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An educational programme for prevention and control of multidrug resistant organism outbreaks

TN Hanvold, K Corbett, P Kristensen, IS Mehlum National Institute of Occupational Health, Oslo, Norway Contact: tno@stami.no Background: Increasing work participation is an important political objective in many countries. In Norway, a voluntary national intervention program aimed at increasing work participation (the IA Agreement) was implemented in 2001, and is still ongoing. One of the main goals of the IA Agreement is to reduce sickness absence (SA). Organizations that sign the agreement commit themselves to take active measures in order to reduce SA and in return, they are given special rights such as grants for workplace adjustments and job training. Scientific evaluations of the IA Agreement have been limited. We aim to estimate the impact of the IA Agreement on SA in Norway during 2001-2009. Methods: The source population is a national cohort of all 626 928 individuals born 1967-1976. Individual-level data on SA, Employmeny and background characteristics were obtained from national registries. We apply a quasi-experimental design using difference-in-difference analysis, comparing employees in IA organizations (intervention group) with employees in non-IA organizations (control group), with respect to pre-post differences in SA. Results: The IA Agreement was signed by 13760 organizations by March 2003 and covered 43% of Norwegian employees. Compared to the general working population, IA organizations had a higher proportion of women and workers in the healthcare sector. We will analyze the nationwide impact of the IA Agreement on SA and explore differences by gender, industry and diagnostic category. Key messages: Effect of a population based intervention. Different effect by gender and occupation.