natgillin/translations-raw huggingface dataset:
Besides the Global Fund’s legitimate emphasis on performance-based funding, which means it reduces disbursements to less effective grants, two further factors affecting the rate of disbursement have been: (a) difficulties of some recipients of Global Fund support in establishing financial, procurement and monitoring systems of the standard required by the Global Fund and in quickly disbursing the funding; (b) new funding sources such as PEPFAR entering countries during Global Fund grant implementation, which has reduced their absorption capacity. 
Globala fonden lgger med rtta tonvikten p en resultatbaserad finansiering, vilket medfr en minskning av utbetalningarna till mindre ndamlsenliga bidrag. Tv andra faktorer pverkar ocks utbetalningstakten, nmligen fljande: a) En del mottagare av std frn globala fonden har haft svrt att inrtta finansiella system och upphandlings-och vervakningssystem som uppfyller de normer som globala fonden har faststllt och ven att snabbt betala ut medlen. b) Nya finansieringskllor, till exempel PEPFAR, frdelar medel till lnder som genomfr bidrag frn globala fonden, vilket minskar deras absorptionsfrmga.
Unlike the EDF, Global Fund grants are approved on the basis of annual funding rounds. 
Till skillnad frn EUF-bidrag godknns bidrag frn globala fonden p grundval av rliga finansieringsomgngar.
Countries do not know if their applications for funding will be approved and for what amount. 
Lnderna vet inte om deras anskningar om finansiering kommer att godknnas och i s fall till vilket belopp.
Thus, over the first six years of the Global Fund only 39 % of grant applications submitted for financing were actually approved. EDF health interventions Year 1 Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 
Under globala fondens frsta sex r godkndes drfr i praktiken endast 39 % av de bidragsanskningar som hade lmnats in. EUF:s hlso-och sjukvrdsinsatser r 1 Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara
23 MANAGEMENT AND EFFECTIVENESS OF INSTRUMENTS 30. 
23 F RVALTNING AV INSTRUMENTEN OCH DERAS NDAMLSENLIGHET 30.
The Court examined the three main instruments used to improve health services: budget support, projects, and the Global Fund. 
Revisionsrtten granskade de tre huvudinstrument som anvnds fr att frbttra hlso-och sjukvrdstjnster: budgetstd, projekt och globala fonden.
This section assesses both how well the Commission has managed them and how effective they have been and how coherently the Commission has used the instruments together. 
I detta avsnitt bedms hur vl kommissionen har frvaltat instrumenten, hur ndamlsenliga de har varit och hur konsekvent kommissionen har kombinerat dem.
Annex III contains an overview of interventions in the five countries visited by the Court. 
Bilaga III innehller en versikt ver insatser i de fem lnder som revisionsrtten beskte.
BUDGET SUPPORT THE USE OF BUDGET SUPPORT BY THE COMMISSION Budget support has the potential to play a key role in improving health services 31. 
BUDGETST D KOMMISSIONENS ANVNDNING AV BUDGETST D Budgetstd kan komma att spela en nyckelroll i frbttringen av hlso-och sjukvrdstjnster 31.
Budget support has the potential to play a key role in improving health services by increasing funds available to governments for their health budgets, thus allowing them to scale up services, a necessary prerequisite for achieving the MDGs. 
Budgetstd kan komma att spela en nyckelroll i frbttringen av hlso-och sjukvrdstjnster genom att det gr att regeringarna frfogar ver extra medel till sina hlsobudgetar. P s stt kan de utveckla sina tjnster, vilket r en ndvndig frutsttning fr att uppn millennieutvecklingsmlen.
In addition, it can strengthen the policy and institutional framework through policy dialogue and technical assistance. 
Dessutom kan detta strka den politiska och institutionella ramen genom en politisk dialog och tekniskt bistnd.
The Commission, which is one of the biggest providers of budget support, defines it as ‘the transfer of financial resources of an external financing agency to the national treasury of a partner country, following the respect by the latter of agreed conditions for payment’23. 
Kommissionen, som r en av dem som ger strst budgetstd, beskriver stdet som en verfring av ekonomiska resurser av ett organ fr extern finansiering till ett partnerlands nationella statskassa efter det att detta land har uppfyllt de verenskomna villkoren fr betalning23.
Although it classifies budget support as General Budget Support or Sector Budget Support, in practice the distinction is less clear: ‘Budget support can best be described as a spectrum. 
Kommissionen delar in budgetstdet i allmnt budgetstd och sektorspecifikt budgetstd, men i praktiken r skillnaden inte srskilt tydlig: Budgetstdet kan bst beskrivas som ett spektrum.
In between is General Budget Support with sector conditions and dialogue and those Sector Budget Support operations which include some macro and cross-cutting conditions and dialogue’24. 
Dremellan hittar man allmnt budgetstd med sektorspecifika villkor och en sektorspecifik dialog och sektorspecifika budgetstd-insatser som omfattas av vissa makroekonomiska och vergripande villkor och en makroekonomisk och vergripande dialog24.
Sector Budget Support has been little used and the role of General Budget Support in improving health services has not been clear 32. 
Sektorspecifikt budgetstd har anvnts i liten utstrckning och det gr inte alltid att klart urskilja vilken roll det allmnna budgetstdet spelar 32.
Sector Budget Support, with its focus on one sector, has particular potential for assisting the health sector. 
Sektorspecifikt budgetstd, med sin inriktning p en enda sektor, har srskild potential att bist hlso-och sjukvrdssektorn.
However, although it has been Commission policy since 2000 to increase its use, in practice only two sub-Saharan African countries (Mozambique and Zambia) received health sector budget support under the ninth EDF. 
Trots att kommissionens politik sedan 2000 har varit att ka anvndningen av det var det i praktiken endast tv lnder i Afrika sder om Sahara (Moam-bique och Zambia) som fick sektorspecifikt budgetstd till hlso-och sjukvrden frn nionde EUF.
One reason for this is that the Commission has generally only used health sector budget support in a country if it has health as a focal sector, which is the case in only a limited number of countries. 
Ett skl r att kommissionen i allmnhet endast har anvnt sektorspecifikt budgetstd till hlso-och sjukvrd i ett land om det har hlso-och sjukvrd som ett centralt omrde, vilket endast r i fallet i ett begrnsat antal lnder.
A second reason is that one of the eligibility criteria is the existence of a well-defined health sector policy, which is still not the case in some countries. 
Ett annat skl r att ett av kriterierna fr stdberttigande r att det ska finnas en vldefinierad hlso-och sjukvrdspolitik, vilket nnu inte r fallet i en del lnder.
23 European Commission General Budget Support Guidelines 2007 (Page 10). 
23 Europeiska kommissionens riktlinjer fr allmnt budgetstd 2007 (s. 10).
General Budget Support has been used much more widely than Sector Budget Support by the Commission, 21 sub-Saharan African countries having received it under the ninth EDF. 
Kommissionen har anvnt allmnt budgetstd i mycket strre utstrckning n sektorspecifikt budgetstd: 21 lnder i Afrika sder om Sahara har ftt allmnt budgetstd frn nionde EUF.
It has been the Commission’s preferred form of budgetary support and, in contrast to sector budget support, the Commission allows its use in addition to funding two focal sectors. 
Det har varit den form av budgetstd som kommissionen har fredragit, och till skillnad frn sektorspecifikt budgetstd tillter kommissionen att det anvnds parallellt med finansieringen av tv centrala omrden.
Furthermore, more countries are eligible for General Budget Support since an overall national policy, rather than a specific sectoral policy, is an eligibility requirement even though the effectiveness of national policy to a considerable degree depends on the strength of sectoral policies. 
Dessutom har fler lnder rtt till allmnt budgetstd eftersom ett av kriterierna fr stdberttigande r att det finns en vergripande nationell politik snarare n en sektorspecifik politik, ven om den nationella politikens ndamlsenlighet i mycket stor utstrckning beror p kvaliteten p den sektorspecifika politiken.
While General Budget Support has a broader range of objectives than Sector Budget Support, it can also contribute to improving health services if its design includes a sectoral dimension (see paragraph 31). 
Nr det allmnna budgetstdet har en sektorspecifik dimension redan frn brjan kan det dock ocks bidra till att frbttra hlso-och sjukvrdstjnster (se punkt 31), vilket traditionellt har varit fallet i kommissionens program fr allmnt budgetstd.
This has traditionally been the case in the Commission’s General Budget Support programmes since it has prioritised the health and education sectors and included health sector conditionality and provisions for health policy dialogue with governments. 
Programmen har prioriterat hlso-och utbildningssektorerna och integrerat villkorlighet nr det gller hlso-och sjukvrdssektorn och bestmmelser fr en politisk dialog om hlsa med regeringarna.
The Court nevertheless found that views varied within the Commission services, particularly between macroeconomists and health professionals, as to how far General Budget Support should have a sectoral dimension. 
Revisionsrtten upptckte dock att sikterna gick isr inom kommissionens avdelningar, srskilt mellan makroekonomer och hlso-och sjukvrdsutbildad personal nr det gllde i hur stor utstrckning det allmnna budgetstdet br ha en sektorspecifik dimension.
The Court’s survey indicated that most delegations perceived improving health services as a key objective of the instrument (see Table 8). 
Revisionsrttens underskning visade att de flesta delegationerna betraktade frbttringen av hlso-och sjukvrdstjnster som instrumentets nyckelml (se tabell 8).
On the other hand, the revised 2007 General Budget Support manual considerably reduced the instrument’s sectoral dimension compared to the previous 2002 manual, lessening its focus on improving health services. 
I den reviderade handboken fr allmnt budgetstd 2007 minskades dock instrumentets sektorspecifika dimension markant jmfrt med den tidigare handboken frn 2002, genom att den inte var lika inriktad p att frbttra hlso-och sjukvrdstjnster.
24 TABLE 8 DELEGATIONS’ PERCEPTION OF THE IMPORTANCE OF GENERAL BUDGET SUPPORT OBJECTIVES 1 2 3 4 5 N/O Average GBS objectives 1 1 1 7 18 1 0 1 10 16 1 1 3 11 12 1 2 4 14 7 1 0 8 12 7 1 4 5 8 10 14689 3 5 0 9 10 2 2 2 2 2 2 2 3 4,43 4,43 4,14 3,86 3,86 3,79 3,71 3,67 Reducing poverty Improving public finance management Providing macroeconomic stability Harmonising aid procedures Increasing predictability of funding Improving health services Improving education services Reducing aid transaction costs (1 = Not important, 5 = Highly important, N/O = No opinion) Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 
Genomsnitt Allmnna budgetstdets ml 1 1 1 7 18 1 0 1 10 16 1 1 3 11 12 1 2 4 14 7 1 0 8 12 7 1 4 5 8 10 14689 3 5 0 9 10 2 2 2 2 2 2 2 3 4,43 4,43 4,14 3,86 3,86 3,79 3,71 3,67 Minska fattigdomen Frbttra frvaltningen av offentliga medel Ge makroekonomisk stabilitet Harmonisera bistndsfrfaranden ka finansieringens frutsgbarhet Frbttra hlso-och sjukvrdstjnster Frbttra utbildningen Minska kostnaderna fr bistndstransaktioner (1 = inte viktiga, 5 = mycket viktiga, i.u. = ingen uppfattning) Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara
EFFECTIVENESS OF GENERAL BUDGET SUPPORT IN IMPROVING HEALTH SERVICES 35. 
DET ALLMNNA BUDGETST DETS NDAMLSENLIGHET NR DET GLLER ATT F RBTTRA HLSO-OCH SJUKVRDSTJNSTER 35.
It is widely recognised that it is very difficult to assess the effectiveness of General Budget Support. 
Det r allmnt erknt att det r mycket svrt att bedma hur ndamlsenligt det allmnna budgetstdet r.
While a joint donor evaluation of General Budget Support issued in 2006 represented an important step in evaluating the instrument, it was not without its limitations and the Commission is still working to establish an appropriate evaluation methodology. 
En gemensam givarutvrdering frn 2006 var visserligen ett viktigt steg nr det gllde att utvrdera instrumentet, men den hade sina begrnsningar och kommissionen arbetar fortfarande med att ta fram en lmplig utvrderingsmetod.
In its assessment of the instrument’s effectiveness the Court focused on the following aspects25: (a) whether the financial inputs provided were associated with increased allocations to and disbursements from national health budgets and whether the inputs were likely to be used for the intended purpose; (b) whether the policy and institutional framework in the health sector was conducive to the effective delivery of services; (c) whether delegations were involved in health sector policy dialogues which would contribute to the more effective use of General Budget Support; (d) whether health performance indicator targets selected as part of the General Budget Support conditionality were achieved and appropriate. 
I sin bedmning av instrumentets ndamlsenlighet inriktade sig revisionsrtten p fljande aspekter25: a) Huruvida de tilldelade ekonomiska bidragen tfljdes av kade anslag till och utbetalningar frn nationella hlso-och sjukvrds-budgetar och huruvida medlen sannolikt skulle anvndas i avsett syfte. b) Huruvida den politiska och institutionella ramen i hlso-och sjuk-vrdsektorn bidrog till att tjnster tillhandahlls p ett ndamlsenligt stt. c) Huruvida delegationerna medverkade i de politiska dialogerna om hlso-och sjukvrdspolitiken som skulle bidra till en mer ndamlsenlig anvndning av allmnt budgetstd. d) Huruvida mlen fr de resultatindikatorer som valts ut som en del av det allmnna budgetstdets villkorlighet uppnddes och var lmpliga.
Financial inputs: in most countries examined General Budget Support has not been associated with an increase in health budgetary resources 36. 
Ekonomiska bidrag: i de flesta granskade lnder tfljdes inte det allmnna budgetstdet av en kning av budgetmedel p hlsoomrdet 36.
The Court found that in most countries examined General Budget Support did not lead to increased resources being channelled through the national health budget (see Box 4). 
Revisionsrtten konstaterade att det allmnna budgetstdet inte ledde till att kade resurser kanaliserades via den nationella budgeten fr hlso-och sjukvrd i merparten av de granskade lnderna (se ruta 4).
One important reason for this is that in some cases beneficiary countries decide not to increase budgetary expenditures in a given fiscal year by the same amount as the budgetary support received but instead use the funds to reduce their fiscal deficits (see paragraph 12(b)). 
Ett viktigt skl till detta r att i vissa fall beslutar mottagarlnderna att inte ka budgetutgifterna ett srskilt budgetr med samma belopp som det mottagna budgetstdet uppgr till utan i stllet anvnda medlen till att minska sitt budgetunderskott (se punkt 12 b).
Moreover, the Commission has not systematically sought to encourage countries to increase national health budgets through the use of performance indicators targeting such increases in its General Budget Support financing agreements. 
Kommissionen har dessutom inte systematiskt frskt uppmuntra lnderna att ka sina nationella budgetar fr hlso-och sjukvrd genom att gra sdana kningar till en resultatindikator i finansieringsverenskommelserna fr allmnt budgetstd.
Thus in only five of the 12 countries examined were health budget allocations included as a performance indicator. 
Detta ledde till att endast fem av de tolv granskade lnderna anvnde budgetanslag till hlso-och sjukvrd som en resultatindikator.
25 The Court’s assessment is based primarily on General Budget Support programmes in Burundi, Ethiopia, Kenya, Lesotho, Malawi and Mali. 
25 Revisionsrttens bedmning bygger i frsta hand p programmen fr allmnt budgetstd i Burundi, Etiopien, Kenya, Lesotho, Malawi och Mali.
It also takes into account relevant audit work carried out in other countries in the framework of its statement of assurance on the EDF In particular relating to Ghana, Guinea Bissau, Madagascar, Mozambique, Niger and Sierra Leone. 25 Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 
Inom ramen fr sin revisionsfrklaring om EUF beaktar den ven relevant revisionsarbete som genomfrts i andra lnder, srskilt nr det gller Ghana, Guinea Bissau, Madagaskar, Moambique, Niger och Sierra Leone. 25 Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara
As a result of what the Commission terms a ‘dynamic interpretation’ of eligibility, although sub-Saharan African countries generally have weak public finance management capacity, they may still be eligible for General Budget Support, leading to a high risk of inefficient and ineffective public spending. 
Som en fljd av det som kommissionen kallar en Ódynamisk tolkningÓ av urvalskriterierna kan lnder i Afrika sder om Sahara, trots att deras frmga att frvalta offentliga finanser i allmnhet r svag, nd ha rtt till allmnt budgetstd, vilket medfr en stor risk fr ineffektiva och icke ndamlsenliga offentliga utgifter.
Funds channelled to the health sector are at particular risk since resource flows to frontline service providers are complex, generally passing through several administrative layers. 
Medel som kanaliseras till hlso-och sjukvrden lper en srskild risk eftersom resursfldena till leverantrer av viktiga tjnster r komplexa och i regel passerar flera administrativa lager.
The Court found that public expenditure tracking surveys or audits tracking public expenditure, although seldom used, have identified public resource leakages on a significant scale in relation to non-wage health expenditures which could have serious consequences for health service delivery26. 
Revisionsrtten konstaterade att vid kontroller av offentliga utgifter (tracking surveys) eller uppfljande revisioner av offentliga utgifter, trots att de sllan grs, har man upptckt stora frluster av offentliga resurser som r knutna till utgifter fr hlso-och sjukvrd som inte r lner, vilket skulle kunna f allvarliga fljder fr hlso-och sjukvrdstjnsterna26.
26 See, for example, ‘Public expenditure tracking surveys — quantitative service delivery surveys in sub-Saharan Africa: a stocktaking study’. 
26 Se till exempel Public Expenditure Tracking Surveys Đ Quantitative Service Delivery Surveys in Sub-Saharan Africa: A Stocktaking Study.
HEC Montreal. September 2006, commissioned by the World Bank. 
HEC Montreal, september 2006, p uppdrag av Vrldsbanken.
26 BOX 4 GENERAL BUDGET SUPPORT AND ITS EFFECT ON HEALTH BUDGETS In Burundi, while the health development national plan for 2006–10 foresaw an increase in the national budget allocated to health from 3,6 % to 15 % in 2010, the budget allocations for health in 2007 decreased to only 2 %. 
26 RUTA 4 ALLMNT BUDGETST D OCH DESS INVERKAN P BUDGETARNA F R HLSO-OCH SJUKVRD I Burundi minskade budgetanslagen till hlso-och sjukvrd till endast 2 % 2007, trots att man i den nationella planen fr hlso-och sjukvrdsutveckling fr 2006Đ2010 frutspdde att anslagen till hlso-och sjukvrd i den nationella budgeten skulle ka frn 3,6 % till 15 % 2010.
While PRBS 2 targeted an increase in the health budget from 6,8 % in 2003 to 7,3 % in 2004, in fact health’s share of the budget actually fell to 6,5 %. 
Programmet budgetstd till fattigdomsminskning 2 (PRBS 2) hade som mlsttning att ka budgeten fr hlso-och sjukvrd frn 6,8 % 2003 till 7,3 % 2004, men i stllet sjnk hlso-och sjukvrdens andel av budgeten till 6,5 %.
Although, overall, poverty-related recurrent expenditure in Ethiopia increased significantly after 2000, this was not the case for health, its share of such expenditure being only 15 %. 
Trots att de fattigdomsrelaterade lpande utgifterna generellt kade markant i Etiopien efter 2000 var detta inte fallet fr hlso-och sjukvrden dr dess andel av utgifterna endast var 15 %.
In Mali, while the financing agreement for General Budget Support required the share of health in the national recurrent budget to increase from 10,5 % to 11,5 % over the period 2002–05, it did not do so and in 2005 fell to 10,2 %. 
Trots att finansieringsverenskommelsen fr allmnt budgetstd i Mali freskrev att hlso-och sjukvrdens andel av den nationella lpande budgeten skulle ka frn 10,5 % till 11,5 % under perioden 2002Đ2005 gjorde den inte det, och 2005 sjnk den till 10,2 %.
In Kenya, the health budget allocation increased to 9 % in 2005–06 compared to 7 %–7,5 % in previous years, but expenditure in 2005–06 was just 5,7 % having declined each year since 2001–02 when it was 9 % of total government expenditure. 
I Kenya kade budgetanslagen till hlso-och sjukvrd till 9 % under 2005Đ2006 jmfrt med 7 %Đ7,5 % under tidigare r, men utgifterna 2005Đ2006 uppgick endast till 5,7 % och har minskat varje r sedan 2001Đ2002 d de motsvarade 9 % av de totala offentliga utgifterna.
In Malawi, for the first two years (2005–07) following the resumption of General Budget Support, the government prioritised paying off internal debt and the health budget was only maintained at a level of 10,7 %, lower than in some previous years. 
I Malawi prioriterade regeringen att betala av interna skulder under de tv frsta ren (2005Đ2007) efter det att allmnt budgetstd hade brjat anvndas igen, och budgeten fr hlso-och sjukvrd lg kvar p endast 10,7 %, vilket var lgre n en del tidigare r.
However, a significant increase in the budget was planned for 2007–08. 
En markant kning i budgeten planerades dock till 2007Đ2008.
In Lesotho, health expenditure was maintained at previous levels despite the growing health crisis. Special Report No 10/2008 — EC development assistance to the health services in sub-Saharan Africa 
I Lesotho lg utgifterna fr hlso-och sjukvrd kvar p samma niver som tidigare trots den vxande hlsokrisen. Srskild rapport nr 10/2008 Đ EG:s utvecklingsbistnd till hlso-och sjukvrd i Afrika sder om Sahara
General Budget Support programmes have not adequately addressed these risks. 
Programmen fr allmnt budgetstd har inte hanterat dessa risker p lmpligt stt.
The 2002 General Budget Support manual foresaw financial audits and compliance tests, particularly in the social sectors, during the course of programme implementation, in addition to the initial appraisal of the quality of public finance management. 
I handboken fr allmnt budgetstd 2002 frutsg man att redovisningsrevisioner och regelefterlevnadsrevisioner skulle genomfras under programgenomfrandet, srskilt inom de sociala sektorerna, som komplement till den inledande bedmningen av kvaliteten p frvaltningen av offentliga finanser.
Such controls are particularly necessary where the capacity of national supreme audit Institutions is low, as is generally the case. 
Sdana kontroller r srskilt viktiga i de fall dr de hgre revisionsorganen har lg kapacitet, vilket i regel r fallet.
However, in practice controls of this kind were not carried out and the Commission dropped the requirement to perform them from its 2007 manual. 
I praktiken genomfrdes dock inte denna typ av kontroller, och kommissionen slopade kravet att genomfra dem i handboken 2007.
This states that once the Commission has transferred resources to the national treasury, it will not follow up on how they are used. 
Detta innebr att nr kommissionen vl har frt ver medel till den nationella statskassan kommer den inte att flja upp hur de anvnds.