Concepts In Dental Public Health

Chapter 5Effective Community

Programs

Program Development Incorporates 3 core functions of

public health: assessment, policy development, and assurance.

Uses ADPIED Cycle: Assessment, Diagnosis, Planning, Implementation, Evaluation, and Documentation.

Program Development vs. Individual Patient Care Process

See page 70, table 5-1

Criteria For Program Development Community recognized need Sufficient community resources Cost effectiveness Targeted interventions Community acceptance Proactive approach Common risk factors

Community Recognized Need “Public health professionals and

policy makers must understand that oral health is essential to general health and well-being at every stage of life.”

(Surgeon General)

Sufficient Community Resources People power Money Time Facilities Supplies Equipment Legislative

authority

All must be available for start up and continuation of a program.

A program’s potential can be greatly expanded by combining resources with other programs.

Cost Effectiveness Cost effective programs deliver

enough benefit to justify their cost. Ex: Community wide water fluoride Problem: Political issues may cause

water fluoridation to be less popular than school based fluoride mouth rinse even though it is more cost effective.

Think About It! Many oral health programs may be

cost-effective based solely on their reduction in systemic diseases and related economic burden.

Ex: diabetes, heart disease, low birth weight infants

Targeted Interventions High-priority populations are targeted

with appropriate interventions. Preventive interventions should be

culturally appropriate. Language, health beliefs, dietary

practices, child rearing practices, and other factors need to be considered.

Community Acceptance Stakeholders-people who have the

potential to be affected by a program.

Stakeholders-decision makers, dental health professionals, community members and tax payers.

Stakeholders acceptance is crucial to the success of programs.

Proactive Approach Health promoting interventions are

most effective if they strategically predict, plan and prevent potential crisis.

In other words: It is better if a program is proactive rather than reactive.

Ex: Promote use of mouth guards, helmets, and seat belts rather than treat preventable injuries.

Common Risk Factors Factors that increase oral disease

often increase risk for other diseases. Ex: Smoking, poor nutrition, and

poor oral hygiene Integration of oral health into general

health programs would confront multiple health issues at once.

Planning Models Assessing Oral Health Needs: ASTDD

Seven Step Model Logic Models Healthy People 2020 Precede-Proceed Model Healthy Communities 2000: Model

Standards Mobilizing For Action Through Planning

and Partnerships (MAPP)

Community Partners It is vital to involve community

partners through coalitions and collaborative approaches.

All parties should be included throughout program development process.

See page 78 for list of community partners