scholarly journals Decoding India’s national oral health program-an appraisal of the barriers to quality dental care

2020 ◽  
Vol 8 (1) ◽  
pp. 458
Author(s):  
Renu Rawat ◽  
Gunjan S. Aswal ◽  
Dhara Dwivedi ◽  
Vishwanath Gurumurthy ◽  
Soumya Vishwanath
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Program ◽  
Scientific Evidence ◽  
Health Programs ◽  
Direct Result ◽  
Health Burden ◽  
The Government ◽  
Oral Health Policy

Oral health is a poorly assessed and treated aspect of the health among Indians. The government continues to poorly fund oral health programs even though evidence of mounting incidence of poor oral health among Indians lingers on. Regardless of the profoundly anticipated national oral health program, oral health burden stays gazing at the nation.  It could be a direct result of a fragmented policy with varying priorities regarding the possible solutions to oral health problems. Its implementation faces numerous hindrances which should be defeated for successful utilization. Thus, it is fundamental for the government of India, the policymakers, the stakeholders, and dental bodies to conquer every single barrier and define a compelling national oral health policy backed by current scientific evidence. It would guarantee oral health care to all particularly the populace from the oppressed section of the society. This paper is an endeavour to unite all the components identified with the national oral health program. Additionally, give suggestions for its viable usage.

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.

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.

scholarly journals Oral health care after the National Policy on Oral Health - "Smiling Brazil": a case study

2015 ◽  
Vol 20 (1) ◽  
pp. 239-248 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Professionals ◽  
Scientific Evidence ◽  
National Policy ◽  
Oral Health Care ◽  
Health Surveillance ◽  
Primary Health ◽  
Oral Health Policy

In 2004, the National Oral Health Policy (PNSB) - Smiling Brazil was launched. Its guidelines seek to qualify Primary Health Care, ensure comprehensive actions, work on the basis of health surveillance, plan actions in accordance with the epidemiology and information available on the territory, financing and scheduling the research agenda so that the work can be based on scientific evidence. The purpose of this case study was to investigate the perspectives of health care professionals and managers on oral health care after launching the PNSB. For the gathering of information, an oral interview was conducted with health care professionals and managers and direct observation of oral health services. The interpretation of meaning method was used for analysis of the interviews. Approximately 10 years after launching the PNSB, even though the care and the oral health actions have been amplified and qualified, the cities still find it difficult to implement their basic premises.

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 The Dental Specialties Center as a point of attention in the Oral Health Care Network in a region of Paraná

2020 ◽  
Vol 19 ◽  
pp. e209984
Author(s):  
Alessandra de Oliveira Lippert ◽  
Fernanda de Freitas Mendonça ◽  
Brígida Gimenez Carvalho ◽  
Pablo Guilherme Caldarelli
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Active Role ◽  
Care Network ◽  
Fundamental Point ◽  
Health Care Network ◽  
Specialized Care ◽  
Oral Health Policy ◽  
Basic Health Units

The National Oral Health Policy (NOHP) arose as an alternativefor the improvement of oral healthcare to all Brazilians. On theperspective of specialized care, Dental Specialties Centers(DSC) were implemented. Aim: The aim of this manuscriptwas the analysis the role of the DSC for the organization of theOral Health Care Network (OHCN) in the 20th Regional HealthSection (RHS) of Paraná. Methods: It is a qualitative study,which analyzed the role performed by the regional DSC TypeIII, a reference for 18 municipalities. The data were collectedthrough interviews carried out in the period between Marchand April 2019. Fourteen professional dentist-surgeons, ninefrom Basic Health Units (BHU) and five from the DSC wereinterviewed. For data analysis, speech analysis was used.Results: An active role of the regional DSC was identified inthis healthcare region, as it acts as a fundamental point in thestrengthening of the network, in the process of regionalizationand in the integrality of care. Conclusions: However, theimportance of broadening the access to specialized careneeds to be highlighted, to guarantee the continuity of carestarted at the BHU.

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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