionerna, genom att det srskilt inriktar sig p de strsta riskgrupperna och lokalsamhllen.
However, had the project timeframe been longer than the three years foreseen and not reduced by delays, results would have been still better. Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 53 
Projektet skulle ha kunnat uppn bttre resultat om det hade strckt sig ver en lngre period n de tre planerade ren och om det inte hade drabbats av frseningar. Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara 55
ANNEX III GENERAL BUDGET LINE PROJECTS Adolescent sexual and reproductive health (ASRH) initiative This project was making significant progress in improving the access to HIV/AIDS prevention and care services for the most vulnerable and marginalised youth by the use of youth-friendly mobile VCT service delivery and increasing community awareness about this initiative. Access to and use of quality basic and comprehensive obstetric care services The project seeks to improve access for women and children to obstetric and neonatal care in 10 target districts. Project indicators point to increases in the proportion of direct birth complications in the target districts being treated at emergency obstetric facilities and an increase in the proportion of deliveries attended by midwives. 
BILAGA III PROJEKT SOM FINANSIERAS VIA EN ALLMN BUDGETPOST Initiativ fr tonringars sexuella och reproduktiva hlsa Detta projekt har medfrt betydande framsteg genom att det har bidragit till att de mest utsatta och marginaliserade ungdomarna har ftt bttre tillgng till frebyggande av hiv/aids och hlso-och sjukvrdstjnster tack vare mobila kliniker fr frivillig rdgivning och provtagning (fr hiv/aids) som var anpassade till mlgruppen och lokalsamhllets kade medvetenhet om detta initiativ. kad tillgng till och anvndning av grundlggande och heltckande frlossningsvrd av hg kvalitet Syftet med detta projekt var att frbttra tillgngen till frlossningsvrd och neonatalvrd fr kvinnor och barn i tio mldistrikt.
Initial progress has been good. Uzazi Bora — Mother and infant services — HIV activities The aim of the project was to improve PMTCT, antenatal, intra-partum and postnatal care services in two districts. 
Inledningsvis har goda framsteg gjorts. Uzazi Bora Đ Mdra-och barnavrdstjnster Đ hivverksamheter Syftet med detta projekt var att frbttra skyddet mot verfringar av smitta frn mor till barn och vrden fre, under och efter frloss-ningen i tv distrikt.
GLOBAL FUND Although Kenya is a major beneficiary of the Global Fund, grants have been implemented with serious delays, with the result that the most targets will not be reached and budgets have been reduced after Phase I. Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 54 
GLOBALA FONDEN Trots att Kenya r bland de frmsta mottagarna av std frn globala fonden har bidragen genomfrts med stora frseningar. Drfr kommer de flesta mlen inte att uppns och budgetarna har minskat efter fas I. Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara 56
ANNEX III MALAWI OVERVIEW OF HEALTH SITUATION Malawi has one of the highest HIV/AIDS prevalence rates (approximately 14 %) in the world. 
BILAGA III MALAWI VERSIKT VER HLSOSITUATIONEN Malawi har en av de hgsta frekomsterna av hiv/aids (nra 14 %) i vrlden.
The high HIV/AIDS prevalence rate has led to a major increase in tuberculosis, the number of cases doubling from 1994 to 2004. 
Den hga frekomsten av hiv/aids har lett till att antalet tuberkulossjuka har kat markant; antalet sjuka frdubblades mellan 1994 och 2004.
It also suffers greatly from malaria, it being the most commonly reported cause of mortality both in adults and children. 
Dessutom r malaria mycket vanligt frekommande och r den ddsorsak som oftast rapporteras fr svl vuxna som barn.