scholarly journals A Review of the South African National Oral Health Policy

2021 ◽  
Vol 76 (09) ◽  
pp. 551-557
Author(s):  
Ntsakisi A Mukhari-Baloyi ◽  
Ahmed Bhayat ◽  
Thomas K Madiba ◽  
Ntombizodwa R Nkambule
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
South African ◽  
Service Providers ◽  
Recent Survey ◽  
Oral Diseases ◽  
The South ◽  
Oral Health Promotion ◽  
Epidemiological Surveys ◽  
Oral Health Policy

Advocacy for oral health promotion, prevention and treatment of oral diseases is founded on a comprehensive oral health policy that is integrated into the South African National Health Policy. The policy is intended to be a roadmap in the pursuit of achieving optimum oral health for the South African population. To review the National Oral Health Policy of SA (NOHPSA) in terms of context, strengths, weaknesses, implementation and monitoring regarding the oral health status of the SouthAfrican population.Results Promotive and preventive services lack detail on activities to achieve goals. The objectives, although very well defined, cannot be measured and there is no way of knowing whether they have been achieved. It was evident that the policy needs to be reviewed and updated in accordance to recent survey data, population growth and the profile (number and types) of health service providers. The prospect of updating the policy relies on the availability of current epidemiological surveys, which are not available, the most recent survey was conducted in 2002. The policy lacks a monitoring and evaluation plan. This is critical not only for the assessment of actualisation of aims and objectives, but for the sustainability of intended interventions.

scholarly journals Strengthening the approach to oral health policy and practice in Canada

2019 ◽  
Vol 25 (2) ◽  
pp. 82-85
Author(s):  
Shauna Hachey ◽  
Joanne Clovis ◽  
Kimberley Lamarche
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Service Providers ◽  
Primary Care Providers ◽  
Health Impact ◽  
Oral Health Care ◽  
Care Providers ◽  
Oral Diseases ◽  
Policy And Practice

Abstract Evidence suggests that Canadian children from marginalized populations experience higher rates of oral diseases than their more fortunate counterparts. Oral health care in Canada is a nearly exclusively privatized and siloed system. In order to close the gap in child oral health, a combination of cohesive strategies and accessible providers is essential. The Health Impact Pyramid is a paradigm to guide health policy and programming with ready application to oral health care in Canada for the delivery of evidence-based oral health interventions with high impact. A collaborative approach among primary care providers (oral health and nonoral health), educators and the public sector, and the utilization of oral health service providers to their full scope of practice is needed to access priority populations and to deliver the most impactful interventions. Strengthening the approach to oral health care in Canada is necessary to reduce the inequities in oral health and, in turn, overall child health.

PP35 The National Oral Health Policy In Brazil: A Review Of The Literature

2018 ◽  
Vol 34 (S1) ◽  
pp. 79-79
Author(s):  
Aurea Horbach ◽  
Julio Baldisserotto
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Water Supply ◽  
User Satisfaction ◽  
Oral Health Care ◽  
Public Water Supply ◽  
The Public ◽  
Epidemiological Surveys ◽  
Oral Health Policy

Introduction:The National Oral Health Policy (NOHP) “Smiling Brazil” was launched in 2004, with the goal of reorienting the model of oral health care in the Unified Health System. Up to then, this area was impaired by limited access and curative procedures. The NOHP aims to reorganize Primary Health Care in Oral Health, expand and qualify Specialized Care and add fluoride in the public water supply. This review will bring a reflective view of NOHP evaluation.Methods:This review work searched for evidence on the Bireme and Google Academic databases, with the keywords “Evaluation” and “National Oral Health Policy” in October 2017. The search was limited to full texts in Portuguese, English and Spanish. After reading the titles, the abstracts and finally the complete texts, the articles that did not correspond to the evaluation objective of the NOHP were excluded.Results:Of the 381 initial articles found, fifteen were selected for inclusion in this study. The majority reported advances in the quality and scope of oral health care with expanded access and provision of services, such as preventive actions, health education, fluoridation of the public water supply and an increase in population coverage. There was also an improvement in the main indicators, in resolution, financial investments and epidemiological surveys. Moreover, few studies showed improvement in user satisfaction. Conversely, difficulties were identified in overcoming the traditional care model, in training and professional appreciation. Challenges included the need to expand access to fluoridated water, increase coverage, build a more comprehensive care network and reduce regional disparities.Conclusions:After 13 years, advances and challenges can be observed in the quality and comprehensiveness of oral health care in Brazil. There is evident improvement in indicators; however there remains a lack of access and resolution in the actions, with a large number of regional discrepancies.

JERM model of care: an in-principle model for dental health policy

2014 ◽  
Vol 20 (3) ◽  
pp. 311 ◽  
Author(s):  
Raymond Lam ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Policy Development ◽  
Dental Health ◽  
National Policy ◽  
Oral Diseases ◽  
Model Of Care ◽  
The Government ◽  
Oral Health Policy

Oral diseases are the most prevalent conditions in the community. Their economic burden is high and their impact on quality of life is profound. There is an increasing body of evidence indicating that oral diseases have wider implications beyond the confines of the mouth. The importance of oral health has not been unnoticed by the government. The Commonwealth (Federal) government under the Howard-led Coalition in 2004 had broken tradition by placing dentistry in its universal health insurance scheme, Medicare. Known as the Chronic Disease Dental Scheme (CDDS), the program aimed to manage patients with chronic conditions as part of the Enhanced Primary Care initiative. This scheme was a landmark policy for several reasons. Besides being the first major dental policy under Medicare, the program proved to be the most expensive and controversial. Unfortunately, cost containment and problems with service provision led to its cessation in 2012 by the Gillard Labor Government. Despite being seen as a failure, the CDDS provided a unique opportunity to assess national policy in practice. By analysing the policy-relevant effects of the CDDS, important lessons can be learnt for policy development. This paper discusses these lessons and has formulated a set of principles recommended for effective oral health policy. The JERM model represents the principles of a justified, economical and research-based model of care.

scholarly journals Does the implementation of a national oral health policy reduce inequalities in oral health services utilization? The Brazilian experience

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Health Services ◽  
Health Services Utilization ◽  
Age Groups ◽  
Public Access ◽  
Services Utilization ◽  
Index Of Inequality ◽  
Oral Health Services ◽  
Oral Health Policy

Abstract Background This study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different stages of implementation of the National Oral Health Policy. Methods The design was based on repeated cross-sectional surveys using secondary data from household-based studies carried out in Brazil in 1998, 2003, 2008, and 2013. The dependent variable was “having access to a dentist appointment at least once in a lifetime (yes/no).” Monthly household per capita income, based on Brazil’s minimum wage, was included as the main independent variable. To measure the inequalities in oral health access related to economic position, the following complex indexes based on regression were used: (a) the slope index of inequality (SII) and (b) the relative index of inequality (RII). Results There was a reduction in the percentage of individuals who never had a dentist appointment for all age groups and income classifications. In general, there was a reduction trend in absolute inequality for all age groups (p < 0.001). The relative inequality and reduction trend were different between the age groups studied. Conclusions The National Oral Health Policy was very important for expanding free of charge, public access to dental appointment. However, despite policy implementation, there continues to be high levels of inequality in access to dental consultation. Assessing which strategies are necessary to overcome this challenge is discussed.

scholarly journals Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Care Professionals ◽  
Health Department ◽  
Work Conditions ◽  
Oral Health Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Oral Health Policy

This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB), known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III) in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i) expansion and qualification of actions; (ii) work conditions; (iii) care; (iv) access; and (v) planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6%) were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.

scholarly journals Epidemiological survey in oral health of the residents of the Teixeira Island, Paraná, Brazil

RSBO ◽  
2018 ◽  
Vol 1 (4) ◽  
pp. 219
Author(s):  
Tiago Rodrigues Suizani ◽  
Bruna Leal de Mello ◽  
Luiza Foltran De Azevedo Koch ◽  
Carolina Dea Bruzamolin ◽  
Marilisa Carneiro Leão Gabardo
Keyword(s):  
Oral Health ◽  
Low Income ◽  
Epidemiological Survey ◽  
World Health ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Oral Diseases ◽  
Socioeconomic Condition ◽  
Epidemiological Surveys ◽  
Periodontal Index

Introduction: The epidemiological surveys aim to evaluate the distribution and state determinants or events in health in given populations. Objective: To conduct an epidemiological survey on the socioeconomic condition, use of dental services, referred oral morbidity, self-perception, and oral health of inhabitants of the Teixeira Island, Paraná, Brazil. Material and methods: The studyfollowed the statements of the World Health Organization and the Brazilian National Epidemiological Survey (SB Brazil 2010). Questionnaires were applied, and in the clinical examination the following data were collected: dental trauma, edentulism, fluorosis, caries in deciduous teeth (dmft), caries in permanent teeth (DMFT), Community Periodontal Index (CPI) and Loss of Periodontal Insertion Index (LPII). The data were analyzed with Statistical Package for Social Sciences software, version 21.0, and expresses in frequency tables. Results: Of the 108 inhabitants, 90 participated in the study. The socioeconomics conditions unfavorable were: low income and low schooling. The water supplying was not fluoridated. The perception of oral problems was reported by 82.2%; 48.9% declared to have had toothache in last the six months; the reason of search for care was predominantly for curative treatments. Almost 30% of the participants declared to be unsatisfied with their oral health. The  values of DMFT and dmtf indexes were 13.9 and 1.2, respectively. The greater demand for maxillary prosthesis occurred in 39.7% of the sample, while 34.2% needed mandibular prosthesis. Conclusion: The oral diseases illnesses and need of treatment were evidenced in the sample, as well as risk factors that deserve attention of the public power.

Advancing oral health policy through persuasive messaging and effective research measures

2020 ◽  
Author(s):  
Jacqueline M. Burgette ◽  
Marko Vujicic ◽  
Meg Booth ◽  
David Meltzer ◽  
Thomas J. Best ◽  
...  
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Oral Health Policy

Developing a dental leadership programme to address global oral health challenges

BMJ Leader ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 85-86
Author(s):  
Valerie Wordley ◽  
Raman Bedi
Keyword(s):  
Health Policy ◽  
Leadership Development ◽  
Oral Health ◽  
21St Century ◽  
Collaborative Leadership ◽  
The World ◽  
Oral Health Policy ◽  
Child Oral Health

Dental leadership is essential in addressing the crisis of 21st century dentistry. The Senior Dental Leaders programme was established in 2006 and has since influenced global oral health policy. The programme demonstrates how collaborative leadership and an engaged alumni network can produce successful dental leaders, significantly impacting upon child oral health around the world. There is now a great need for leadership development programmes at every level of dental training.

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