The Salut Child-Health Intervention Programme
In 2005, the health authorities of Region Västerbotten initiated the Salut Programme. The initiative got its name from the word “salutogenic” as the basic idea is to promote processes that give children and their parents an opportunity to increase control over their health and ability to improve it. Since 2009/2010 it is a countywide ongoing universal health promotion intervention in a variety of sectors for parents and children 0-18 years, starting already during pregnancy. The Programme has been implemented since 2006 onwards, prompted by alarming reports of child overweight/obesity and trends of increased dental caries, already during preschool age. The programme has been developed and implemented in close collaboration with antenatal care, child health care, dental services, open preschools and schools. The Programme aims to support and strengthen initiated and ongoing health promotion interventions, and universal preventive interventions to improve health and lifestyle among expectant parents and children. The main focus areas are: to promote healthy eating habits, physical activity and good psychosocial health, and to prevent obesity and caries. In other words, the Programme combines both health promotion and universal prevention interventions in order to improve health and well-being, as well as to avoid ill health and disease for the whole population. To achieve the aforementioned aims, the Salut Programme includes a package of interventions using a family-centred approach. The interventions are integrated within ordinary public services. Programme development, implementation and dissemination have been carried out stepwise, with respect to geography, which facilitates evaluation efforts. The Programme has stepwise become a quite unique infrastructure to research on children, their parents and their living conditions. The Programme is followed and evaluated using registers, surveys, interviews, observations and records, and has generated 3 doctoral thesis and 26 international peer-reviewed articles. Purpose: One of the aims is to evaluate the short and long-term results of the Salut Programme in relation to the public health policy goals: maximizing public health and improving health equity while obtaining value for the money. Another aim is to pave the way for children's right to good and equal health by increasing the knowledge regarding preschool children's social-emotional problems.
Kristina Edvardsson, Anneli Ivarsson, Eva Eurenius, Rickard Garvare, Monica E Nyström, Rhonda Small and Ingrid Mogren. Giving offspring a healthy start: parents’ experiences of health promotion and lifestyle change during pregnancy and early parenthood. BMC Public Health 2011;11:936
Eurenius E, Richter Sundberg L, Vaezghasemi M, Silfverdal SA, Ivarsson A, Lindkvist M. Social-emotional problems among three-year-olds differ based on the child’s gender and custody arrangement. Acta Pediatrica 2018;108:1087-95.
Kristina Edvardsson, Marie Lindkvist, Eva Eurenius, Ingrid Mogren, Rhonda Small, Anneli Ivarsson. A poulation-based study of overweight and obesity in expectant parents: socio-demographic patterns and within-couple associations. BMC Public Health 2013:13(1):923.
Kristina Edvardsson, Anneli Ivarsson, Rickard Garvare, Eva Eurenius, Marie Lindkvist, Ingrid Mogren, Rhonda Small, Monica E Nyström. Improving child health promotion practices in multiple sectors - outcomes of the Swedish Salut Programme. BMC Public Health 2012, 12:920.
Pulkki Brännström AM, Lindkvist M, Eurenius E, Häggström J, Ivarsson A, Sampaio F, Feldman I. The equity impact of a universal child health promotion programme. Journal of Epidemiology & Community Health 2020;0:1-7.
Häggström J, Sampaio F, Eurenius E, Pulkki Brännström AM, Ivarsson A, Lindkvist M, Feldman I. Is the Salut Programme an effective and cost-effective universal health promotion intervention for parents and their children? A register-based retrospective observational study. BMJ Open 2017;7:e016732.
Masoud Vaezghasemi, Marie Lindkvist, Anneli Ivarsson, Eva Eurenius. Overweight and lifestyle among 13 to 15 year olds: A cross-sectional study in northern Sweden. Scand J Public Health 2012;40:221–228.
Lindqvist M, Lindkvist M, Eurenius E, Persson M, Ivarsson A, Mogren I. Leisure time physical activity among pregnant women and its associations with maternal characteristics and pregnancy outcomes. Sexual & Reproductive Healthcare 2016;9:14-20. Doi: 10.1016/j.srhc.2016.03.006.
Vaezghasemi M, Eurenius E, Ivarsson A, Richter Sundberg L, Silfverdal SA, Lindkvist M. Social-emotional problems among Swedish three-year-olds: an Item Response Theory analysis of the Ages and Stages Questionnaires: Social-Emotional BMC Pediatrics 2020;20:149.
Kristina Edvardsson, Rickard Garvare, Eva Eurenius, Anneli Ivarsson, Ingrid Mogren och Monica Nyström. Sustainable practice change: Professionals’ experiences with a multisectoral child health promotion programme in Sweden. BMC Health Services Research 2011;11:61.
Feldman I, Eurenius E, Häggström J, Lindkvist M, Pulkki Brännström AM, Sampaio F, Ivarsson A. Effectiveness and cost-effectiveness of the Salut Programme: a universal health promotion intervention for parents and children - protocol of a register-based retrospective observational study. BMJ Open 2016;6:e011202.
Wilson I, Eurenius E, Lindkvist M, Edin K, Edvardsson K. Is there an association between pregnant women's experience of violence and their partner's drinking? A Swedish population-based study. Midwifery 2018;69:84-91.
Eva Eurenius, Marie Lindkvist, Magdalena Sundkvist, Anneli Ivarsson, Ingrid Mogren. Maternal and paternal self-rated health and BMI in relation to lifestyle in early pregnancy - the Salut Programme in Sweden. Scand J Public Health 2011;39:730-41.
Department of Epidemiology and Global Health
Swedish Research Council for Heath, Workning Life and Walfare
Data on the general well-being or health status of an individual, group or population. May be objectively measured/observed or self-perceived. Well-being includes, for instance, physical and mental capacity or state, as well as social state.
Prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level. For instance, health promotion, disease prevention, impact of public health programmes, managing local, national or global health issues, epidemiology of a disease, condition, or pathogen, or disease outbreak.
Public Health, Global Health and Social Medicine
Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed)
Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure.
Regular course of eating and drinking adopted by a person or animal.
Behaviors associated with the ingesting of ALCOHOLIC BEVERAGES, including social drinking.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
The state of the organism when it functions optimally without evidence of disease.
The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.
Acquisition of knowledge as a result of instruction in a formal course of study.
Crafts, trades, professions, or other means of earning a living.
THIS TERM COVERS EXAMINATIONS, TREATMENT, CLEANING AND DENTAL HYGIENE ADVICE PROVIDED BY DENTISTS OR DENTAL ASSISTANTS.
THE COMMUNICATION LINKS AMONG INDIVIDUALS THAT FUNCTION VIA FAMILY CONNECTIONS, NEIGHBOURHOOD, WORKPLACE, RECREATIONS, THE INTERNET AND SOCIAL MEDIA
Behavioral responses or sequences associated with eating including modes of feeding, rhythmic patterns of eating, and time intervals.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
Dietary patterns which have been found to be important in reducing disease risk.
A pattern of behavior involving LIFE STYLE choices which ensure optimum health. Examples are eating right; maintaining physical, emotional, and spiritual wellness, and taking preemptive steps against communicable diseases.
documentation/3-year questionnaire_2020_version 3.pdf
documentation/Elevhälsoformulär_åk 4.pdf
documentation/Elevhälsoformulär_år 1gy.pdf
documentation/Not pregnant_health quest_2020_version_7.pdf
documentation/Pregnant_health quest_2020_version_7.pdf