The World Federation of Public Health Associations (WFPHA) has launched a Global Maternal and Child Oral Health Initiative to integrate oral health into primary healthcare systems. This article explores maternal oral health initiatives in South Africa, Brazil, and Indonesia, identifying challenges and proposing solutions aligned with the WFPHA framework.
Introduction
Oral health is often overlooked in primary healthcare. The WFPHA aims to change this with its maternal oral health framework and Global Maternal and Child Oral Health Initiative. Highlighting efforts in South Africa, Brazil, and Indonesia, this article examines challenges and strategies for integrating oral health into maternal and child healthcare.
South Africa: Advocating for Maternal and Child Oral Health Policy
South Africa’s apartheid legacy has led to significant health disparities, including in oral health. An Integrated Maternal and Child Oral Health Policy aims to ensure prenatal and neonatal services include oral health education and screening. Key steps include enhancing leadership, building human resource capacity, and integrating oral health policy into existing frameworks. Recent advocacy efforts have made progress, including sessions at the 2023 Public Health Association of South Africa conference.
Brazil: Addressing Maternal Oral Health Disparities
Brazil mandates dental visits for pregnant women, but workforce shortages limit access, especially for teens. A study involving dental students educating pregnant teens showed improved oral health knowledge, suggesting that training future dental professionals in maternal oral health can help address workforce gaps and improve care for vulnerable groups.
Indonesia: Integrative Training Approach in West Kalimantan
The Antenatal Care Innovative (iANC) Project in West Kalimantan trains midwives and oral health professionals together to provide holistic care for pregnant women. This approach addresses oral health needs and enhances understanding of the connection between oral health and maternal well-being. Despite challenges, the iANC project has successfully implemented integrative care for pregnant women and their families.
Discussion
The cases from South Africa, Brazil, and Indonesia highlight the need for tailored policies, health promotion, and integrative care. Emphasizing workforce training, cross-disciplinary collaboration, and policy development can create comprehensive maternal oral health environments, improving access to care for mothers and caregivers.
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