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Bli en antibiotikasmart kommunledning (Become an antibiotic-smart municipal government)

Objective(s)
Objectives
1. Engage municipalities in SDG-aligned, sustainable antibiotic stewardship and infection prevention
2. Promote systematic, inter-departmental antibiotic-smart work covering hygiene, public education, and environment
3. Enable municipalities to inform residents and reduce environmental antibiotic emissions
4. To create commitment, inspire and stimulate municipalities to work to prevent the spread of infection and contribute to responsible antibiotic use. Municipalities that meet the criteria can be certified.
Target audience
Municipalities
Campaign Scope
National
Partners or Allies
Vinnova
RISE – Research Institutes of Sweden
Municipalities and Regions
Communication Channels Used
websites/blogs
Press releases
Community events
Campaign Material(s)
Website content
Key messages
As a municipality, you have a central role in Sweden's implementation of Agenda 2030, and by making it easier for your operations to become antibiotic-smart and informing residents, you can contribute to healthier residents, reduced spread of infection, fewer infections and a reduced need for antibiotics. Source: https://www.folkhalsomyndigheten.se/antibiotikasmart-sverige/bli-antibiotikasmart/kommun/
Campaign Focus
Human health
Campaign Setting
Municipalities
Use of Scientific Evidence
Implicit Evidence-Based Messaging
Visual and Symbolic Elements
People
Environment
Educational model applied
Transmissive
Participatory
Constructivist
Content Complexity Level
Intermediate
Content accessibility
Yes
Content accessibility
Audio description
Diversity and Inclusion
No
Involvement of Vulnerable Groups
No
Cultural Sensitivity and Contextualization
Yes
Continuity strategy
Campaign with regular updates
Replicability
Yes
Content usage license
Free
Campaign Status
Active
Evaluation methods used
Reach/engagement
Community participation in evaluation
No
Quantitative impact indicators
Number of municipalities/regions enrolled
% meeting certification criteria
Number of certified units
Number of training sessions held
Attendance numbers
% staff trained
Change in antibiotic prescription rates (overall or per setting)
Number of events/campaigns
Distribution count of materials
Media impressions
% of units with updated protocols
Diploma renewal rate
% completing yearly follow-up requirements
Qualitative impact indicators
Case stories from patients or professionals
Number of municipalities registered
Measured results
1. Number of municipalities registered: Municipalities have enrolled to work with antibiotic-smart governance criteria, though specific total counts aren’t disclosed publicly
Estimated budget
2 200 000 €
Identified gaps
Credibility assumed due to source, no references
Accessible formats for hearing impaired users not provided
Key messages not clearly indicated
Interactive features not included
Reporting on results or impact not found
Outreach activities not documented
Identified gaps
1.Infection tracking: Existing routines may track general infection rates but lack detail by infection type, severity, or treatment outcome.
2. Team-based reviews: Implementation of hygiene audits and improvement work is often done by single-role actors, limiting perspectives.
3. End user engagement: Limited involvement of residents, clients, or family members in hygiene or infection prevention strategies. No establish feedback mechanisms (surveys, interviews) nor participatory workshops with residents/families to raise awareness and gather input.
4. Visual transparency: Lack of live or periodic visual dashboards (e.g., infection rates per unit) displayed in staff areas to promote transparency.
5. Sustainability: Diploma or award cycles may end without a plan to maintain hygiene initiatives long-term.
6. External validation: Internal self-assessments may miss blind spots.
Lessons learned
"Listen" button available improves accessibility for different audience
Lessons learned
1. Strategic-level engagement is crucial: Political commitment and official decisions are foundational for lasting change .
2. Formal structures aid delivery: Working groups and follow-up processes provide clear accountability.
3. Integration into municipal planning ensures sustained alignment with broader goals like health and sustainability .
4. Deepening criteria (e.g., procurement) highlight that municipalities can leverage purchasing power for antibiotic stewardship .
Identified biases
Digital Literacy Bias
Digital Access Bias
Disability Accessibility Bias
Evaluation Absence Bias
Identified biases
Potential biases to consider (not explicitly addressed):
1. Selection bias: Municipalities opting in may be more motivated/resources-rich.
2. Representation bias: Strategic roles (e.g., sustainability officers) may marginalize on-the-ground staff or residents.
3. Engagement bias: Resident outreach may vary in equity or inclusiveness.
Identified Weaknesses
Unclear or confusing messaging
No Measurable Outcomes or Evaluation Plan
Identified Weaknesses
1. Implementation resource burden: Smaller municipalities may lack capacity to fulfill documentation/collaboration.
2. Limited enforcement: Without obligatory mandates, long-term adherence may decline.
3. Standardization variability: Quality of public outreach activities may differ widely across municipalities.

Identified Strengths
Endorsements by Trusted Institutions
Easy to locate materials
Identified Strengths
1. Cross-sectoral approach, aligning municipal leadership with SDG and infection prevention goals .
2. Structured, documentation-based process ensures transparency and accountability
3. Supportive materials, including procurement and public education guides .
4. endorPublic information requirement institutionalizes reporting and visibility across residents .