Improving Oral Health of Children: Reducing Risks for NCDs Saskia Estupiñan-Day
DMFT in the Americas for 12 Year Old Children Source: http://4.bp.blogspot.com/-gcydu9-4mh0/tifjqsjezei/aaaaaaaaahy/cetu5sgo UoM/s1600/Dental-Amalgam.jpg
Caries Free Communities Initiative Launched in Mexico City in 2008
PAHO/Colgate-Palmolive Latin America Division Signed an Agreement in 2010 Develop a community-based oral health promotion and education program to improve oral health knowledge, attitudes, and behavior among primary health care workers, children, adolescents, and caregivers.
What is in it for each partner? National Competitiveness & Economic Development
Multidisciplinary Approaches
Shift of Paradigm Control Prevention Side: 1. Empower individuals to modify risk factors for NCDs and stimulate action to improve oral health
Control Prevention Side: Multidisciplinary Team Approach 2. Strengthening the capacity of oral health and health care professionals for prevention and control of NCD through oral health screening, early detection, referral services and health promotion approaches
Treatment Side: Empower oral health professionals to take action to prevent NCDs
Risk Factor Approaches PRESENT Risk Population: adults and seniors NCDs: Cardiovascular Diseases Diabetes Respiratory diseases Cancer Approach: Treatment FUTURE Risk Population: including infants, adolescents and young adults NCDs integrated approach includes oral diseases Examples: Poor nutrition diabetes OD Approach: Prevention
Treatment: Soft tissue diseases Hard tissue diseases Malformations Trauma Habits and Behaviors teeth grinding thumb sucking mouth breathing nail biting PICA Medication guidelines Promotion & Prevention: Oral hygiene Healty Eating and Nutrition Fluoride Varnish
Habits and Behaviors: tobacco/smoking alcohol consuming sugary drinks teeth grinding oral sex drug abuse bulimia oral piercing
PILOT PROGRAM: BOGOTA-COLOMBIA HEALTH CARE CENTER CABAÑAS Services: -General Medicine -Dentistry -Delivery of medical supplies -Oral Hygiene -Nursery -Vaccination -Nutrition -Laboratory -Room for Respiratory diseases
Main Deliverables Multidisciplinary Team Approach Health Promotion: Educational tools targeted to specific age groups to empower individuals and health care providers Capacity Building: Train-the trainer workshop for oral health and health care providers Policy: Improve access to oral health interventions as early as age 1
Scaling Up the Model (six countries)
Challenges Engaging other stakeholders-increase the number of participants on the initiative Empower oral health professionals to take action to prevent risks for NCDs Sustain projects to strengthen the competencies of primary health providers Sustain stakeholders participation Engaging constituencies and stakeholders in long-term public health initiatives Sustain "best buys" to modify risk factors for NCDs
Lessons Learned: It Can Be Done! Through public-private partnerships, it is possible to achieve positive public health results, and at the same time meet the individual organizational goals of partners, including from the private sector and academia Through a consultation process "Caries Free Initiative Call for Action," we were able to seek out opportunities where the private sector and academia can add the most value and best support the core mission We were able to leverage resources to attain outcomes in less time, at a lower cost, and with greater sustainability The alignment of a common goal was key Multi-stakeholder partnerships can play a role in economic development, because the paradigm today is shifting and more and more people live healthy, affordable, sustainable lives. Also, partnerships are of interest to the economic development of countries and, more than ever, building integrated strategies and innovative approaches to mobilize resources is necessary Thank you!