The Public Health Agency of Sweden
Updated 11 February 2022

The IMPACT Project – a Sino-Swedish collaboration to combat antibiotic resistance

The IMPACT project addressed factors that contribute to the development and spread of antibiotic resistance within a geographically defined area in China. This mixed methods project aimed to deliver a deeper understanding of the interaction and the overlap of antibiotic resistant bacteria between humans, animals and the environment. The project also investigated interventions that may lead to sustainable behavioural change for the purpose of informing national and international policies.


Anette Hulth
Phone: +46 10 205 23 95

The Sino-Swedish integrated multi-sectoral partnership for antibiotic resistance containment (IMPACT) was funded from 2014 to 2018 by the Swedish Research Council (VR) and National Natural Science Foundation of China (NSFC). The project brought together a wide range of expertise in Sweden and China in the area of antibiotic use and resistance.

The IMPACT research collaboration included the main areas:

  • knowledge, attitudes and practice concerning human and animal antibiotic use
  • distribution of resistant bacteria and genetic elements within the human, animal, environmental and health care sectors
  • design, implementation and evaluation of strategies to promote rational use of antibiotics and to limit the spread of antibiotic resistance in all sectors.


Partner Organizations

  • China Agricultural University
  • Karolinska Institutet, Sweden
  • Linköping University, Sweden
  • National Food Agency, Sweden
  • National Veterinary Institute, Sweden
  • Public Health Agency of Sweden
  • Shandong Academy of Agricultural Science, China
  • Shandong Center for Disease Control and Prevention, China
  • Shandong University, China
  • Zhejiang University, China