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FAMILY

How to vabba to look after sick children in Sweden

It's never nice for a child or their parent when a little one is ill, but families in Sweden benefit from so-called VAB policies allowing mums, dads, and caregivers time off when a child is unwell.

A parent vabbing - looking after his sick daugher
Don't be afraid of asking for time off to care for a sick child. Photo: Anders Wiklund/TT

The Swedish welfare system has a generous attitude towards parents, with lengthy parental leave for newborns and flexibility with working hours as the child grows older. Another big bonus is a special benefit offering temporary parental leave when a child is ill.

This is known as vård av barn (VAB), and you’ll also hear it used as a verb, in Swedish (vabba) or among English-speakers in Sweden: “Mathias is vabbing today.”

Employers cannot refuse you this time off if your child is unwell, but there are a few things you need to know about VAB and how it all works.

When can I take it?

You can take VAB to care for an unwell child if they are aged between eight months to the day before their 12th birthday.

As well as using VAB to stay at home while your child is ill, you can take it if you’re accompanying them to a doctor, dental or other health-related appointment.

How much time can I take off?

It’s possible to take as many days as needed each year, up to a total of 120 per child. The average parent in Sweden takes seven to eight days per child per year.

The vast majority of parents take a full day off when they need to use VAB, but if you have flexible childcare options, you can choose to VAB only for part of the day: 12.5, 25, 50 or 75 percent of your usual working hours. This also applies if your child falls ill during the day and needs to be collected from school early, for example.

Will I get paid?

Yes. You’re entitled to approximately 80 percent of your wage up to a maximum limit. You can calculate how much you’ll receive here (link in Swedish). This money doesn’t come from your employer but from Försäkringskassan, the Swedish Social Insurance Agency, so you need to apply specifically for the benefit.

What are the requirements?

The child you’re looking after must be aged between eight months and 12 years, and must live in Sweden or another EU country. The parent must also be insured in Sweden (this is usually the case automatically if you work in the country, but new arrivals should make sure to sign up with Försäkringskassan which is responsible for administering VAB and other benefits).

If you need to be off work caring for your child for more than seven consecutive days, you’ll need to provide a note from a doctor or nurse, which can be sent to Försäkringskassan. This is seven days in total, not just working days, so weekends are included. If the child has a contagious illness and can’t go to the doctor’s, it’s possible to get a certificate issued over the phone.

If the parent on parental leave falls ill and can’t look after a sick child over the age of eight months, they can change their parental leave benefits to sick pay (but they need to inform both their employer and Försäkringskassan) and the other parent can claim VAB to look after the child in their place.

From the start of 2019, Försäkringskassan increased checks on VAB benefit with the aim of cracking down on those who claim it fraudulently. 

What if my child is aged under eight months or over 12?

For children under eight months, you are expected to take out parental leave benefits rather than VAB if you need time off to care for the child (for example, if the regular caregiver is sick). An exception is if a child under eight months old is hospitalised, in which case you can receive VAB.

Similarly, if one parent is already receiving parental leave benefits, it’s not generally possible for the other parent or caregiver to take VAB to care for a sick child in the family; it’s expected that the first parent should care for both.

For children aged between 12 and 15, you can take VAB in certain circumstances, for example acute illness or a doctor’s appointment. In both cases, you’ll need a doctor’s statement, either confirming the child’s condition or, in the latter instance, confirming that it was necessary for the parent to accompany the child to the appointment.

There are a few cases in which it’s possible to take VAB even for a child outside that age range, particularly if a child aged under 18 has a serious illness; you should contact Försäkringskassan if you’re unsure whether that applies to you. 

How do I apply for VAB?

VAB benefit is paid out by Sweden’s Försäkringskassan, rather than your employer, and the quickest way to receive the payment is to apply online or via the agency’s app.

In 2019, the way to apply for VAB changed in order to make it easier for parents.

Previously, it was necessary to register VAB on the first day you stayed at home, but as of January 1st, 2019, all you need to do is to apply for payment once you’re back at work again. This can be done on the Försäkringskassan website, or even via their app. Just remember to apply no later than 90 days after the first VAB day.

If you submit your claim before the 10th of the month, you usually receive the money by the 25th (the usual payday in Sweden), but if you submit it after the 10th, you’ll receive it on the 25th of the following month. It depends however on how long it takes Försäkringskassan to process your case.

How should parents split the time?

That’s up to you, but it’s not possible for both parents to take VAB benefit at the same time – even if more than one child is ill.

However, a good option for families with two parents working full time is to alternate VAB days and split the time between them. It’s also OK to work half the day each. The total 120-day allowance applies to each child, not each parent.

You can track VAB time online at the Försäkringskassan website, where a calendar records how many days have been taken each year and by whom.

If my child is ill during a planned holiday, can I swap it for VAB?

You can’t plan around illness, and swapping a week relaxing in the sun for a week cooped up at home with an unwell child is far from ideal.

If you had planned to travel within Sweden or another country in the EU, it’s often possible to exchange the holiday days for VAB if a child falls ill, meaning that you don’t lose out on your annual leave allowance. However, this isn’t a guaranteed right and it all depends on whether your employer approves the switch.

What if I work for myself?

You still have a right to take VAB if you’re self-employed or own your own company. Just follow the same steps by registering VAB with Försäkringskassan when you’re back at work again.

What if I’m unemployed?

If you are receiving job-seekers’ benefit (a-kassa), you can’t receive VAB benefit at the same time. However, if you are unable to receive your unemployment benefit because you’re at home looking after your child, you can claim VAB benefit instead.

What if I can’t miss work?

Most Swedish employers are very understanding about parents’ needs, so you shouldn’t feel like you’re unable to take the benefits you’re entitled to. However, sometimes it might not be convenient to miss time at work, for example if you have a crucial meeting or deadline.

In some workplaces, employers will allow you to work from home or to bring a child with a non-contagious illness to work (this is known as vobba – a mix of vabba and jobba), so that may be an option if your child doesn’t require constant care or to be taken to a hospital or doctor. But remember you’re not allowed to claim a salary and VAB at the same time.

Parents aren’t the only ones who can take VAB. Another person, such as a neighbour, relative or friend, is also allowed to claim the benefit if they need to look after a child. The right to do this is protected by Swedish law, so employers cannot deny it.

The first time a non-parent takes a VAB day, they need to register with Försäkringskassan. If the other person taking VAB does not have a family connection to the child (such as living with the child, being a foster parent or future adoptive parent, an ex-spouse of the parent, or someone else with legal custody of the child), they will need to call Försäkringskassan’s customer services on the first day of taking VAB, so that they’re registered as having a link to the child, and then they and the child’s parents will have to sign a confirmation form.

After doing that the first time, or if the carer already has a family connection to the child, all they need to do is to register VAB online or via the app.

What if my child is seriously ill?

In serious cases, where the 120-day allowance isn’t enough, parents can take an unlimited amount of time off to care for a severely unwell child. In some circumstances, it’s possible for both parents to be at home.

Article first written in March 2018 and updated in December 2023.

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For members

HEALTH

Who should get vaccinated against TBE in Sweden?

Tick-borne encephalitis (TBE) has more than doubled in Sweden in the past decade. Who should get vaccinated against it and how much does it cost?

Who should get vaccinated against TBE in Sweden?

TBE, or Tick-borne encephalitis, is one of the two main tick-borne diseases in Sweden (Lyme disease is the other one).

It is a viral brain infection, which can cause a range of symptoms, usually starting with typical flu-like symptoms and then developing to include nausea, dizziness, and in around a third of cases, severe problems.

Symptoms usually appear around a week after the bite, but can take longer. There is no cure, but it can be treated, and there is a vaccination too.

The tick season tends to last from March to November, peaking in April to mid-June. According to the Public Health Agency, most TBE cases however tend to be recorded during the summer, as that’s the period when people spend the most time outdoors.

TBE is relatively rare, but has been on a fairly steady increase in Sweden in the past decade, from 178 confirmed cases in 2014 (or an incidence rate of 1.83 per 100,000 people) to 595 cases in 2023 (incidence rate 5.64), according to the Public Health Agency’s statistics.

Who should get vaccinated?

Because the infection can in a few cases lead to serious consequences, anyone who lives in an area where there’s a high concentration of ticks carrying TBE is recommended to get vaccinated.

That includes people who live there permanently and who have temporary summer homes, as well as people who spend a lot of time outdoors in these areas, but there’s no strict cut-off point.

Not all ticks carry TBE, and they have historically been concentrated in southern parts of Sweden and the Stockholm archipelago, but have been spreading across the country in recent years.

The regions that recorded the most number of cases last year were Stockholm (160, or an incidence rate of 6.52 per 100,000 people), Västra Götaland (121, or 6.85), Södermanland (55, or 18.22), Uppsala (52, or 12.85), Västmanland (33, or 11.75) and Värmland (31, or 10.93).

The only region that didn’t record a single case of TBE in 2023 was Gotland. Jämtland, Västerbotten and Västernorrland recorded one case each, and Norrbotten two cases.

You may want to contact your regional health services for specific information. Skåne, for example, only recorded 21 cases last year (an incidence rate of 1.48), but TBE is more common in certain parts of the region than others, and the region recommends that people living in these parts get vaccinated – there’s more information to be found on the region’s TBE vaccine page.

You can of course also get vaccinated even if you don’t live in a high-risk area, especially if you spend a lot of time in the forest or tall grass.

How can I get vaccinated?

You can search for healthcare centres near you through 1177.se or the website Fästing.nu (fästing is the Swedish word for tick – don’t confuse it with fästning, a fortress). To view regional information on 1177, go to the top of the page and click välj region (choose region).

The vaccine is not part of Sweden’s national vaccination programme, so you have to pay for it.

In Östergötland, the vaccine is subsidised by the region, so each dose of the initial three doses costs 200 kronor for adults. In a lot of other regions, including Stockholm, it costs around 400 kronor.

Only Sörmland, Uppsala, Västmanland, Östergötland and Jönköping offer the vaccine for free to children and teenagers, at least the basic vaccination schedule of the initial three doses.

How does the vaccine work?

You start with three doses (or four if you’re over 50), usually the first two within the space of one to three months and the third dose ahead of the next season, no more than a year after the second dose.

Each of these doses increases your level of protection, but because you need several to be fully protected, it’s recommended that you begin the vaccination programme well ahead of tick season.

You then get a fourth (or fifth if you’re over 50) top-up dose after three years, and will need top-ups every five years.

Children under the age of 15 are recommended to get the second dose one month after the first dose, then the third dose after 5-12 months. After that they follow the same schedule as adults, so a fourth dose after three years followed by top-ups every five years.

People with an impaired immune system due to underlying health issues are recommended to follow the same schedule as over-50s. They may not be able to reach a full level of defence against TBE, but the vaccine will offer enough protection that they are still recommended to get it.

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