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Karolinska’s sustainability efforts recognized internationally

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Karolinska University Hospital has received an “honorable mention” from the IHF Awards for its sustainability work. The award recognizes organizations that promote social and environmental sustainability in outstanding ways, creating measurable impact through innovation in leadership and governance, health, equality, well-being, and environmental performance.
A group of women standing next to each other.
Staff from Karolinska’s Sustainability Unit were on site to receive the diploma. Photo: Sustainability Karolinska

The International Hospital Federation (IHF) is a global non-profit membership organization that works to advance high-quality healthcare services through knowledge exchange and networking among healthcare actors worldwide.

Each year, the IHF presents several awards to highlight exemplary sustainability initiatives among healthcare providers across the globe. Karolinska received an honorable mention in the category Excellence Award for Social and Environmental Responsibility.

What does the honorable mention mean for Karolinska?

“It’s a recognition that shows we are at the forefront of sustainability work and gives us motivation to continue moving forward,” says Lisa Greger, Sustainability Coordinator at Karolinska University Hospital.

“During the conference, it became clear that Karolinska’s sustainability work has come a long way. We can measure and follow up on our efforts, which allows us to prioritize what matters most. This is thanks to a systematic approach that has been in place for many years and has produced very good results. The honorable mention shows that the work taking place throughout the organization is creating real sustainability outcomes.”

During the conference, Sustainability Coordinator Kankou Muller presented an example from Karolinska’s climate initiatives in the panel Greening Healthcare Systems: From Facility Upgrades to Global Tools.

Key reflections from Geneva

Lisa and her sustainability colleagues returned from Geneva with several important insights, including the strong link between public health and climate change, and the importance of moving from “doing less harm” to “doing more good.” They also emphasized that strong leadership is a prerequisite for sustainable development, and that sustainable development itself is a foundation for the healthcare of the future.

Karolinska’s long-term sustainability commitment

Karolinska has been actively working for many years to strengthen its social, environmental, and economic sustainability. Every day, staff strive to reduce the hospital’s environmental and climate impact and to enhance social and financial sustainability. This work is driven by employees and managers together with the Sustainability Unit, as well as the hospital’s sustainability coordinators, child rights representatives, and approximately 500 environmental ambassadors.

Karolinska’s Sustainability Program for 2023–2027 is based on Region Stockholm’s sustainability strategy and outlines several key goals. These include providing equitable care and a fair work environment, developing new methods to conserve the planet’s resources, switching to more environmentally friendly products, and replacing single-use materials with reusable alternatives. Other goals include reducing environmentally harmful emissions and strengthening collaboration with patients and their families.

Five successful initiatives in 2024

The hospital’s broad sustainability work continues to deliver results. In 2024, many departments made significant progress. But what’s the secret behind these achievements?

The hospital’s broad sustainability work continues to deliver results. In 2024, many departments made significant progress. But what’s the secret behind these achievements?

“I think one important factor is that resources have been allocated specifically to work on sustainability within these initiatives. The hospital’s follow-up processes have also become better linked to sustainability, which makes it easier for departments to track results and set priorities accordingly. In addition, we have developed a sustainability policy and integrated the social, environmental, and economic dimensions more closely to show how interconnected they are and that they should be addressed together. But the most important thing is the strong engagement in sustainability issues among both staff and leadership,” says Lisa Greger.

Notable projects include:

Plastic single-use aprons are now being recycled to produce new ones. In 2024, Karolinska used 100,000 circular aprons, reducing carbon emissions by 66 percent, equivalent to 15.3 tons of CO₂. In autumn 2025, circular aprons will be rolled out on a larger scale, with the goal of making 50 percent of all hospital aprons circular.

The Department of Plastic and Oral and Maxillofacial Surgery became the first unit at Karolinska University Hospital to receive LGBTQI certification from RFSL. Certification requires all employees to complete training on LGBTQI issues and rights, develop an inclusion and safety action plan, and continuously document and follow up their work to ensure long-term improvements.

In 2024, Karolinska’s child protection team, supported by Region Stockholm’s Innovation Fund, developed an AI-based training tool for healthcare professionals to practice conversations with children to identify possible abuse. The tool features a chatbot with various child avatars, each with unique backgrounds and symptoms.

Staff can practice asking questions, receiving responses, and reflecting on how to phrase follow-up questions. As professionals gain confidence in asking sensitive questions, the likelihood increases that children will open up about their situation, allowing interventions to stop the violence. The tool was piloted in autumn 2024 and will continue development in 2025.

Led by the Center for Andrology, Sexual Medicine, and Trans Medicine (ANOVA), Karolinska has advanced care for individuals experiencing unwanted sexual behaviors and strengthened its prevention work against sexual violence.

A new training program for healthcare professionals was introduced, along with an anonymous chat service complementing an existing helpline. The chat makes support more accessible, particularly for young people with sexual issues and relatives seeking advice.

Pharmaceuticals represent one of Karolinska’s largest environmental aspects and are a key focus of the hospital’s environmental strategy. Through greater involvement from the Medication Support Team, the hospital reduced medicine waste from dispensing machines by 25 percent in 2024, saving over 1 million SEK. The team ensures stable supply, reviews needs, and adjusts stock levels annually, with the goal of minimizing waste-related costs.

Looking ahead

Key priorities going forward include further reducing the hospital’s carbon emissions, with a particular focus on resource consumption such as materials, equipment, and pharmaceuticals, as well as advancing the findings from the social sustainability mapping.

More information about Karolinska’s sustainability work can be found here.

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