scholarly journals Oral Health Policy making Challenges in Iran: A Qualitative Approach

2020 ◽  
Author(s):  
Mohammadtaghi Mohammadpour ◽  
Peivand Bastani ◽  
Arash Ghanbarzadegan ◽  
Jamshid Bahmaei
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Policy Implementation ◽  
Developing Country ◽  
Low Income ◽  
Policy Making ◽  
Developed Countries ◽  
Health Policies ◽  
Health Improvement ◽  
Oral Health Policy

Abstract Background: As the strategies proposed for oral health improvement in developed countries do not adapt for the setting of the developing ones, this study aimed to identify the challenges of oral health policy implementation in Iran as a low-income developing country. Methods: This is a qualitative study conducted in 2019 in Iran as a middle-eastern developing country. The study population consisted of all the experts who had enough experience in the oral health and were willing to participate in the study. Snowball sampling was used to select 12 participants for semi-structured interviews and saturation was achieved after 16 interviews with them. Guba and Lincoln criteria including credibility, transferability, confirmability and dependability were used to determine the reliability and transparency, and finally five-step framework analysis method was used to analyze the data. Results: The analysis of the interviews resulted in identification of 7 main themes that are categorized in 5 problems of policy implementation proposed by Matus framework. The main themes of executive and preventive challenges to implement oral health policies are categorized as organizational problem, the main themes of educational and resource challenges are situated as the material problems, and the present main themes of insurance, policy making and trusteeship challenges are considered as the legal, policymaking and perspective. Conclusion: According to the present results, the implementation of oral health policies has faced some challenges. It seems that the national coverage of oral health and integration of these services in prevention and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health in Iran.

scholarly journals Policy Making Challenges in the scope of Oral Health in Developing Countries A Qualitative Study of the Islamic Republic of Iran

2019 ◽  
Author(s):  
Mohammad Mohammadpour ◽  
Peivand Bastani ◽  
Arash Ghanbarzadegan ◽  
Jamshid Bahmai
Keyword(s):  
Oral Health ◽  
Qualitative Study ◽  
Developing Country ◽  
Policy Making ◽  
Middle Eastern ◽  
Developed Countries ◽  
Health Improvement ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Framework Analysis

Abstract Background As the strategies proposed for oral health improvement in developed countries do not adapt for the setting of the developing ones, this study is to identify the challenges of oral health policy making in developing countries.Methods It was a qualitative study conducted in 2019 in Iran as a middle-eastern developing country. The study population included all the experts who have enough experience in the scope and have the eagerness to participate. Snowball sampling was used to include the participants and after 12 semi-structured interviews saturation was achieved. Guba and Lincoln criteria containing acceptability, validity, reliability, and transferability were used to assure the study reliability and finally five-stage framework analysis method was used to analyze the data.Results The analysis of the results of the interviews resulted in the identification of 7 main themes and 20 sub-themes as the main challenges of achieving oral health in a developing country. The main themes identified were: policy making, implementing, educational, stewardship, prevention, insurance, and resource allocating. Conclusion: According to the present results, it seems that national coverage of oral health and the integration of these services in prevention ones and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health.

Policymaking Challenges in the Oral Health in a Low-income Developing Country:A Qualitative Approach

2020 ◽  
Author(s):  
Mohammad Mohammadpour ◽  
Peivand Bastani ◽  
Arash Ghanbarzadegan ◽  
Jamshid Bahmaei
Keyword(s):  
Oral Health ◽  
Developing Country ◽  
Low Income ◽  
Middle Eastern ◽  
Developed Countries ◽  
Health Improvement ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Study Population

Abstract Background: As the strategies proposed for oral health improvement in developed countries do not adapt for the setting of the developing ones, this study aimed to identify the challenges and barriers of oral health policymaking in Iran as a low-income developing country. Methods: This is a qualitative study conducted in 2019 in Iran as a middle-eastern developing country. The study population consisted of all the experts who had enough experience in the oral health and were willing to participate in the study. Snowball sampling was used to select 12 participants for semi-structured interviews and saturation was achieved after 16 interviews with them. Guba and Lincoln criteria including credibility, transferability, confirmability and dependability were used to determine the reliability and transparency, and finally five-step framework analysis method was used to analyze the data. Results: The analysis of the results of the interviews resulted in identification of 7 main themes and 20 sub-themes as the main challenges of achieving oral health in Iran as a developing country. The main themes identified were: policymaking, implementing, educational, stewardship, prevention, insurance, and resource allocating. Conclusion: According to the present results, it seems that the national coverage of oral health and integration of these services in prevention and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health. Keywords: oral health, developing country, policymaking, strategy.

scholarly journals Living, collective and political organisms for construction of the attributes of the National Oral Health Policy

2021 ◽  
Vol 69 ◽  
Author(s):  
Alexandre Fávero BULGARELLI
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Oral Health ◽  
Social Policy ◽  
Health System ◽  
Health Professionals ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Oral Health Policy

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil

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.

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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