2023-04-192022/23:SoU20 · p.13SoUHealth & social services
Sexual and reproductive health and rights
What's at stake: The decision affects how accessible sexual and reproductive healthcare is for young people in sparsely populated areas, where distance to physical clinics can make it harder to get timely help, for example related to mental-health problems.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The question is whether the Riksdag should issue a specific mandate to increase access to mobile and digital youth clinics in sparsely populated parts of the country, or whether the ongoing national work under the SRHR strategy and existing youth clinics are sufficient.
Yes Yes — the committee proposal
The committee notes that the Public Health Agency has been tasked with drawing up an action plan to strengthen and develop national work on sexual and reproductive health and rights, that an inquiry has proposed a health programme for children and young people that also covers sexual and reproductive health, and that investments have been made in youth clinics through agreements between the state and SKR, as well as through the websites UMO and Youmo. On that basis, the committee sees no reason for the Riksdag to take any initiative regarding the motions, and rejects them.
No No — the reservations
Reservation 21 (V, C, MP)
The reservation (V, C, MP) points out that large parts of the country are sparsely populated, where distances to care can be considerable, and that rising mental-health problems among young people call for more accessible support to help in time. Since physical clinics are not always feasible, the signatories want to invest in expanding mobile and digital youth clinics where needed, and want the government to task an appropriate authority with examining how equal access to traditional, mobile and digital youth clinics can be ensured.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 21 by V, C, MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
What each plan points to — and how the party voted
For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.
| Plan | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/21/0/3 | follows the plan | confidence: high | not addressed |
| S | No | Yes 91/0/0/16 | departs from the plan | confidence: medium | not addressed |
| MP | No | No 0/16/0/2 | follows the plan | confidence: high | not addressed |
| C | No | No 0/21/0/3 | follows the plan | confidence: high | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: medium | not addressed |
| KD | No | Yes 17/0/0/2 | departs from the plan | confidence: high | not addressed |
| M | No | Yes 59/0/0/9 | departs from the plan | confidence: medium | not addressed |
| SD | No | Yes 64/0/0/9 | departs from the plan | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2022/23:856 by Anders W Jonsson et al. (C) demand 9 and 2022/23:2075 by Ann-Sofie Alm and Ann-Sofie Lifvenhage (both M) demand 2.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:856 av Anders W Jonsson m.fl. (C) yrkande 9 och 2022/23:2075 av Ann-Sofie Alm och Ann-Sofie Lifvenhage (båda M) yrkande 2.
Riksdag decision: The Riksdag rejected approximately 60 proposals in motions submitted during the general motion period of 2022. The reason includes, among other things, work that is already underway on the issues covered by the motions. The proposals relate, for example, to the organisation of public health work and public health promotion efforts, disease prevention, and vaccinations.
Counter-proposals
- The counter-proposal wants to introduce a public health law that clarifies responsibility distribution and adds men's violence against women as a target area. (V, C, MP) — Reservation 21
Plan vs actual vote
Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.
The plan requires that healthcare is equal and accessible regardless of where in the country you live and that welfare exists everywhere.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that healthcare is equal and accessible regardless of where in the country you live and that welfare exists everywhere. It also states that mental ill health is increasing especially among young people without healthcare being expanded. Mobile and digital youth health clinics where distances are large, and a mandate to ensure equal access, are an implementation of these commitments, together with the plan's requirement for sexual and reproductive health.
Original (Swedish)
Planen kräver att sjukvården är jämlik och tillgänglig oavsett var i landet man bor och att välfärden finns överallt. Den slår också fast att den psykiska ohälsan ökar särskilt bland unga utan att vården byggs ut. Mobila och digitala ungdomsmottagningar där avstånden är stora, och ett uppdrag att säkra jämlik tillgång, är en tillämpning av dessa åtaganden, tillsammans med planens krav på sexuell och reproduktiv hälsa.
- equal and accessible healthcaredecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equal, gender-equal, and accessible, regardless of where in the country you live and regardless of who you are.”
- young people's mental ill health requires expanded healthcare»Stressrelaterade sjukdomar blir allt vanligare och psykisk ohälsa ökar särskilt bland kvinnor och hos unga utan att det leder till utbyggd vård eller förändrad arbetsmiljö.« (2022 manifesto ↗)“Stress-related illnesses are becoming increasingly common and mental ill health increases especially among women and young people without it leading to expanded healthcare or changed working environment.”
- welfare throughout the country»Välfärden måste vara till för alla och finnas överallt.« (2022 manifesto ↗)“Welfare must be for everyone and exist everywhere.”
- sexual and reproductive health»Kvinnors rätt till arbete, självbestämmande och sexuell och reproduktiv hälsa« (party programme ↗)“Women's right to work, self-determination, and sexual and reproductive health”
The party programme demands that all inhabitants throughout the country have equivalent access to care and health services, and the election manifesto that the state shall be present throughout the country and that digital care services like 1177 be improved.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme demands that all inhabitants throughout the country have equivalent access to care and health services, and the election manifesto that the state shall be present throughout the country and that digital care services like 1177 be improved. Mobile and digital youth clinics are a means for equivalent access in sparsely populated areas. Youth clinics are not explicitly mentioned in the documents.
Original (Swedish)
Partiprogrammet kräver att alla invånare i hela landet har likvärdig tillgång till vård och omsorg, och valmanifestet att staten ska finnas närvarande i hela landet samt att digitala vårdtjänster som 1177 förbättras. Mobila och digitala ungdomsmottagningar är ett medel för likvärdig tillgång i glesbefolkade områden. Ungdomsmottagningar nämns inte uttryckligen i dokumenten.
- equivalent care throughout the countrydecisive»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants throughout the country shall have equivalent access to school, care and health services.”
- accessible digital care services»Vi vill korta väntetiderna om man ringer 1177 och göra webbtjänsten mer lättöverskådlig.« (2022 manifesto ↗)“We want to shorten waiting times if you call 1177 and make the web service easier to navigate.”
- state presence throughout the country»Staten ska finnas närvarande i hela landet.« (2022 manifesto ↗)“The state shall be present throughout the country.”
- equivalent conditions for young people»Alla barn och ungdomar ska ha rätt till likvärdiga villkor« (party programme ↗)“All children and young people shall have the right to equivalent conditions”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan establishes that accessible youth clinics should ensure good sexual and reproductive health and that one has the right to good care regardless of where in the country one lives, while digital healthcare services should be developed and access to care for mental health should increase.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that accessible youth clinics should ensure good sexual and reproductive health and that one has the right to good care regardless of where in the country one lives, while digital healthcare services should be developed and access to care for mental health should increase. Mobile and digital youth clinics in sparsely populated areas are a direct means for this.
Original (Swedish)
Planen slår fast att tillgängliga ungdomsmottagningar ska säkra en god sexuell och reproduktiv hälsa och att man har rätt till bra vård oavsett var i landet man bor, samtidigt som digitala vårdtjänster ska utvecklas och tillgången till vård för psykisk ohälsa öka. Mobila och digitala ungdomsmottagningar i glesbefolkade områden är ett direkt medel för detta.
- accessible youth clinicsdecisive»God sexualundervisning i skolan, tillgängliga ungdomsmottagningar och tillgång till preventivmedel ska säkra en god sexuell och reproduktiv hälsa.« (party programme ↗)“Good sex education in schools, accessible youth clinics and access to contraceptives should ensure good sexual and reproductive health.”
- equal care throughout the country»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You have the right to good care, regardless of where in the country you live.”
- care for mental health»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to care for mental health.”
- digital healthcare services»Digitala tjänster inom vården ska utvecklas.« (party programme ↗)“Digital services in healthcare should be developed.”
The plan requires that mental ill-health among young people be met with simple and coordinated pathways into care, that care shall be close and equal regardless of where one lives and that it can be met both physically and digitally.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires that mental ill-health among young people be met with simple and coordinated pathways into care, that care shall be close and equal regardless of where one lives and that it can be met both physically and digitally. Mobile and digital youth health clinics in sparsely populated areas are exactly that means. Youth health clinics are not mentioned explicitly, but the commitments point unambiguously in the same direction.
Original (Swedish)
Planen kräver att den psykiska ohälsan bland unga möts med enkla och samlade vägar in till vården, att vården ska vara nära och likvärdig oavsett var man bor och att den ska kunna mötas både fysiskt och digitalt. Mobila och digitala ungdomsmottagningar i glesbefolkade områden är precis det medlet. Ungdomsmottagningar nämns inte uttryckligen, men åtagandena pekar entydigt i samma riktning.
- simple pathways to care for young peopledecisive»Den psykiska ohälsan hos våra barn och unga är alldeles för hög och vi måste arbeta mer förebyggande och skapa enkla vägar till vården« (2022 manifesto ↗)“Mental ill-health in our children and young people is far too high and we must work more preventively and create simple pathways to care”
- close care throughout the country»Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg« (2022 manifesto ↗)“Everyone shall have a secure police presence, an equal school and secure and close care and health”
- care also digitally»Alla ska ha rätt till en fast läkarkontakt som man vet namnet på och som man kan möta både fysiskt och digitalt.« (2022 manifesto ↗)“Everyone shall have the right to a fixed doctor contact who you know the name of and who you can meet both physically and digitally.”
- coordinated pathway in for young people»Stödet för personer med psykisk ohälsa måste förbättras, inte minst för unga. Den som söker hjälp ska ha en enkel och samlad väg in till vården. Köerna till BUP måste arbetas bort.« (2022 manifesto ↗)“Support for people with mental ill-health must be improved, not least for young people. Those seeking help shall have a simple and coordinated pathway into care. Queues to child and adolescent psychiatry must be worked away.”
The election manifesto demands a digital freedom-of-choice reform where all regions are required to offer at least as good digital accessibility as physical, and the party programme wants to increase access to care in sparsely populated parts of the country.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto demands a digital freedom-of-choice reform where all regions are required to offer at least as good digital accessibility as physical, and the party programme wants to increase access to care in sparsely populated parts of the country. Mobile and digital youth clinics and a review of equitable access are a direct application of these commitments. The plan also emphasizes that children's and young people's special needs shall be considered in all care and that primary care shall handle milder mental illness.
Original (Swedish)
Valmanifestet kräver en digital valfrihetsreform där alla regioner åläggs att erbjuda minst lika bra digital tillgänglighet som fysisk, och partiprogrammet vill öka tillgången till vård i landets glest befolkade delar. Mobila och digitala ungdomsmottagningar och en översyn av jämlik tillgång är en direkt tillämpning av dessa åtaganden. Planen betonar också att barns och ungas särskilda behov ska beaktas i all vård och att primärvården ska ta hand om mildare psykisk ohälsa.
- digital accessibility in caredecisive»Vi vill se en digital valfrihetsreform och vårdgaranti där alla regioner ska åläggas att erbjuda en minst lika bra digital tillgänglighet som fysisk« (2022 manifesto ↗)“We want to see a digital freedom-of-choice reform and care guarantee where all regions shall be required to offer at least as good digital accessibility as physical”
- care also in rural areas»ökar tillgången till hälso- och sjukvård i landets glest befolkade delar« (party programme ↗)“increases access to health and medical care in sparsely populated parts of the country”
- children's needs in care»Barns och ungas särskilda behov ska beaktas i all hälso- och sjukvård.« (party programme ↗)“Children's and young people's special needs shall be considered in all health and medical care.”
- primary care for mental illness»Primärvården bör ansvara för patienter med mildare psykisk ohälsa.« (party programme ↗)“Primary care should be responsible for patients with milder mental illness.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The election manifesto establishes that where in the country you live should not determine which care you receive, and explicitly commits to mobile care units and care close at hand in rural areas.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto establishes that where in the country you live should not determine which care you receive, and explicitly commits to mobile care units and care close at hand in rural areas. The counter-proposal's demands for mobile and digital youth services and equitable access follow directly from these commitments. The plan additionally requires swift and accessible expertise for children and young people with mental illness.
Original (Swedish)
Valmanifestet slår fast att var i landet man bor inte ska avgöra vilken vård man får och satsar uttryckligen på mobila vårdenheter och vård nära till hands i glesbygd. Motförslagets krav på mobila och digitala ungdomsmottagningar och en jämlik tillgång följer direkt av dessa åtaganden. Planen kräver dessutom snabb och tillgänglig kompetens för barn och unga med psykisk ohälsa.
- equitable care throughout the countrydecisive»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live should not determine which healthcare you receive.”
- mobile care units»Ökad möjlighet att vårdas i egna hemmet, särskilt för multisjuka, genom mobila sjukvårdsenheter som kan ge vård i hemmet.« (2022 manifesto ↗)“Increased opportunity to be cared for at home, especially for those with multiple conditions, through mobile healthcare units that can provide care in the home.”
- swift help for mental illness»Särskild vikt ska läggas vid snabb och tillgänglig kompetens för barn och ungdom med psykisk ohälsa.« (party programme ↗)“Special emphasis shall be placed on swift and accessible expertise for children and young people with mental illness.”
- care close at hand in rural areas»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet - så att vården finns nära till hands.« (2022 manifesto ↗)“More healthcare centers in rural areas and easier for individual doctors to start their own practice - so that care is close at hand.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan promises a statutory care guarantee for children, a strengthened child and adolescent psychiatry and support lines that are open round the clock, and establishes that welfare shall function regardless of where in the country one lives.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan promises a statutory care guarantee for children, a strengthened child and adolescent psychiatry and support lines that are open round the clock, and establishes that welfare shall function regardless of where in the country one lives. Mobile and digital youth services are one way to reach that accessibility where distances are long. The counter-proposal's demands therefore lie in the plan's direction.
Original (Swedish)
Planen lovar en lagstadgad vårdgaranti för barn, en förstärkt barn- och ungdomspsykiatri och stödlinjer som håller öppet dygnet runt, och slår fast att välfärden ska fungera oavsett var i landet man bor. Mobila och digitala ungdomsmottagningar är ett sätt att nå den tillgängligheten där avstånden är långa. Motförslagets krav ligger därför i planens riktning.
- quick help to young peopledecisive»Stärka barn- och ungdomspsykiatrin så att barn och unga som mår dåligt får hjälp snabbt« (2022 manifesto ↗)“Strengthen child and adolescent psychiatry so that children and young people who are struggling receive help quickly”
- care guarantee for children»Införa en ny lagstadgad vårdgaranti för barn« (2022 manifesto ↗)“Introduce a new statutory care guarantee for children”
- easily accessible support channels»Stärka Bris nationella stödlinje och andra stödlinjer så att de kan hålla öppet dygnet runt« (2022 manifesto ↗)“Strengthen Bris national support line and other support lines so they can be open round the clock”
- equal access throughout the country»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor.« (2022 manifesto ↗)“You should feel secure that welfare functions regardless of where in the country you live.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan states that citizens have the right to good and accessible healthcare even outside major cities and that care should be ensured in sparsely populated regions.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan states that citizens have the right to good and accessible healthcare even outside major cities and that care should be ensured in sparsely populated regions. It also wants to strengthen efforts against young people's mental illness and to detect and treat mental illness early. Mobile and digital youth clinics are a means for precisely that accessibility and early care. The committee's reasons regarding an ongoing action plan are not addressed in the plan.
Original (Swedish)
Planen slår fast att medborgare har rätt till god och tillgänglig sjukvård även utanför storstäderna och att vård ska säkerställas i glest befolkade regioner. Den vill dessutom stärka insatserna mot ungas psykiska ohälsa och tidigt upptäcka och behandla psykisk ohälsa. Mobila och digitala ungdomsmottagningar är ett medel för just den tillgängligheten och det tidiga omhändertagandet. Utskottets skäl om pågående handlingsplan berörs inte i planen.
- accessible care throughout the countrydecisive»Sverigedemokraterna anser att medborgare i ett högskatteland har rätt att förvänta sig en god och tillgänglig sjukvård, även utanför storstäderna.« (2022 manifesto ↗)“The Sweden Democrats believe that citizens in a high-tax country have the right to expect good and accessible healthcare, even outside major cities.”
- care even in rural areas»säkerställa att det finns akut- och förlossningsvård över hela landet, även i glest befolkade regioner« (2022 manifesto ↗)“ensure that there is emergency and maternity care throughout the country, even in sparsely populated regions”
- young people's mental health»Stärka insatserna för att förbättra ungas psykiska hälsa« (2022 manifesto ↗)“Strengthen efforts to improve young people's mental health”
- early interventions against illness»Tidigt upptäcka och behandla psykisk ohälsa« (2022 manifesto ↗)“Detect and treat mental illness early”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
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Sources and documents
- The committee report on riksdagen.se (2022/23:SoU20)
- Committee report full text (HA01SoU20)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:110 — Åtgärder mot hälsofarliga kosttillskott av Saila Quicklund (M)
- Motion 2022/23:1141 — En tillgänglig sjukvård i världsklass av Linda Lindberg m.fl. (SD)
- Motion 2022/23:1359 — Avgiftsfritt TBE-vaccin för barn av Joakim Sandell m.fl. (S)
- Motion 2022/23:1399 — Att minska den antimikrobiella resistensen nationellt och internationellt av Marie-Louise Hänel Sandström m.fl. (M)
- Motion 2022/23:1456 — Händelseanalyser vid suicidförsök av Ulrika Westerlund och Marielle Lahti (båda MP)
- Motion 2022/23:1530 — Hälsosamtal från 40 år för alla av Cecilia Engström (KD)
- Motion 2022/23:1657 — Nationellt program för förbättrad hälsa hos unga av Anders Ådahl (C)
- Motion 2022/23:1851 — Vaccination mot TBE av Sten Bergheden (M)
- Motion 2022/23:1882 — En starkare liberal demokrati av Malin Björk m.fl. (C)
- Motion 2022/23:2061 — Utgiftsområde 9 Hälsovård, sjukvård och social omsorg av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2022/23:2075 — Helhetsbedömning av hur barn och unga påverkas av pornografi och sexualbrott av Ann-Sofie Alm och Ann-Sofie Lifvenhage (båda M)
- Motion 2022/23:2128 — En jämlik kunskapsskola utan vinstjakt av Åsa Westlund m.fl. (S)
- Motion 2022/23:2171 — Lands- och glesbygd med stark samhällsutveckling av Elin Söderberg m.fl. (MP)
- Motion 2022/23:2221 — Utredning av anmälnings- eller tillståndsplikt för kyltornsanläggningar av Eric Palmqvist (SD)
- Motion 2022/23:2277 — Jämställdhetspolitik av Märta Stenevi m.fl. (MP)
- Motion 2022/23:255 — Ohälsosamma livsmedels påverkan på folkhälsan av Angelica Lundberg (SD)
- Motion 2022/23:312 — Vaccinationsfrågor av Markus Wiechel (SD)
- Motion 2022/23:315 — Internationellt kris- och hälsosamarbete av Markus Wiechel (SD)
- Motion 2022/23:318 — Avveckla Folkhälsomyndigheten av Markus Wiechel (SD)
- Motion 2022/23:495 — TBE-vaccin av Mathias Tegnér (S)
Source: The Swedish Parliament