A Review of the South African National Oral Health Policy
DOI:
https://doi.org/10.17159/2519-0105/2021/v76no9a6Keywords:
Oral health policy, national health policyAbstract
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.
Downloads
References
Drachev SN, Brenn T, Trovik TA. Dental caries experience and determinants in young adults of the northern state medical university, arkhangelsk, north-west russia: A cross-sectional study. BMC Oral Health. 2017; 17(1):136.
Fedorenko V. The idea of maintaining and improving the health of our nation is professor iryna datsenko’s life motto. Proceeding of the Shevchenko Scientific Society. Medical Sciences. 2019; 55(1):164-72.
Singh S, Myburgh NG, Lalloo R. Policy analysis of oral health promotion in south africa. Global health promotion. 2010; 17(1):16-24.
Les MacLeod EdD M. Making smart goals smarter. Physician executive. 2012; 38(2):68.
Similä M. The norbagreen 2002 study: Consumption of vegetables, potatoes, bread and fish in the nordic and baltic countries: Nordic Council of Ministers; 2003.
Reddy M, Singh S. The promotion of oral health in health-promoting schools in kwazulu-natal province, south africa. South African Journal of Child Health. 2017; 11(1):16-20.
Mothupi KA, Nqcobo CB, Yengopal V. Prevalence of early childhood caries among preschool children in johannesburg, south africa. Journal of Dentistry for Children. 2016; 83(2):83-7.
Department of Health, Western Cape. South African National Oral Health Strategy. https://www.westerncape.gov.za/ text/2003/national_policy_oral_health_sa.pdf (Accessed April 2021)
Mthethwa J, Mahomed O. Predictors of dental caries among adults attending public oral health facilities in two districts in kwazulu-natal, south africa: A cross sectional study. 2020;
Nqcobo C, Ralephenya T, Kolisa YM, Esan T, Yengopal V. Caregivers' perceptions of the oral-health-related quality of life of children with special needs in johannesburg, south africa. Health SA Gesondheid (Online). 2019; 24:1-7.
Bhayat A, Madiba TK, Nkambule NR. A three-year audit of dental services at primary health care facilities in gauteng, south africa: 2017 to 2019. Journal of International Society of Preventive & Community Dentistry. 2020; 10(4):452. 556 > REVIEW www.sada.co.za / SADJ Vol. 76 No. 9
Motloba P, Makwakwa N, Machete L. Justice and oral health-implications for reform: Part two. South African Dental Journal. 2019; (4):208-11.
van Wyk PJ, van Wyk C. Oral health in south africa. International Dental Journal. 2004; 54(S6):373-7.
Department of Health. South African National Oral Health Strategy. Pretoria 2004 .p.1-31
National Department of Health and Department of Basic Education in South Africa. Intergrated school health policy. 2012. p. https://serve.mg.co.za/content/documents/2017/06/14/integratedschoolhealthpolicydbeanddoh.pdf Accessed online 16 August 21.
Molete M, Stewart A, Igumbor J. Implementation fidelity of school oral health programs at a district in south africa. PLoS One. 2020; 15(11):e0241988.
Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health‐related quality of life of preschool children. Community dentistry and oral epidemiology. 2011; 39(2):105-14.
Cagetti MG, Wolf TG, Tennert C, Camoni N, Lingström P, Campus G. The role of vitamins in oral health. A systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2020; 17(3):938.
Greenspan JS, Challacombe SJ. The impact of the world workshops on oral health and disease in hiv and aids (1988-2020). Oral Diseases. 2020; 26:3-8.
Rahman N, Walls A. Nutrient deficiencies and oral health. The impact of nutrition and diet on oral health: Karger Publishers; 2020. p. 114-24.
Birch S, Listl S. The economics of oral health and health care. Max Planck Institute for Social Law and Social Policy Discussion Paper. 2015; (07-2015)
Park SE, Donoff RB, Saldana F. The impact of integrating oral health education into a medical curriculum. Med Princ Pract. 2017; 26(1):61-5.
Atchison KA, Weintraub JA, Rozier RG. Bridging the dental-medical divide: Case studies integrating oral health care and primary health care. The Journal of the American Dental Association. 2018; 149(10):850-8.
Fiorillo L. Oral health: The first step to well-being. Multidisciplinary Digital Publishing Institute; 2019.
Thakuria D, Godboley BJ. Contamination and removal of iron and flouride from groundwater by adsorption and filtration: A review. IJSTE; 2016.
Steier L, Steier R, Steier G. Intersections of dental health and food law: The conflict of systemic flouridation as a public health instrument to prevent tooth decay. International food law and policy: Springer; 2016. p. 291-318.
South African National Department of Health. Human Resources for Health South Africa: HRH Strategy for the Health Sector: 2012/13–2016/17. Pretoria: NDoH; 2011.
Burger R, Christian C. Access to health care in post-apartheid south africa: Availability, affordability, acceptability. Health Economics, Policy and Law. 2020; 15(1):43-55
Goudge J, Gilson L, Russell S, Gumede T, Mills A. The household costs of health care in rural south africa with free public primary care and hospital exemptions for the poor. Tropical medicine & international health. 2009; 14(4):458-67.
Ayo-Yusuf O, Ayo-Yusuf IJ. The role of socio-economic position on satisfaction with oral health services among south african adults: A structural equation model. South African Dental Journal. 2016; 71(10):442-6.
Molete M, Chola L, Hofman K. Costs of a schoolbased dental mobile service in south africa. BMC health services research. 2016; 16(1):590.
Molete M, Stewart A, Bosire E, Igumbor J. The policy implementation gap of school oral health programmes in tshwane, south africa: A qualitative case study. BMC health services research. 2020; 20:1-11.
Bhayat A, Chikte U. Human resources for oral health care in south africa: A 2018 update. International journal of environmental research and public health. 2019; 16(10):1668.
National Department of Health. 2030 human resources for health strategy: Investing in the health workforce for universal health coverage. March 2020.
Ramphoma K. Oral health in south africa: Exploring the role of dental public health specialists. South African Dental Journal. 2016; 71(9):402-3.
Shaikh RB. Knowledge, attitude and practices towards preventive dentistry amongst dental clinicians in gauteng department of health. 2019;
Shung-King M, Orgill M, Slemming W. School health in south africa: Reflections on the past and prospects for the future. South African health review. 2013; 2013(1):59-71.
Shasha Y, Taylor M, Dlamini S, Aldous-Mycock C. A situational analysis for the implementation of the national school health policy in kwazulu-natal. Development Southern Africa. 2011; 28(2):293-303.
Smit D, Barrie R, Louw A. The burden of dental caries in the western cape and a recommended turn-around strategy. South African Dental Journal. 2017; 72(8):360-5.
Smit D, Osman Y. The availability of the basic oral health care package in the western cape. South African Dental Journal. 2017; 72(6):258-61.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
.png){kind=spacer}