Barriers to and facilitators for creating, disseminating, implementing, monitoring and evaluating oral health policies in the WHO African region: A scoping review

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-06-03 DOI:10.1111/cdoe.12984

Francisca Verdugo-Paiva, Olivia Urquhart, Cleopatra N. Matanhire-Zihanzu, Carolina Castro Martins-Pfeifer, Emmett Booth, H. Austin Booth, Hind Aljarahi, John Button, Camila Pinto-Grunfeld, Julio Villanueva, Iliana V. Kohler, Michael Glick, Alonso Carrasco-Labra

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Abstract

Objective

To advance oral health policies (OHPs) in the World Health Organization (WHO) African region, barriers to and facilitators for creating, disseminating, implementing, monitoring and evaluating OHPs in the region were examined.

Methods

Global Health, Embase, PubMed, Public Affairs Information Service Index, ABI/Inform, Web of Science, Academic Search Complete, Scopus, Dissertations Global, Google Scholar, WHO's Institutional Repository for Information Sharing (IRIS), the WHO Noncommunicable Diseases Document Repository and the Regional African Index Medicus and African Journals Online were searched. Technical officers at the WHO Regional Office for Africa were contacted. Research studies and policy documents reporting barriers to and facilitators for OHP in the 47 Member States in the WHO African region published between January 2002 and March 2024 in English, French or Portuguese were included. Frequencies were used to summarize quantitative data, and descriptive content analysis was used to code and classify barrier and facilitator statements.

Results

Eighty-eight reports, including 55 research articles and 33 policy documents, were included. The vast majority of the research articles and policy documents were country-specific, but they were lacking for most countries. Frequently mentioned barriers across policy at all stages included financial constraints, a limited and poorly organized workforce, deprioritization of oral health, the absence of health information systems, inadequate integration of oral health services within the overarching health system and limited oral health literacy. Facilitators included a renewed commitment to establishing national OHPs, recognition of a need to diversify the oral health workforce, and an increased understanding of the influence of social determinants of health among oral health care providers.

Conclusions

Most countries lack a country-specific body of evidence to assist policymakers in anticipating barriers to and facilitators for OHPs. The barriers and facilitators relevant to disparate subnational, national, and regional conditions and circumstances must be considered to advance the creation, dissemination, implementation, monitoring and evaluation of OHPs in the WHO African region.

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世卫组织非洲地区制定、传播、实施、监测和评估口腔卫生政策的障碍和促进因素：范围审查。

目标：为了在世界卫生组织（WHO）非洲地区推进口腔卫生政策（OHPs），研究了该地区制定、传播、实施、监测和评估口腔卫生政策的障碍和促进因素：方法：对 Global Health、Embase、PubMed、公共事务信息服务索引、ABI/Inform、Web of Science、Academic Search Complete、Scopus、Dissertations Global、Google Scholar、世卫组织信息共享机构库（IRIS）、世卫组织非传染性疾病文件库以及非洲地区《医学索引》和《非洲期刊在线》进行了检索。联系了世卫组织非洲区域办事处的技术官员。纳入了 2002 年 1 月至 2024 年 3 月期间以英文、法文或葡萄牙文发表的、报告世卫组织非洲地区 47 个会员国开展开放式水文计划的障碍和促进因素的研究报告和政策文件。采用频数法对定量数据进行总结，采用描述性内容分析法对障碍和促进因素的陈述进行编码和分类：结果：共收录了 88 份报告，包括 55 篇研究文章和 33 份政策文件。绝大多数研究文章和政策文件都是针对具体国家的，但大多数国家都缺乏这些文章和文件。各阶段政策中经常提到的障碍包括财政限制、劳动力有限且组织不力、口腔卫生未被列为优先事项、缺乏卫生信息系统、未将口腔卫生服务充分纳入总体卫生系统以及口腔卫生知识有限。促进因素包括对建立国家口腔保健计划的新承诺、认识到口腔保健队伍多样化的必要性以及口腔保健提供者对健康的社会决定因素的影响有了更多的了解：结论：大多数国家缺乏针对具体国家的证据来帮助政策制定者预测阻碍和促进口腔保健计划的因素。必须考虑与不同的国家以下一级、国家和区域条件和环境相关的障碍和促进因素，以推动世卫组织非洲区域开放式保健计划的创建、传播、实施、监测和评估。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.