prevention & dental public health (dph) infrastructure: a state oral health program perspective
DESCRIPTION
Prevention & Dental Public Health (DPH) Infrastructure: A State Oral Health Program Perspective. DON MARIANOS, DDS, MPH ORAL HEALTH 2014 INITIATIVE WEBINAR MAY 11, 2012. Webinar Agenda. Prevention Prevention and DPH Infrastructure Linkage ASTDD – Infrastructure Enhancement Project 2012 - PowerPoint PPT PresentationTRANSCRIPT
DON MARIANOS, DDS, MPH
ORAL HEALTH 2014 INITIATIVE WEBINAR
MAY 11, 2012
Prevention & Dental Public Health (DPH) Infrastructure:
A State Oral Health Program Perspective
Webinar Agenda
Prevention
Prevention and DPH Infrastructure Linkage
ASTDD – Infrastructure Enhancement Project 2012
Discussion – Oral Health 2014 Initiative Challenges
Key Messages Summary
ACCESS = SUPPLY – DEMAND
DECREASED COSTS
OPTIMAL ORAL HEALTH
Dental Disease Prevention
The Community Focus
Define the Community of Interest
Know the Community
Engage the Community
Define the Problem(s) to be Addressed
Evaluate the Impact of Programs on the Community
Evidence Based Prevention Strategies
Community Water FluoridationSchool Based/Linked Sealant ProgramsFluoride Varnish ProgramsFluoridated ToothpasteHealth Education ProgramsOral Health LiteracyBehavior Change Others. . .
Prevention Strategies
Having defined the community of interest; collected and analyzed relevant data; engaged the community; defined the problem to be addressed; selected the prevention strategies to be implemented or enhanced,
then what?
INFRASTRUCTURE
THE BASIC PHYSICAL AND ORGANIZATIONAL STRUCTURE AND SUPPORT NEEDED FOR THE OPERATION OF A SOCIETY, CORPORATION OR COLLECTION OF PEOPLE WITH COMMON INTERESTS.
The Prevention & Infrastructure Linkage
INFRASTRUCTURE FACILITATES THE PRODUCTION OF SERVICES & PROVIDES RESOURCES REQUIRED TO PERFORM A FUNCTION.
INFRASTRUCTURE IS REQUIRED TO PROVIDE THE ORGANIZATIONAL STRUCTURE AND SUPPORT FOR THE OPERATION OF PREVENTION PROGRAMS.
The Prevention & Infrastructure Linkage
DPH Infrastructure
Complex
Dynamic
Variable
Fragile
Coordinated
DPH Infrastructure Components
Public (Governmental, Safety Net Clinics, etc.)Private (Individual practices, Local dental
societies)FederalStateLocalMedical and other Health/WellnessPhilanthropicAdvocacy OrganizationOthers (Religious, Educators, Civic Groups, etc.)
DPH Infrastructure
DPH Infrastructure Goals
Identify partners that can contribute some unique and vital aspect to assist in attaining optimal oral health for all.
To facilitate enhancing the connections between these partners to each other and to the overarching mission and vision.
Continual coordination, nurturing and evaluating of the infrastructure.
OBJECTIVE:
TO LOOK AT STATE ORAL HEALTH PROGRAM (SOHP) INFRASTRUCTURE FROM 2000 TO 2010 AND THE CAPACITY OF THOSE PROGRAMS TO ADDRESS CORE PUBLIC HEALTH FUNCTIONS AND DELIVER THE 10 ESSENTIAL PUBLIC HEALTH SERVICES.
FUNDED BY THE CDC
Association of State and Territorial Dental Directors (ASTDD)
Infrastructure Enhancement Project (IEP) 2012
ASTDD – IEP 2012 Goals
Review a decade of infrastructure and capacity building efforts
Provide new information and recommendations to help state agencies and policymakers, funders, advocates and others better understand how to build and sustain SOHP infrastructure
How to effectively use this infrastructure to leverage additional resources to improve oral health
ASTDD – IEP 2012
Methods:
Review of articles in scientific literature, governmental publication and reports and data from the the ASTDD State Synopses from 2000 - 2010 as well as numerous surveys. Conducted targeted interviews with key informants. Analyzed quantitative and qualitative information to identify key elements contributing to successful programs.
ASTDD – IEP 2012
Summary Findings:Has been significant investment of resources
during the decadePrior to 2000 very limited Oral Health (OH) data
by the end of 2011 – 44 states had submitted data to the National OH Surveillance System
In 1999 only 16 states had OH improvement plans, by 2009 30 states had plans and 10 were in process
States with full-time SOHP Directors increased from: 61% in 2000 to 80% in 2010
ASTDD – IEP 2012
Summary Findings (continued):The percentage of states with 2 or fewer FTE
staff decreased from 41% in 2000 to 12% in 2010The percentage of states with 5 - 20 OH staff
increased from 20% in 2000 to 41% in 2010In 2000 ~ 193,000 children received dental
sealants through 25 state programs while in 2011 40 states had programs serving almost 400,000 children
States are now focusing on prevention strategies for women, young children and the elderly
ASTDD – IEP 2012
Conclusions:SOHP’s have significantly improved OH
surveillance capacity
Many SOHP’s have enhanced their infrastructure and capacity to perform essential public health functions
Not all states have seen improvements and much remains to be done
ASTDD –IEP 2012
SOHP’s require strong leadership, adequate resources, internal and external support, diverse and formalized partnerships, sound plans, policies, and evaluation to support their programs.
SOHP’s must be resilient to withstand economic instability and meet current and future needs.
No one model meets the needs of all SOHP’s.
SOHP Infrastructure Elements
Resources: Funding, Technical Assistance, Program Authority
Leadership/Staffing, Partnerships, Collaborations, Coalitions, Champions and Advocates
Surveillance CapacityState Planning and Evaluation CapacityPolicy Work, Evidence-Based Prevention and
Promotion Programs
Goal – Improved Oral Health Outcomes
ASTDD Resources
www.astdd.org for the complete report and additional information of State Oral Health Programs.
GuidelinesCompetenciesBest PracticesPolicy StatementsBasic Screening SurveyNational Oral Health Surveillance System
Oral Health 2014 Initiative
What are some unique Prevention and Dental Public Health Infrastructure challenges facing the Oral Health 2014 initiative?
Key Messages
No one group or organization is capable of assuring optimal oral health for all
Importance of defining and knowing your community, their needs and desires, and the barriers to improved oral health and prevention
Develop individualized prevention programs appropriate to the needs and desires of the community
Key Messages
To develop and maintain a strong vibrant prevention program it is critical to have a robust DPH infrastructure in place that is resilient and flexible
Nurture, refine, evaluate and coordinate the DPH infrastructure and the prevention programs developed
Develop OH improvement plans and strong leadership/staff
Key Messages
Community-based oral disease prevention programs, access to comprehensive and coordinated oral health services and financing systems that create affordable oral health care and sustainable oral health programs are crucial to ensuring oral health and overall health.
Good infrastructure requires high levels of investment, expertise and political will.