2024-04-032023/24:SoU15 · p.4SoUHealth & social services
HIV
Targets and priorities in the new national HIV strategy
What's at stake: The outcome affects how concrete Sweden's new HIV strategy becomes on testing, preventive medication (PrEP), support for civil-society organisations and testing access for newly arrived migrants, matters that directly affect people living with HIV and groups at heightened risk of infection.
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 parliament should now lock in concrete targets - such as eliminating new HIV transmissions in Sweden by 2030 and meeting the UN's 95 targets by 2026 - along with the role of civil society and migrants' access to testing in the forthcoming HIV strategy, or let the government's ongoing work on the strategy continue without such additions.
Yes Yes — the committee proposal
The committee rejects the motion. The reason is that Sweden has had a national HIV strategy since 2006, that parliament has previously made a statement calling for HIV prevention, testing and awareness-raising that is being processed within the Government Offices, and that the Public Health Agency has already submitted input for an updated strategy with an overarching goal and five sub-goals, including that no HIV transmissions should occur in Sweden and that stigma should be eliminated. Given this ongoing work, the committee sees no reason for parliament to take further action.
No No — the reservations
Reservation 5 (V, C, MP)
The reservation (V, C, MP) calls for the government to ensure the forthcoming HIV strategy sets concrete targets: eliminating new HIV transmissions in Sweden by 2030 in line with Agenda 2030, and meeting the UN body UNAIDS' 95 targets by 2026. The strategy should also highlight civil society's crucial role and give it long-term conditions, including for peer support, and ensure that more people who migrate to Sweden, for example through family reunification, gain access to testing, diagnosis and treatment.
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 5 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: medium | not addressed |
| S | No | Yes 92/0/0/14 | departs from the plan | confidence: medium | not addressed |
| MP | No | No 0/14/0/4 | follows the plan | confidence: medium | not addressed |
| C | No | No 0/21/0/3 | follows the plan | confidence: medium | not addressed |
| L | No | Yes 14/0/0/2 | departs from the plan | confidence: medium | not addressed |
| KD | No | Yes 15/0/0/4 | departs from the plan | confidence: medium | not addressed |
| M | Yes | Yes 60/0/0/8 | follows the plan | confidence: low | not addressed |
| SD | Yes | Yes 63/0/0/9 | follows the plan | confidence: low | not addressed |
Committee proposal
The Riksdag rejects motion 2023/24:925 by Ulrika Westerlund (MP) points 1-6.
Original (Swedish)
Riksdagen avslår motion 2023/24:925 av Ulrika Westerlund (MP) yrkandena 1-6.
Riksdag decision: The Riksdag rejected approximately 100 proposals regarding public health in motions from the general motions period 2023. The Riksdag refers primarily to ongoing work within the issues that the proposals address. The motions dealt with, among other things, vaccination and allergy issues, healthy lifestyles and mental health.
Counter-proposals
- The counter-proposal wants to take socially preventive initiatives and measures for preventive healthcare. (V, C, MP) — Reservation 5
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 equitable and accessible care regardless of who you are, and the party programme states that needs must guide care for all residents of Sweden.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires equitable and accessible care regardless of who you are, and the party programme states that needs must guide care for all residents of Sweden. The programme rejects all special treatment of LGBTQ persons, which supports the requirement to counteract stigma and reach more people with testing and treatment. The election manifesto furthermore highlights social movements as the force the party drives change together with, which supports civil society being given long-term conditions.
Original (Swedish)
Planen kräver en jämlik och tillgänglig vård oavsett vem du är, och partiprogrammet slår fast att behoven ska styra för alla boende i Sverige. Programmet avvisar all särbehandling av hbtq-personer, vilket bär kravet på att motverka stigma och nå fler med testning och behandling. Valplattformen lyfter dessutom folkrörelserna som den kraft partiet driver förändring tillsammans med, vilket stöder att civilsamhället ges långsiktiga förutsättningar.
- equitable healthcare for alldecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equitable, equal and accessible, regardless of where in the country you live and regardless of who you are.”
- needs guide care»Behoven, inte betalningsförmågan ska vara avgörande« (party programme ↗)“Needs, not ability to pay must be decisive”
- counteract stigma and discrimination»Ingen diskriminering eller särbehandling av homosexuella, bisexuella, transpersoner och queer-personer« (party programme ↗)“No discrimination or special treatment of gay, lesbian, bisexual, transgender and queer people”
- civil society's role»Det är tillsammans med folkrörelser som Vänsterpartiet driver fram förändringar.« (2022 manifesto ↗)“It is together with social movements that the Left Party drives change.”
The plan establishes that all inhabitants across the entire country shall have equal access to care, which supports the counter-proposal's demand that also those who have migrated here get testing, diagnosis and treatment.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that all inhabitants across the entire country shall have equal access to care, which supports the counter-proposal's demand that also those who have migrated here get testing, diagnosis and treatment. The plan also sees civil society as the foundation of democracy, which motivates long-term conditions for organizations' support work. That fighting domination and subordination speaks for counteracting stigma and discrimination.
Original (Swedish)
Planen slår fast att alla invånare i hela landet ska ha likvärdig tillgång till vård, vilket bär motförslagets krav på att också de som migrerat hit får testning, diagnos och behandling. Planen ser dessutom civilsamhället som demokratins underbyggnad, vilket motiverar långsiktiga förutsättningar för organisationernas stödarbete. Att bekämpa över- och underordning talar för att stigma och diskriminering motverkas.
- equal care access for alldecisive»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants across the entire country shall have equal access to school, care and social services.”
- civil society's role»Ett starkt och levande civilsamhälle är demokratins underbyggnad.« (party programme ↗)“A strong and living civil society is the foundation of democracy.”
- against domination and subordination»Socialdemokratin vill se ett samhälle utan över- och underordning, och bekämpar därför« (party programme ↗)“Social democracy wants to see a society without domination and subordination, and therefore fights”
- timely care»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one shall have to feel anxiety about getting care in time.”
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 party programme establishes that undocumented migrants and asylum seekers have the right to healthcare and that care should be distributed according to need, which supports the requirement that more migrants gain access to testing and treatment.
Plan documents: party programme
Reasoning and quotes
The party programme establishes that undocumented migrants and asylum seekers have the right to healthcare and that care should be distributed according to need, which supports the requirement that more migrants gain access to testing and treatment. Patient organisations and civil society organisations should be seen as assets for healthcare and broadly supported, which corresponds to the demand for long-term conditions for civil society.
Original (Swedish)
Partiprogrammet slår fast att papperslösa och asylsökande ska ha rätt till vård och att vården ska fördelas efter behov, vilket bär kravet på att fler som migrerar får tillgång till testning och behandling. Patientföreningar och ideella organisationer ska ses som tillgångar för vården och stöttas brett, vilket motsvarar kravet på långsiktiga villkor för civilsamhället.
- healthcare also for undocumented migrantsdecisive»Papperslösa och asylsökande ska ha rätt till vård.« (party programme ↗)“Undocumented migrants and asylum seekers should have the right to healthcare.”
- support for patient organisations»Patientföreningar och andra ideella organisationer bör ses som tillgångar för vården och stöttas i bred bemärkelse.« (party programme ↗)“Patient organisations and other civil society organisations should be seen as assets for healthcare and supported in a broad sense.”
- healthcare according to need»Vården ska hålla god kvalitet, vara tillgänglig, fördelas efter behov och vara solidariskt finansierad.« (party programme ↗)“Healthcare should maintain good quality, be accessible, be distributed according to need and be financed through solidarity.”
- sexual and reproductive health»God sexualundervisning i skolan, tillgängliga ungdomsmottagningar och tillgång till preventivmedel ska säkra en god sexuell och reproduktiv hälsa.« (party programme ↗)“Good sex education in school, accessible youth clinics and access to contraception should ensure good sexual and reproductive health.”
The plan makes preventive work a prerequisite for sustainable welfare and requires that everyone is guaranteed access to healthcare, which bears the requirement that more who migrate here get testing, diagnosis and treatment.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan makes preventive work a prerequisite for sustainable welfare and requires that everyone is guaranteed access to healthcare, which bears the requirement that more who migrate here get testing, diagnosis and treatment. The plan also wants organisations working with vulnerable people to have long-term funding, which corresponds to the counter-proposal's requirement regarding civil society's conditions in HIV work.
Original (Swedish)
Planen gör förebyggande arbete till en förutsättning för hållbar välfärd och kräver att alla garanteras tillgång till sjukvård, vilket bär kravet på att fler som migrerar hit får testning, diagnos och behandling. Planen vill också att organisationer som arbetar med utsatta har långsiktig finansiering, vilket motsvarar motförslagets krav på civilsamhällets villkor i hivarbetet.
- preventive disease controldecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”
- care for all»Alla människor ska garanteras tillgång till sjukvård, utbildning och omsorg samt fysisk och digital« (party programme ↗)“All people shall be guaranteed access to healthcare, education and care and physical and digital”
- long-term support for civil society»Organisationer som jobbar med flickor och pojkar, förövare och utsatta, ska ha den långsiktiga finansiering de behöver.« (2022 manifesto ↗)“Organisations working with girls and boys, perpetrators and vulnerable people, shall have the long-term funding they need.”
- civil society as a provider»Politiken kan stödja civilsamhället genom att involvera det i fler processer« (party programme ↗)“Policy can support civil society by involving it in more processes”
The plan establishes that healthcare shall be equal and that even those without permission to stay in the country shall have access to healthcare, which supports the demand that more who migrate here get testing, diagnosis and treatment.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan establishes that healthcare shall be equal and that even those without permission to stay in the country shall have access to healthcare, which supports the demand that more who migrate here get testing, diagnosis and treatment. The plan also wants to improve civil society financing with long-term state grants, which addresses the demand for sustainable conditions for support organizations. Strengthening LGBTQI competence in healthcare lies in the same direction.
Original (Swedish)
Planen slår fast att vården ska vara jämlik och att även den som saknar tillstånd att vistas i landet ska ha tillgång till sjukvård, vilket bär kravet på att fler som migrerar hit får testning, diagnos och behandling. Planen vill dessutom förbättra civilsamhällets finansiering med långsiktiga statsbidrag, vilket svarar mot kravet på uthålliga villkor för stödverksamheter. Att stärka hbtq-kompetensen i vården ligger i samma riktning.
- healthcare even without permissiondecisive»ska de ha tillgång till skolgång och sjukvård« (party programme ↗)“shall they have access to schooling and healthcare”
- long-term state grants»Vi vill fortsätta förbättra civilsamhällets finansiering genom både bredare skatteavdrag för gåvor och långsiktiga statsbidrag.« (2022 manifesto ↗)“We want to continue improving civil society financing through both broader tax deductions for donations and long-term state grants.”
- equal healthcare»Vården ska vara jämlik.« (party programme ↗)“Healthcare shall be equal.”
- LGBTQI competence in healthcare»hbtq-kompetensen inom vården stärkas« (party programme ↗)“LGBTQI competence in healthcare shall be strengthened”
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 party programme establishes that even people who have difficulty using their freedom of choice shall have access to good and dignified care, and that refugees' and asylum seekers' health problems must be given attention.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes that even people who have difficulty using their freedom of choice shall have access to good and dignified care, and that refugees' and asylum seekers' health problems must be given attention. It supports more migrants having access to testing, diagnosis and treatment. The programme also highlights civil society as indispensable and wants the public to support natural networks, which bears the counter-proposal's requirement for long-term conditions for organizations' efforts.
Original (Swedish)
Principprogrammet slår fast att även människor som har svårt att nyttja sin valfrihet ska ha tillgång till god och värdig vård, och att flyktingars och asylsökandes hälsoproblem måste uppmärksammas. Det ger stöd för att fler som migrerat får tillgång till testning, diagnos och behandling. Programmet lyfter också civilsamhället som omistligt och vill att det offentliga stödjer de naturliga nätverken, vilket bär motförslagets krav på långsiktiga förutsättningar för organisationernas insatser.
- care also for vulnerable groupsdecisive»Även människor som har svårt att nyttja sin valfrihet ska ha tillgång till en god, trygg och värdig vård.« (party programme ↗)“Even people who have difficulty using their freedom of choice shall have access to good, safe and dignified care.”
- public support for civil society»Med subsidiaritetsprincipen som grund ska det offentliga stödja de naturliga nätverken.« (party programme ↗)“With the principle of subsidiarity as a foundation the public shall support natural networks.”
- vital civil society»Ett vitalt civilt samhälle är av största vikt för en levande demokrati och ett mänskligt samhälle.« (party programme ↗)“A vital civil society is of utmost importance for a living democracy and a human society.”
- strengthened civil society»STÄRKT CIVILSAMHÄLLE« (2022 manifesto ↗)“STRENGTHENED CIVIL SOCIETY”
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 says nothing about HIV or a HIV strategy.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan says nothing about HIV or a HIV strategy. The bearing principle lying nearest is that welfare benefits for those who have immigrated should be reached through qualification, which speaks against the counter-proposal's requirement to broaden access to testing and treatment for among others family migrants. The plan's healthcare priorities moreover point towards cancer care and child and youth psychiatry rather than new long-term commitments to civil society organizations.
Original (Swedish)
Planen säger ingenting om hiv eller om en hivstrategi. Den bärande principen som ligger närmast är att välfärdsförmåner för den som invandrat ska nås genom kvalificering, vilket talar emot motförslagets krav på att bredda tillgången till testning och behandling för bland annat anhöriginvandrare. Planens vårdprioriteringar pekar dessutom mot cancervård och barn- och ungdomspsykiatri snarare än mot nya långsiktiga åtaganden gentemot civilsamhällets organisationer.
- qualification to welfaredecisive»Införa kvalificering till välfärden för nyanlända genom eget arbete eller genom permanent och laglig bosättning i landet« (2022 manifesto ↗)“Introduce qualification to welfare for newly arrived through own work or through permanent and legal residence in the country”
- benefits through work»Se till att den som invandrat kvalificerar sig till olika välfärdsförmåner genom arbete och utbildning« (2022 manifesto ↗)“Ensure that those who have immigrated qualify for various welfare benefits through work and education”
- stated healthcare priorities»Moderaterna vill korta tiden som du behöver vänta på att få vård men särskilt prioritera cancervård och barn- och ungdomspsykiatrin.« (2022 manifesto ↗)“The Moderate Party wants to shorten the time you need to wait to get care but especially prioritize cancer care and child and youth psychiatry.”
The counter-proposal's central new requirement is that more who migrate to Sweden, including through family reunification, shall gain access to testing and treatment.
Plan documents: 2022 manifesto
Reasoning and quotes
The counter-proposal's central new requirement is that more who migrate to Sweden, including through family reunification, shall gain access to testing and treatment. The plan goes explicitly in the opposite direction: the threshold for non-citizens to access tax-financed welfare shall be raised, social attraction factors reviewed and requirements for family reunification tightened. The plan therefore rejects what the counter-proposal requires, even though infection-control goals in themselves are not controversial.
Original (Swedish)
Motförslagets bärande nya krav är att fler som migrerar till Sverige, bland annat genom anhöriginvandring, ska få tillgång till testning och behandling. Planen går uttryckligen åt motsatt håll: tröskeln för icke-medborgare att ta del av skattefinansierad välfärd ska höjas, sociala attraktionsfaktorer ses över och kraven för anhöriginvandring skärpas. Planen avvisar därför det som motförslaget kräver, även om smittskyddsmålen i sig inte är kontroversiella.
- limit non-citizens' welfare accessdecisive»Sociala attraktionsfaktorer som exempelvis bidragssystem behöver ses över för att begränsa icke-medborgares rätt till välfärden.« (2022 manifesto ↗)“Social attraction factors such as benefit systems need to be reviewed to limit non-citizens' access to welfare.”
- raised threshold to welfare»Skärpa villkoren för medborgarskap och höja tröskeln för att ta del av skattefinansierad välfärd« (2022 manifesto ↗)“Tighten conditions for citizenship and raise the threshold for access to tax-financed welfare”
- tightened family reunification»Skärpa kraven för anhöriginvandring« (2022 manifesto ↗)“Tighten requirements for family reunification”
- protect the welfare systems»Göra det svårare att exploatera den svenska välfärden« (2022 manifesto ↗)“Make it harder to exploit Swedish welfare”
flags: motforslaget_blandar_folkhalsomal_och_utvidgad_valfardstillgang
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Sources and documents
- The committee report on riksdagen.se (2023/24:SoU15)
- Committee report full text (HB01SoU15)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1005 — Fler behöver TBE-vaccination av Åsa Westlund och Mathias Tegnér (båda S)
- Motion 2023/24:1171 — Barnaga klassat som folkhälsoproblem av Markus Wiechel (SD)
- Motion 2023/24:1173 — Ett utvecklat folkhälsoarbete av Markus Wiechel (SD)
- Motion 2023/24:1191 — Internationellt kris- och hälsosamarbete av Markus Wiechel (SD)
- Motion 2023/24:120 — Utredning av anmälnings- eller tillståndsplikt för kyltornsanläggningar av Eric Palmqvist (SD)
- Motion 2023/24:1258 — Förbättrad hälsa hos barn och unga av Anders Ådahl (C)
- Motion 2023/24:1276 — Minskning av den antimikrobiella resistensen både nationellt och internationellt av Marie-Louise Hänel Sandström m.fl. (M)
- Motion 2023/24:1306 — Avgiftsfritt TBE-vaccin för barn av Adrian Magnusson m.fl. (S)
- Motion 2023/24:1402 — Lex Rebecka - att orka leva, att våga leva av Ann-Sofie Alm (M)
- Motion 2023/24:1423 — Preventiva insatser mot suicid hos äldre av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:1479 — Gratis TBE-vaccin för barn och unga under 18 år av Louise Thunström och Sofia Skönnbrink (båda S)
- Motion 2023/24:1512 — Främjande av vaccinering mot TBE i riskområden som Blekinge av Heléne Björklund (S)
- Motion 2023/24:171 — Ohälsosamma livsmedels påverkan på folkhälsan av Angelica Lundberg (SD)
- Motion 2023/24:1712 — Antibiotikaresistens är fortfarande ett globalt hälsoproblem av Margareta Cederfelt (M)
- Motion 2023/24:1799 — Kriskommission för barns och ungas psykiska hälsa av Lili André och Hans Eklind (båda KD)
- Motion 2023/24:189 — Psykisk ohälsa bland skuldsatta samt självmord av Magnus Jacobsson (KD)
- Motion 2023/24:1915 — Utökning av vaccinationsprogrammet för barn så att det också gäller TBE-vaccin av Magnus Manhammar (S)
- Motion 2023/24:1933 — Suicidprevention av Sofia Amloh och Louise Thunström (båda S)
- Motion 2023/24:2063 — En kvalitativ cancervård i framkant av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:2066 — Astma- och allergivården i Sverige av Carina Ståhl Herrstedt m.fl. (SD)
Source: The Swedish Parliament