Week 4 Manju- Community based prevention Flashcards
What is involved in one-on-one clinical approach?
- Chair-side counselling
- Topical fluorides
- Fissure sealants
- Encouraging regular attendance
What are limitations of one-on-one clinical approach?
- Based on belief that improving pts knowledge will change behaviours
- Good for short term change; however, long term effects of behaviour and clinical outcomes are limited
What is the current main approach to care in dentistry?
Focuses on downstream activities (providing tx) rather than prevention
What are the most effective oral health education programs?
- OH education efforts should be focused on children, involving parents, carers, teachers
- Targeted to areas of need to address inequalities
- Non dental personnel involved in primary care may help pass on OH knowledge and influence choices of target populations
- Address OH issues through common risk factor approach (improvements can be made for multiple chronic conditions this way)
What is biggest barrier to oral health?
Financial barrier/affordability
What are the social determinants of health?
The conditions in which people are born, grow, work, live and age, and the wider set of forces and systems shaping the conditions of daily life. The social determinants of health are mostly responsible for health inequities
What are commercial determinants of health + relevance?
“Strategies and approaches used by the private sector to promote products and choices that are detrimental to health”
Efforts to prevent non communicable diseases go against the business interests of powerful economic operations- big challenge facing health promotion
What are the 5 ottowa charter principles for health promotion
- Build healthy public policy
- Create supportive environments
- Strengthen community actions
- Develop personal skills
- Reorient health services
What is “building healthy public policy” + examples?
Place health on the agenda of policy makers in all sectors in order to make the healthy choice the easy choice e.g. legislation, taxation and organizational change
- Community water fluoridation
- Smoke free environment
- Sugar tax
How many people have access to fluoridated drinking water in Australia?
89%
What is the most effective population caries preventative measure?
Community water fluoridation (highly cost effective and socially equitable)
What is “creating supportive environments” + examples?
Create and build environments that are conducive to health
- Support healthy supermarket practices
- Promote access to safe and clean drinking water
- Promote healthy fundraising options
What is “strengthen community actions”?
Empower communities to set priorities, make decision, plan strategies and implement them to improve health
- Engage community to support water fluoridation
- Support development of community led culturally appropriate oral health services
- Work with community to advocate for healthy playgrounds with safe equipment
What is “developing personal skills” + examples?
Support personal and social development, through the provision of info, education and skills that will enable individuals to exercise more control over their own health.
- Promote OH practices (supervised toothbrushing in schools)
- Promote healthy dietary practices
- Discuss smoking cessation
What is “reorient health services” + examples?
Refocus the health services mandate beyond providing clinical and curative services. More towards health promotion and total need of individual.
- Deliver smoking cessation advice
- Develop preventative OH training for all health professionals
- Support training and use of early caries recognition by primary health care providers (lift the lip)
- Advocate for programs where primary health care professions apply F varnish for high risk groups
