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Cited by 36Dental Health and Care UtilizationHealthcare Systems and ReformsDental Education, Practice, Research

Integrating oral health into primary health care - experiences in Bangladesh, Indonesia, Nepal and Tanzania

Open access
Helderman, Wim van Palenstein, Mikx, Frans, Begum, Aziza, Adyatmaka, Andreas, Bajracharya, Manik, Kikwilu, Emil, Rugarabamu, Paschalis·1999·International Dental Journal
DOI 10.1111/j.1875-595x.1999.tb00528.x
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Abstract

When primary health care (PHC) was developed and implemented in developing countries, oral health was not included. The present consequences are marked disparities in the distribution of oral health care, since conventional dentistry can only serve relatively few people and at high costs. Oral health care is virtually non-existent in rural areas of most developing countries where more than 80 per cent of the population live. More recently, community based oral health programmes have been initiated in some countries to fill the gap. These programmes give more emphasis on oral health promotion and on the prevention of oral diseases than on treatment of its consequences, since history has shown that the latter is ineffective in preventing oral diseases. Unfortunately, most of these oral health programmes have been implemented next to the existing PHC system and hence they face enormous management, logistic and financial problems, which seriously threaten their sustainability. This paper presents a proposal to counteract the problems that many countries face in developing an adequate primary oral health care (POHC) service.

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Registry

Crossref · 10.1111/j.1875-595x.1999.tb00528.x

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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  • In many countries, professional legislation policies did not allow delivery of preventive oral healthcare by non-dental professionals, operating as a barrier for integrated care.

    “Furthermore, in many countries, the professional legislation policies did not allow the delivery of preventive oral healthcare by non-dental professionals, and this operates as a barrier for integrated care.”

    From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [18]

    In “Dentistry as a medical specialty in a national health system” (page unavailable), the paper describes resistance among dental professionals in some countries to delegating basic community oral health care to other medical cadres. It does not say that professional legislation prohibited non-dental professionals from delivering preventive care in many countries; instead, it proposes adequate legislation as part of a solution. (LLM, conf=0.85)

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  • Lack of interprofessional education and focusing on discipline-oriented training in health were identified as obstacles to integrated care at the meso level.

    “At the meso level, lack of interprofessional education and focusing on discipline-oriented training in health were identified as obstacles to integrated care in many studies.”

    From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [18]

    The ‘Barriers to the integration of oral health care into PHC’ section says dentists were trained in conventional dentistry but inadequately trained for primary oral health care. The ‘Dentistry as a medical specialty in a national health system’ section also describes reluctance to cooperate with other health cadres. The paper does not specifically identify a lack of interprofessional education or classify these obstacles at a ‘meso level’; page numbers are unavailable in our copy. (LLM, conf=0.84)

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  • Publications on policies and successful integrated programmes highlighted importance of financial support from governments, stakeholders and non-profit organisations at the macro level.

    “Publications on policies and successful integrated programmes highlighted the importance of financial support from governments, stakeholders and non-profit organisations at the macro level.”

    From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [18]

    The “Scaling and ART” section (page unavailable) identifies lack of finance as a barrier to expanding and sustaining integrated oral-health services. “Dentistry as a medical specialty in a national health system” (page unavailable) discusses government costs and political will. Neither passage identifies financial support from stakeholders or non-profit organisations as important, so the full list of funding sources is not supported. (LLM, conf=0.84)

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Cites

Flagged first, then by citations

2 of the 18 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. [8]8. Ntabaye M K. Evaluation of the quality ofemergency oral health care in Tanzania. PhD thesis, Aarhus, Denmark, 1995.
  2. [12]12. Elderton R J. Principles in the management and treatment of dental caries. The dentition and dental care. Ed: R J Elderton. Oxford: Heinemann Medical Books, 1990.
  3. [19]19. Nepal Oral Health Society. Oral health news bulletin. Kathmandu, Nepal, 1995.

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Authors
Helderman, W. V. P., Mikx, F., Begum, A., Adyatmaka, A., Bajracharya, M., Kikwilu, E., & Rugarabamu, P.
Venue
International Dental Journal
Publisher
Elsevier BV
Published
1999-08
Volume
49
Issue
4
Pages
240-248
ISSN
0020-6539 (ISSN-L)
DOI
10.1111/j.1875-595x.1999.tb00528.x
OpenAlex
W2070362749
Cited by
36
References
18
Citations by year
2025: 1 · 2024: 1 · 2022: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2013: 2 · 2012: 4
FWCI
1.58
Type
journal article
Language
en
Open access
Licence
Locations
  • International Dental Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
  • Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
Keywords
primary dental care, oral health promotion, oral disease prevention, program sustainability, health care financing, Bangladesh, Indonesia, Nepal, Tanzania, developing countries, oral health policy
MeSH terms
Bangladesh, Community Health Services, Dental Care, Dental Health Services, Developing Countries, Financial Support, Health Education, Dental, Health Planning, Health Promotion, Health Resources, Health Services Accessibility, Humans, Indonesia, Mouth Diseases, National Health Programs, Nepal, Oral Health, Primary Health Care, Tanzania, Delivery of Health Care, Integrated, Rural Health Services

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