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2021, Number 2

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Rev Cubana Estomatol 2021; 58 (2)

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

León-Quenguan JM, Tibaná-Guisao AE, Cardona-Hincapié JD, Correa-Jaramillo LM, Agudelo-Suárez AA

Language: Spanish
References: 26
Page:
PDF size: 656.57 Kb.


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.


REFERENCES

  1. 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: Disponible en: https://revistas.ucm.es/index.php/CRLA/article/view/53458

  2. 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: Disponible en: https://revistas.uptc.edu.co/revistas/index.php/cenes/article/view/4425

  3. 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: Disponible en: https://www.e-publicacoes.uerj.br/index.php/rdc/article/view/28983

  4. 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: Disponible en: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2308

  5. 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: Disponible en: https://journals.sagepub.com/doi/10.1177/0020731416653428

  6. 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: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/idj.12243

  7. 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

  8. 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: Disponible en: https://www.sciencedirect.com/science/article/pii/S0300571215300798?via%3Dihub

  9. 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

  10. 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: Disponible en: https://www.mdpi.com/1660-4601/14/5/524

  11. 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: Disponible en: https://link.springer.com/article/10.1007%2Fs10903-016-0467-2

  12. 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: Disponible en: https://jada.ada.org/article/S0002-8177(18)30041-2/fulltext

  13. 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

  14. 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: Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/68470

  15. 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: Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/68467

  16. 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: Disponible en: http://www.fo.usp.br/?page_id=45638&lang=es

  17. 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: Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4815129

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

  19. 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: Disponible en: https://www.gacetasanitaria.org/es-las-politicas-disminuir-desigualdades-salud-articulo-S0213911108724233

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

  21. 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: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/cdoe.12379

  22. 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: Disponible en: https://www.paho.org/data/index.php/es/indicadores/visualizacion.html

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

  24. 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: Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSAB-IV-Situacion-Bucal-Actual.pdf

  25. 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: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/cdoe.12356

  26. 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: Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-7027200700020000




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