Plans, public policies and strategies of oral health in Latin America and Caribbean (1991-2018)

Authors

Keywords:

Public Policy, Oral Health, Health Programs and Plans, Public Health Dentistry.

Abstract

Introduction: The identification of public policies and strategies in oral health, as well as its purposes, actions and limitations is an important step in intersectoral action in health to achieve equity.

Objective: To describe the main characteristics of the documents related to oral health plans, policies and strategies in Latin America en the Caribbean.

Methods: An exploratory study was conducted by means of documentary analysis of secondary sources of information available on the websites of the ministries of health of 23 countries, and systematic search in the Google, without spatio-temporal restriction. Quantitative and qualitative content analysis was performed.

Results: 85 documents were analyzed. The countries with the highest number of documents related to the research topic were Colombia (n = 14), Mexico (n = 8) and Panama (n = 7). A good part is focused on specific populations, such as pregnant women, socially vulnerable communities, school children, teachers, among others. Their purpose is to reduce risk factors for the main oral diseases, making important advances in approaches related to social determinants. However, the gender approach is more timid by focusing attention on the oral health special needs of women in pregnancy, childbirth and postpartum. The main objectives of most of the documents analyzed consisted of an integral attention on the state of oral health, applying education, promotion and clinical activities to the population, according to their needs.

Conclusions: An important representation of countries with documents related to national or local programs and plans were found and they have indicators that reflect their compliance. Also practical action guides were described. Although many professionals, especially in dentistry, intervene in the design and construction of documents, the participation of other areas of knowledge is lacking, what will help to achieve a broader vision towards the social determination of health.

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Author Biographies

John M León Quenguan, Universidad de Antioquia, Facultad de Odontología. Medellín, Colombia.

Facultad de Odontología. Universidad de Antioquia

Anderson E Tibaná Guisao, Universidad de Antioquia, Facultad de Odontología. Medellín, Colombia.

Facultad de Odontología. Universidad de Antioquia

Jonhatan D Cardona Hincapié, Universidad de Antioquia, Facultad de Odontología. Medellín, Colombia.

Universidad de Antioquia, Facultad de Odontología. Medellín, Colombia.

Laura M Correa Jaramillo, Universidad de Antioquia, Facultad de Odontología. Medellín, Colombia.

Facultad de Odontología. Universidad de Antioquia

Andrés Alonso Agudelo Suárez, Universidad de Antioquia, Facultad de Odontología. Medellín, Colombia.

Profesor. Facultad de Odontología. Universidad de Antiqouia

References

Laurell AC. Las reformas de salud en América Latina: procesos y resultados. Cuadernos de Relaciones Laborales. 2016 [acceso: 23/10/2019]; 34(2):293-314. Disponible en: https://revistas.ucm.es/index.php/CRLA/article/view/53458

Castañeda Rodríguez VM, Díaz Bautista O. El Consenso de Washington: algunas implicaciones para América Latina. Revista Apuntes del CENES. 2017 [acceso: 23/10/2019]; 36(63):15-41. Disponible en: https://revistas.uptc.edu.co/revistas/index.php/cenes/article/view/4425

Velázquez RP, Carbajal JAI. Globalización, neoliberalismo y sistemas de salud. Revista de Direito da Cidade. 2017 [acceso: 23/10/2019]; 9(3):1309-32. Disponible en: https://www.e-publicacoes.uerj.br/index.php/rdc/article/view/28983

Gutierrez EL, Piazza M, Gutierrez-Aguado A, Hijar G, Carmona G, Caballero P, et al. Uso de la evidencia en políticas y programas de salud aportes del Instituto Nacional de Salud. Rev Peru Med Exp Salud Publica. 2016 [acceso: 23/10/2019]; 33(3):580-4. Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2308

Ferre JC. Economic Inequalities in Latin America at the Base of Adverse Health Indicators. Int J Health Serv. 2016 [acceso: 23/10/2019]; 46(3):501-22. Disponible en: https://journals.sagepub.com/doi/10.1177/0020731416653428

Bhandari B, Newton JT, Bernabe E. Social inequalities in adult oral health in 40 low- and middle-income countries. Int Dent J. 2016 [acceso: 23/10/2019]; 66(5):295-303. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/idj.12243

Hakeberg M, Wide Boman U. Self-reported oral and general health in relation to socioeconomic position. BMC Public Health. 2017;18(1):63. PMID: PMC5530538

Vettore MV, Faerstein E, Baker SR. Social position, social ties and adult’s oral health: 13-year cohort study. J Dent. 2016 [acceso: 23/10/2019]; 44:50-6. Disponible en: https://www.sciencedirect.com/science/article/pii/S0300571215300798?via%3Dihub

Mamai-Homata E, Koletsi-Kounari H, Margaritis V. Gender differences in oral health status and behavior of Greek dental students: A meta-analysis of 1981, 2000, and 2010 data. J Int Soc Prev Community Dent. 2016;6(1):60-8. PMID: PMC4784066

Nishide A, Fujita M, Sato Y, Nagashima K, Takahashi S, Hata A. Income-Related Inequalities in Access to Dental Care Services in Japan. Int J Environ Res Public Health. 2017 [acceso: 23/10/2019]; 14(5). Disponible en: https://www.mdpi.com/1660-4601/14/5/524

Velez D, Palomo-Zerfas A, Nunez-Alvarez A, Ayala GX, Finlayson TL. Facilitators and Barriers to Dental Care Among Mexican Migrant Women and Their Families in North San Diego County. J Immigr Minor Health. 2017 [acceso: 23/10/2019]; 19(5):1216-26. Disponible en: https://link.springer.com/article/10.1007%2Fs10903-016-0467-2

Wilson FA, Wang Y, Borrell LN, Bae S, Stimpson JP. Disparities in oral health by immigration status in the United States. J Am Dent Assoc. 2018 [acceso: 10/01/2020]; 149(6):414-21e3. Disponible en: https://jada.ada.org/article/S0002-8177(18)30041-2/fulltext

Delgado-Angulo EK, Mangal M, Bernabe E. Socioeconomic inequalities in adult oral health across different ethnic groups in England. Health Qual Life Outcomes. 2019;17(1):85. PMID: PMC6525386

Hernández LJ, Ocampo J, Ríos DS, Calderón C. El modelo de la OMS como orientador en la salud pública a partir de los determinantes sociales. Rev Salud Pública. 2017 [acceso: 23/10/2019];19(3):393-5. Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/68470

Eslava-Castañeda JC. Pensando la determinación social del proceso salud-enfermedad. Rev Salud Pública. 2017 [acceso: 23/10/2019]; 19(3):396-403. Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/68467

Carrer FCdA, Pucca Junior GA, editores. Observatorio Ibero-Americano de políticas públicas en salud bucal: construyendo un bloque por más salud bucal. São Paulo: Faculdade de Odontologia da USP; 2018. [acceso: 23/10/2019]. Disponible en: http://www.fo.usp.br/?page_id=45638&lang=es

Gómez L. Un espacio para la investigación documental. Revista Vanguardia Psicológica Clínica Teórica y Práctica. 2010 [acceso: 23/10/2019]; 1(2):226-33. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4815129

Wilson V. Research methods: Content analysis. Evidence Based Library and Information Practice. 2016 [acceso: 23/10/2019]; 11(Suppl 1):S41-S43. Disponible en: https://journals.library.ualberta.ca/eblip/index.php/EBLIP/article/view/27174

Borrell C, Artazcoz L. Las políticas para disminuir las desigualdades en salud. Gac Sanit. 2008 [acceso: 23/10/2019]; 22(5):465-73. Disponible en: https://www.gacetasanitaria.org/es-las-politicas-disminuir-desigualdades-salud-articulo-S0213911108724233

Velásquez Gavilanes R. Hacia una nueva definición del concepto “política pública”. Desafíos. 2010 [acceso: 23/10/2019]; 20:149-87. Disponible en: https://revistas.urosario.edu.co/index.php/desafios/article/view/433

Duran D, Monsalves MJ, Aubert J, Zarate V, Espinoza I. Systematic review of Latin American national oral health surveys in adults. Community Dent Oral Epidemiol. 2018 [acceso: 10/01/2020]; 46(4):328-35. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/cdoe.12379

Organización Panamericana de la Salud. PLISA: Plataforma de Información en Salud para las Américas. Washington D. C.: OPS; 2019 [acceso: 10/01/2020]. Disponible en: https://www.paho.org/data/index.php/es/indicadores/visualizacion.html

World Health Organization. Oral Health Surveys: Basic Methods. 5th Ed. Geneva: World Health Organization; 2013. [acceso: 23/10/2019]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/97035/9789241548649_eng.pdf;jsessionid=F5E6FC475F41595941D45DC425E040C8?sequence=1

Colombia. Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal. ENSAB IV: Para saber cómo estamos y saber qué hacemos. Bogotá (Colombia): Ministerio de Salud y Protección Social; 2014 [acceso: 23/10/2019]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSAB-IV-Situacion-Bucal-Actual.pdf

Aguiar VR, Pattussi MP, Celeste RK. The role of municipal public policies in oral health socioeconomic inequalities in Brazil: A multilevel study. Community Dent Oral Epidemiol. 2018 [acceso: 10/01/2020]; 46(3):245-50. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/cdoe.12356

Martínez Herrera E, Agudelo Suárez AA, Viñas Sarmiento Y, Duque Gómez LF, Tobón Cifuentes MM. Alcances y limitaciones del f luor dentro de la política pública en salud bucal en Colombia. Revista Gerencia y Políticas de Salud. 2007 [acceso: 23/10/2019]; 6(13):34-44. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-7027200700020000

Published

2021-01-29

How to Cite

1.
León Quenguan JM, Tibaná Guisao AE, Cardona Hincapié JD, Correa Jaramillo LM, Agudelo Suárez AA. Plans, public policies and strategies of oral health in Latin America and Caribbean (1991-2018). Rev Cubana Estomatol [Internet]. 2021 Jan. 29 [cited 2025 Jun. 7];58(2):e3175. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/3175

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Research Article