QUALITY OF DENTAL SERVICESQUALITY OF DENTAL SERVICESIn The PhilippinesIn The Philippines

MANUEL F. CALONGE, DDM, DDPHChief Health Program Officer

Department of HealthPhilippines

Current Oral Health Status Current Oral Health Status of the Filipinos of the Filipinos

Prevalence of the Two Most Common Oral Diseases, Philippines 1987 -2011

Prevalence of Dental Caries by Age and Gender, Philippines, 2011

Average Decayed, Missing, Filled Teeth (XDMFT) in the Philippines by Age Group, 2011

Average Decayed, Missing, Filled Teeth (XDMFT) in the Philippines by Age Group, 1987 – 2011

Decreasing

Average DMFT 12 Years Old, ASEAN Nations

Quality of Dental Services Quality of Dental Services in the Philippinesin the Philippines

Psychosocial Survey, DOH, 2011

• Only 45.3% of the Filipinos consult a dentist at least once a year.

• Majority (67%) do not consult a dentist even if needed and this is primarily due to financial problem (63%)

• There is preference for public health personnel (60%) over private practitioners (29%) as providers of dental services.

• Trust and confidence in the dentist’s ability to deliver health services and prescribe medicine is high (92%).

• Clinical Practice Guidelines were not being followed in some dental procedures (use of x-ray during tooth extraction, hospital charting )

• Illegal practice (ortho, prostho)• Poor infection control practices• Unmaintained/incomplete dental facilities• High costs of dental care• Proliferation of the selling of do-it-yourself (DIY)

dental products/supplies/ appliances (dental brackets/ retainers)

• Availability of dental manpower in rural and far-flung communities

Some Major Factors affecting Quality Dental Care in the Philippines

Efforts to Improve Quality of Dental Efforts to Improve Quality of Dental Services in the countryServices in the country

Present Oral Health Care Delivery System in the PhilippinesPresent Oral Health Care Delivery System in the Philippines

Current Initiatives to Improve Quality of Dental Current Initiatives to Improve Quality of Dental Services in the PhilippinesServices in the Philippines

• Support the statement of WHO policy paper on Mercury in Health Care and UNEP regarding the use of amalgam-The DOH issued an Administrative Order in 2008 for the Gradual Phase-out of Mercury in the Philippines Health Care Facilities and Institutions

• Policy of Infection Control for Dental Health Services in the Philippines (1998)- standardized the measures in the prevention of cross infection in the dental clinic

• Philippine Dental Health Law, 2007 – only trained and licensed dentists can manipulate the oral cavity

• Regulating the Dental Prosthetic Laboratories• Philippine Dental Association Memo to all members: “No

extaction policy during outreach missions” to prevent cross infection and post-operative infection

The Philippines Health GoalTo address inequity in health care specifically to the poorest of the poor families in the Philippines

Through attainment of Universal Health Care or Kalusugan Pangkalahatan (KP)

Universal Health CareUniversal Health Care (UHC) is the DOH health agenda to ensure that Filipinos, particularly the poor, are:Universal Health Care (UHC) is the DOH health agenda to ensure that Filipinos, particularly the poor, are:

Prevented from falling ill when there is improved access to preventive and promotive health goods and services to improve health outcomes and attain health-related MDGs;

STAKEHOLDERS’ SUMMIT ON THE ORAL STAKEHOLDERS’ SUMMIT ON THE ORAL HEALTH OF FILIPINOS, July, 2014HEALTH OF FILIPINOS, July, 2014

Vision for the oral health of Filipinos in the next 3 years

• Financing– National Health Insurance Program (PhilHealth) to cover

dental health packages– Outpatient dental care to be covered by dental insurance

• Governance– In 4 years, proper information campaign, sufficient

financial support from the government, restoration of a Dental Health Service in the DOH

Vision for the oral health of Filipinos in the next 3 years

• Equity and Access– All dentists think of equity and quality of health/care– Affordable oral health care for the less fortunate in the

hospital– All Filipinos with access to free oral health care

• Coalition– A WHO Collaboration Center be established in the

Philippines– Everyone and every agency working together– Interdisciplinary oral health teams

Vision for the oral health of Filipinos in the next 3 years

Oral diseases◦The poor and senior citizens with healthy teeth◦DMFT reduced by 50%◦Prevalence of dental caries reduced by at least 40%

Training and Education◦Schools playing a bigger role in caries prevention◦Dental curriculum re-oriented from treatment to

prevention

Vision for the oral health of Filipinos in the next 3 years

• Health workforce– Oral health given priority with adequate and

competent health work force

• Information– The Collaboration Center providing data on oral

health

Thank You and Good Day!