Maternal and Child Health and Oral Health Integration

Jared I. Fine, D.D.S., M.P.H.Jared I. Fine, D.D.S., M.P.H.

Dental Health AdministratorDental Health Administrator

Alameda County Public Health DepartmentAlameda County Public Health Department

3 Examples

Oral Health Needs AssessmentOral Health Needs Assessment

School Based Dental Sealant ProgramSchool Based Dental Sealant Program

““Oral Health for Healthy Births” Oral Health for Healthy Births” Access to Dental Care for High Risk Pregnant

Women

Oral Health Needs Assessment: Rationale

Local, current surveillance dataLocal, current surveillance data Educate community and policy makersEducate community and policy makers Resource PlanningResource Planning Evaluation of sealant and treatment Evaluation of sealant and treatment

programsprograms Advocacy in overcoming disparitiesAdvocacy in overcoming disparities

Oral Health Needs Assessment: Methods

Association of State and Territorial Association of State and Territorial Dental Directors (ASTDD) Basic Dental Directors (ASTDD) Basic Screening SurveyScreening Survey

3,266 K and 33,266 K and 3rdrd grade students at 33 grade students at 33 schoolsschools

Staff, volunteer Dentists, and Dental Staff, volunteer Dentists, and Dental Hygienists Hygienists

Oral Health Needs Assessment:Achievements

Dental indicators for County Health Status Dental indicators for County Health Status ReportReport

MCH plan measures for sealants and access MCH plan measures for sealants and access to careto care

Comparison to statewide needs assessmentComparison to statewide needs assessment

Successful pilot for local implementationSuccessful pilot for local implementation

Case finding for family education and referralCase finding for family education and referral

Why was this a successful collaboration?

Public Health Department commitment to Public Health Department commitment to value of health surveillancevalue of health surveillance

Strong relationships with schools, dental Strong relationships with schools, dental community, community partners, and familiescommunity, community partners, and families

Federal matching funds from MCH through Federal matching funds from MCH through Federal Financial Participation (FFP) for Federal Financial Participation (FFP) for program planning and coordination.program planning and coordination.

Broadening to State Level?Emphatically Yes!

Fulfills Title V mandate of comprehensive needs Fulfills Title V mandate of comprehensive needs assessmentassessment

ASTDD tools available, accessible and user ASTDD tools available, accessible and user friendlyfriendly

Federal Financial Participation Funds when Federal Financial Participation Funds when appropriateappropriate

Natural Strategic Partners such asNatural Strategic Partners such as:: Dental Health Foundation (non-profit), California DHS Office of Oral Health, California DHS Maternal and Child Branch, California’s EPSDT Program, California Dental and Dental Hygienists Associations

Integrating MCH and Oral Health Lessons

LeadershipLeadership

Shared commitmentShared commitment

CooperationCooperation

Recognizing and Recognizing and respecting attributes respecting attributes of each partnerof each partner

Strategic Strategic relationshipsrelationships

Necessary Necessary resourcesresources