1. ILFA Indicator Based Local Preventive work Results and lessons learned
7 September 2017
ASA EG
Stockholm
Presentation-coordinator for regional preventive work. One of my responsibilities is ILFA.

2. An ounce of prevention is worth a pound of cure
-Benjamin Franklin
When talking about projects on prevention such as ILFA, which question do you think is the most common?
Yes, how much does it cost?
This quote sums it up. I like it because it combines economy into preventive work.

3. ANDT –organization in Sweden
Government
Regions
Munici-
palities
NGO’s

4. The LUMA project shows effect on
Policies
Policies on ANDT in schools, workplaces
Action plans on several levels
Follow-up plan
Support from stakeholders, politicians
Activities
Parental program
Information to parents
Limit illegal sales of alcohol to youth (e.g campaigns)
Drug-Free activities
Enforce age limits for alcohol sales
Education of staff

5. Indicator based ILFA Local ANDT-Prevention Work
Vad är ILFA? Om ILFA –att vi jobbar i tre delar, med kommuner (varför just municipalities?), med hjälp av Länsstyrelsen, polis, landsting helst. Knowledge by assessments

6. ILFA-the details Long-term committment from the municipalities
CAN has the role of the expert (consultant), but others participate: police, region, health care
Purpose is long-term preventive work that is based on research and current data and has local ownership

7. ILFA
Assessments on policy, drug-use and other risk and protective factors
Recommendations based on the need assessments. Recommendations are given on both organization, structure and activities.
Implementation and follow-up of the recommendations
This is an overview, I will go deeper into

8. ILFA Need assesment Consumption
CURRENT DATA
Examples:
Consumption
Mortality and morbidity --number of patients treated and number of deaths
Assaults
Drink driving
Data on licensing
Policy – prevention data
NEW DATA
Examples:
ILFA-questionnaire (community readiness survey)
School surveys
We also look at:
Local policy documents
Structure and organization
Budget
Data and statistics in alcohol- and drug use has been collected for a long time in several countries, however it has not been used in a practical or evident way.

9. Oganization/Methods/Arenas
ILFA Recommendations
General
Specific
Oganization/Methods/Arenas
How to communicate this? Internally and externally

10. ILFA Implementation and follow up
Guidance on implementation
Who is doing what?
Required changes?
Follow ups
First follow up is conducted by CAN
Revision and adjustment of recommendations
Create long-term methods
The municipality needs to take the provided information and make it their own.
Most important: to create long-term methods
Talking about this is of course very nice and easy, but how does it work in IRL? To demonstrate that, Olof will tell you more about the practical side of ILFA. We have collaborated with his county Kalmar…next slide.

11. Received same support from CAN
Two examples
Torsås municipality
(7 000 inhabitants)
2014
No structure
No policies or actionplans
No coordinator employed
Budget for coordinator
No politcial will
Very high consumption for years old and grown-up men
High level on sick leave for women
Parental program
Nybro municipality
( inhabitants)
2014
No structure
No policies or actionplans
No coordinator
No budget
No political will
Quite high consumption both young and adults
Alcohol related diseases increase
Received same support from CAN
2017
Coordinator
Budget for coordinator withdrawn
Political will, but no strength
Some public/political awareness
2017
Structure at all levels
Coordinator and steering group with mandate
Budget for prevention work
Plenty of actions taken( e.g parental program, drug free activities, schoolprogram)
Policies and actionplans adopted
Political will and strength
Strong public/political awareness

12. Lessons learned
Strong and long-term committment from the municipality is needed (e.g. politicians, stakeholders, schools)
Openness
Appointed responsible management
Preparedness to take care of results (even “bad” ones)
Willingness to change
Regional cooperation depending on structure

13. ILFA around the world Region of Jämtland City of Stockholm
Small municipalities
International
Chile
Ghana
Uganda
Sri Lanka
Region of Jämtland
City of Stockholm
Region of Västernorrland
Kalmar län
Halvvägs till mål
Framtiden

14. Thank you for you attention
Any questions? Irma Kilim: Mia Sundelin: