HPH Progress Report 2017-2018: Sweden




The HPH Constitution (2008) for the International Network of Health Promoting Hospitals and Health Services states that one of the tasks of a National/Regional HPH Network is: “To periodically deliver a progress report to the Governance Board.” (Refer to 1.4. Mission and Obligations, HPH Constitution)


For the purposes of this activity:


  • The period for progress reports to be delivered is every two years.

  • A progress report is defined as a report on efforts to assist hospitals/health services to ”incorporate the concepts, values, strategies and standards or indicators of health promotion into the organizational structure and culture of the hospital/health service." (Refer to Mission, HPH Constitution)


The aims of Progress Reports are:

  1. To provide a mechanism for HPH networks and taskforces to share information, knowledge and experience

  2. To contribute to an assessment of the achievement of objectives by the International HPH Network

  3. To help identify priorities for future action by the International HPH Network.

This survey refers to activities in the period 2017-2018.


All data will be made publicly available.



INSTRUCTIONS: Keep the text that in black color. Change the text in grey colour (Green text is hyperlinks for your reference)





Part 1: Administrative information



1A. Network contact details  

  • Network Coordinator name: Sofia Dahlin

  • Phone: 0046 730-753297

  • E-mail: sofia.dahlin@rjl.se

  • Address: Lovisa Karlsson, Region Östergötland, CVU, Gasverksgränd 2, 58185 Linköping 

  • Website: www.hfsnatverket.se

  • Name of Coordinating Institution:Centre for Organisational Support and Development

  • Address: Region Östergötland, CVU Hälso- och vårdutveckling - Gasverksgränd 2, 581 85 Linköping

  • E-mail: (If different from coordinator’s): Lovisa.karlsson@regionostergotland.se

  • Phone (If different from coordinator’s): 0046-10 103 72 68

  • Institution Website: http://www.regionostergotland.se/Om-regionen/Verksamheter/Centrum-for-verksamhetsstod-och-utveckling/


1B. Network administrative details

  • Network establishment: 10/25/1996

  • Expiration of network agreement: 2012 

  • Number of current Network members: 92

  • My list of members on hphnet.org is up to date: yes

  • Number of new members in 2017: All regions in Sweden are members from 2016

  • Number of new members in 2018: All regions in Sweden are members from 2016 

  • Number of ceased members in 2017: 0 

  • Number of ceased members in 2018: 0





Part 2: Network progress



2A. To what degree has my network put the HPH mission, purpose and objectives into practice?


  1. Choose one option

  • Completely

Please elaborate here:

Among the possible items this is the one closest to our situation;  our work is focused on the implementation on the comprehensive HPH concept and includes patients, personell and population perspectives and also the management of health services.


2B. How is my network organized and how do we work?


Please elaborate here:

Medlemmar = Members (all regions in Sweden)
Sekretariat = Secretariat 
Presidium = General assembly (representatives from each member for example the regions director for health care)
Presidieutskott = Governance board

Processledare = Process leader (Each member has one or more process leaders that help the member to put forward the health promoting work in daily practice)
Temagrupper = Task forces (alcohol prevention, physical activity, eating habits, tobacco prevention, health-promoting workplace, health promoting encounters, health promoting primary care, health promoting care environment, mental health, assingments, contracts and monitoring and health dialogues in population groups.)





2C. What has been the aim of my network?


Please elaborate/list projects here:

Together drive the development of an quite and helath promoting health service for patients, co-workers and the population served.

The network works through charing knowkedge, giving inspiration and influencing other actors.

We do not work  through projects but via task forces and national/regional  meetings and interaction eg via the homepage. One central part is involving the management




2D. What were my network's main achievements and lessons learned?


Please elaborate here:

Support from top management is a central part and among most members this is strong. However still main challenges are pressing agendas with difficulties to find enough time and resources for the work.



2E. Global HPH Strategy 2016-2018 


My network worked with the Global Strategy: yes


Specifically, priority was given to

  • (Priority 1 on implementation of updated WHO-HPH Standards: NB not applicable due to delay with document)

  • Priority 2 on HPH awareness and capacity: yes

  • Priority 3 on HPH development and sustainability: yes

My network supported members with fulfilling the Global Strategy: yes


My network acheived the following strategy goals

  • Priority 2 on HPH awareness and capacity

A-I) Organised at least 1 local HPH day: yes

A-II) Local policy level participated in HPH day: yes

A-III) Informed local policy level of HPH: yes

B-I) Participated in discussion of the role of coordinators at HPH assembly: yes

B-II) Members received the translated/locally adapted final document: no

C) Stakeholder analysis made by network: yes

D-I) Members received translated/locally adapted HPH Member Packages: no

D-II) At least 2 local decision makers received translate/locally adapted HPH package: no

E) Own website updated at least 4 times with news, information and experiences: yes

F) Best practices/good ideas collected and reported at HPH general assembly, hphnet.org or here in progress report: yes

  • Priority 3 on HPH development and sustainability

A-I) Participated in discussion and development of member benefits: yes

A-II) Translated/locally adapted HPH brochure describing the benefits of membership received by my members: no

B-I) Hospitals nationally/regionally with potentially interest in HPH were listed: yes

B-II) Contact was established and HPH information was sent to at least 2 potential new members: yes

C) Best practices/good ideas collected and reported at HPH assembly, hphnet.org or here in Progress Report: yes


If you wish to share your experiences in this regard, please feel free to elaborate here:

B1 not relevant all hospitals are members 

F. How did my network use the WHO-HPH Standards?


My network prioritized working with the standards: yes


If yes, priority was given to

  • Standard 1 on Management policy: yes

  • Standard 2 on Patient assessment: yes

  • Standard 3 on Patient information and intervention: yes

  • Standard 4 on Promoting a healthy workplace: yes

  • Standard 5 on Continuity and cooperation: yes

My network has supported members with using the standards for quality improvement: no


The status in my network is that members have implemented

  • Standard 1 on Management policy

1.1. The organization identifies responsibilities for HP: partly implemented

1.2. The organization allocates resources for the implementation of HP: partly implemented

1.3. The organization ensures availability of procedures for HP data collection/evaluation: partly implemented 

  • Standard 2 on Patient assessment

2.1. The organization ensures procedures for all patients to assess their need for HP: partly implemented

2.2. The HP needs assessment is done at first contact, reviewed and adjusted: partly implemented

2.3. The HP needs assessment includes external info and is social/cultural sensitive: partly implemented

  • Standard 3 on Patient information and intervention

3.1. Based on needs, patients are informed and HP plan is agreed: partly implemented

3.2. The organization ensures access to general information on factors influencing health: partly implemented

  • Standard 4 on Promoting a healthy workplace

4.1. The organization ensures a healthy and safe workplace: partly implemented

4.2. The organization ensures a HR Strategy that includes HP: partly implemented

4.3. The organization ensures procedures to develop/maintain staff awareness on health:partly implemented

  • Standard 5 on Continuity and cooperation

5.1. The organization ensures HP services are coherent with regional health policy plans: partly implemented

5.2. The organization ensures HP for out-patients and after discharge: partly implemented


If you wish to share your experiences in this regard, please elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>


2G. Standards developed by HPH Task Forces and other relevant standards  

My network has worked with standards from the HPH Task Forces on

  • Equity/migrants: no

  • HPH Children/Adolescents Standards: no

  • Environment: no

  • Age-friendly healthcare: no

My network has worked with other relevant standards: We have, since early 2000 used our own set of indicators for yearly assessment of the full HPH concept. However, we now work, in close collaboration with the national agencies to identify/develop indicators that can be used as a part of the ordinary quality system, i.e. within the system and not an extra one.


If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>








Part 3: Sharing of knowledge and experience



3A. Additional strategy, priorities and focus areas of my network

My network focused on:

Improve the communication for charing knowlegde eg webinars (webbased meetings on different subjects) 
Workning with national indicators, see 2 G. 

Closer cooperation with relevant actors/networks. Eg given Equite health  services,Knowledve based management, Developments of contracts and assignments  

3.B My network's connection to National/Regional health policies and strategies

  • HPH is a priority nationally/regionally in health policies, laws and regulations: yes

  • Changes in national/regional health policies have directly influenced my network's activities: yes

  • The national/regional health system is supportive of the development of HPH: yes

  • My network has received recognition/acknowledgment from public authorities/health systems: yes

If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>



3C. Availability of key HPH documents in my local language 


In my local language the following documents exist

In my local language, I would like the following HPH documents to be made available: Comments; in Sweden most people understand english. 



3D. My network's untapped resources and needs for further support


My network has untapped resources that could help contribute to the International HPH Network’s fulfilment of its objectives by:

Sharing expericenes on national indicators for HPH, working with all four perspectives of HPH and involving all health services in the country.



The International HPH Network, the HPH Governance Board and the HPH Governance Assembly could better support my network by:

Easily accessiable tools to search and find information on experiences in other networks on different areas and topics. 
Arrangements for wed based meetings for discussions and sharing of experiences.

Possibilities to send key note lectures from the intenational conference on web?
We look forward to umberella standards.



3E. Final comments and ideas


Final comments and ideas from my network are:

For the next progress report, please develop the  format for our report; many questions are difficut to respond to and the technique  is  

not ´very user friendly.  



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