Oral Health Policy in Brazil: changes and ruptures during the period 2018-2021.

Autor: Santos LPS; Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil. lilia_paula@yahoo.com.br., Lima AMFS; Universidade Federal do Recôncavo da Bahia. Salvador BA Brasil., Chaves SCL; Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil. lilia_paula@yahoo.com.br., Vilela DMOC; Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil. lilia_paula@yahoo.com.br., Valente APPC; Instituto de Saúde Coletiva, Universidade Federal da Bahia. R. Basílio da Gama s/n, Canela. 40110-040 Salvador BA Brasil. lilia_paula@yahoo.com.br., Rossi TRA; Universidade do Estado da Bahia. Salvador BA Brasil.
Jazyk: Portuguese; English
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2023 May; Vol. 28 (5), pp. 1575-1587. Date of Electronic Publication: 2022 Nov 06.
DOI: 10.1590/1413-81232023285.14002022
Abstrakt: This study analyzed the implementation of Brazil's National Oral Health Policy during the period 2018-2021, covering institutional actions, implementation of public dental services, results achieved, and federal funding. We conducted a retrospective descriptive study using documentary analysis and secondary data obtained from institutional websites, government information systems, and reports published by dental organizations. The findings show a significant reduction in funding between 2020 and 2021 and declining performance against indicators since 2018, such as coverage of first dental appointments and group supervised tooth brushing, which stood at 1.8% and 0.02%, respectively, in 2021. Federal funding dropped in 2018 and 2019 (8.45%), followed by an increase in 2020 (59.53%) and decrease in 2021 (-5.18%). The study period was marked by economic and political crises aggravated by the COVID-19 pandemic. This context influenced the functioning of health services in Brazil. There was a sharp reduction in performance against oral health indicators, while performance in primary health care and specialized care services remained stable.
Databáze: MEDLINE