Barriers to and facilitators for creating, disseminating, implementing, monitoring and evaluating oral health policies in the WHO African region: A scoping review.

Autor: Verdugo-Paiva F; Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine and Public Health at the Universitat Autònoma de Barcelona, Barcelona, Spain.; Programa de TTM y Dolor Orofacial, Facultad de Odontología, Universidad Andrés Bello, Santiago, Chile.; Epistemonikos Foundation, Santiago, Chile., Urquhart O; Center for Integrative Global Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Matanhire-Zihanzu CN; Department of Oral Health, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe., Martins-Pfeifer CC; Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Booth E; Temple University Libraries, Temple University, Philadelphia, Pennsylvania, USA., Booth HA; Division of Libraries, New York University, New York, New York, USA., Aljarahi H; Center for Integrative Global Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Button J; Center for Integrative Global Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Pinto-Grunfeld C; Instituto de Investigación en Ciencias Odontológicas (ICOD), Faculty of Dentistry, University of Chile, Santiago, Chile., Villanueva J; Department of Oral & Maxillofacial Surgery & Cochrane Associated Centre, Faculty of Dentistry, University of Chile, Santiago, Chile.; Hospital Clínico San Borja-Arriarán, Santiago, Chile., Kohler IV; Population Studies Center, School of Arts and Sciences (SAS), University of Pennsylvania, Philadelphia, Pennsylvania, USA., Glick M; Center for Integrative Global Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Carrasco-Labra A; Center for Integrative Global Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2024 Jun 03. Date of Electronic Publication: 2024 Jun 03.
DOI: 10.1111/cdoe.12984
Abstrakt: Objective: To advance oral health policies (OHPs) in the World Health Organization (WHO) African region, barriers to and facilitators for creating, disseminating, implementing, monitoring and evaluating OHPs in the region were examined.
Methods: Global Health, Embase, PubMed, Public Affairs Information Service Index, ABI/Inform, Web of Science, Academic Search Complete, Scopus, Dissertations Global, Google Scholar, WHO's Institutional Repository for Information Sharing (IRIS), the WHO Noncommunicable Diseases Document Repository and the Regional African Index Medicus and African Journals Online were searched. Technical officers at the WHO Regional Office for Africa were contacted. Research studies and policy documents reporting barriers to and facilitators for OHP in the 47 Member States in the WHO African region published between January 2002 and March 2024 in English, French or Portuguese were included. Frequencies were used to summarize quantitative data, and descriptive content analysis was used to code and classify barrier and facilitator statements.
Results: Eighty-eight reports, including 55 research articles and 33 policy documents, were included. The vast majority of the research articles and policy documents were country-specific, but they were lacking for most countries. Frequently mentioned barriers across policy at all stages included financial constraints, a limited and poorly organized workforce, deprioritization of oral health, the absence of health information systems, inadequate integration of oral health services within the overarching health system and limited oral health literacy. Facilitators included a renewed commitment to establishing national OHPs, recognition of a need to diversify the oral health workforce, and an increased understanding of the influence of social determinants of health among oral health care providers.
Conclusions: Most countries lack a country-specific body of evidence to assist policymakers in anticipating barriers to and facilitators for OHPs. The barriers and facilitators relevant to disparate subnational, national, and regional conditions and circumstances must be considered to advance the creation, dissemination, implementation, monitoring and evaluation of OHPs in the WHO African region.
(© 2024 The Author(s). Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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