This presentation focuses on results from two studies concerning workplace health interventions in one Swedish rural municipality. The municipality has implemented a model for human resource accounting, an extensive leader and co-worker development program and specific workplace based health and working environment measures. The studies compare co-workers and leaders self-ratings of health and psychosocial working conditions, and investigate how workplace health interventions affect these ratings by analyzing results before, during and after carried out interventions. 19 workplaces including 311 individuals (20 leaders, 291 co-workers) participated. Results indicate differences concerning how the leaders and the co-workers judge their health and psychosocial working conditions. The leaders report a more varied and interesting work content and more possibilities to develop in work but, on the other hand, they report more tiredness, worry about handling the work situation and time pressure in work. However, both leaders and co-workers experience of being engaged at work correlated positively with items about not tired, not in pain, possibilities to develop abilities and good cooperation in the working group. Comparisons of mean values for used indicators show some improvements after one year, but several non-significant or negative time trends two years after the workplace health interventions starting point. Interviews with 20 female leaders show that they experience high and conflicting job demands, limited possibilities to influence their work situation, insufficient job resources and social support. However, the leaders experience possibilities to develop skills in their jobs and willingness to work with workplace health interventions. The study provides evidence concerning differences between co-workers and leaders health and psychosocial working conditions in public sector workplaces, which indicate the importance of different workplace health measures for these two categories of employees. The results also indicate that relatively extensive workplace health interventions have limited effects on co-workers and leaders perception of their health and psychosocial working conditions. Conclusions are that it is important to develop more high quality workplace health interventions focusing on individual and organizational based measures in public sector workplaces.