Policy analysis of oral health promotion in South Africa

Singh, Shenuka; Myburgh, Neil; Lalloo, Ratilal

doi:10.1177/1757975909356631

Cited by 28 publications

(58 citation statements)

References 21 publications

(30 reference statements)

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“…These findings are in line with the observation of Singh et al that oral health promotion programmes were uncoordinated, poorly distributed and inadequate for the population of South Africa. 17 The findings also reveal that oral health care workers were not equitably distributed across the districts in Limpopo. This is supported by Singh et al who also identified imbalances in the urban-rural distribution of oral health care workers in South Africal.…”

Section: Discussionmentioning

confidence: 91%

“…This is supported by Singh et al who also identified imbalances in the urban-rural distribution of oral health care workers in South Africal. 17 Petersen advocates that high levels of oral diseases result in greater demand for oral health care workers, equipment, oral health facilities and financial resources. 2 He notes that the regions with lower levels of oral diseases demand fewer highly trained oral health care workers and more technical equipment but rather require more auxiliary oral health professionals and prevention programs.…”

Section: Discussionmentioning

confidence: 99%

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Oral health service delivery in Limpopo Province

Thema

Singh

2017

S. Afr. dent. j.

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There is little published evidence on the current state of oral health service delivery in Limpopo Province. aim and objectives: To assess oral health service delivery in the public sector in Limpopo Province.Materials and methods: This is a cross-sectional, explorative and descriptive study using a combination of qualitative and quantitative data to assess oral health service delivery. Data collection included self-administered questionnaires, a face-to-face interview and statistical records on oral health services. Convenience sampling was used to select oral health care workers (n=84) and purposive sampling to select Oral Health District Managers (n=5). An in-depth face-to-face interview was conducted with the Provincial Oral Health Manager.results: The most common clinical procedure was dental extractions (ranging from 59% to 85% of the total headcount for patient visits in the identified month). Less than a quarter of respondents (n=19, 23%) indicated that dental resources were adequate and fewer that resources were easily available (n=17, 21%). Themes arising from data analysis included lack of policy support; no dedicated funding; and poor oral health representation within different levels of the health system. conclusion: There is an urgent need for re-orientation of oral health services towards prevention and promotion.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Oral health service delivery in Limpopo Province

Thema

Singh

2017

S. Afr. dent. j.

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“…The delays in health integration are largely due to the current lack of clear direction and accountability at district and institutional levels [24]. Effective leadership is required in terms of policy formulation and translation into practice, development of monitoring tools for assessment of the health system including the burden of disease, utilization of health services, and effectiveness of health interventions.…”

Section: Discussionmentioning

confidence: 99%

Primary health services at district level in South Africa: a critique of the primary health care approach

Dookie

Singh

2012

BMC Fam Pract

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Background The rhetoric of primary health care philosophy in the district health system is widely cited as a fundamental component of the health transformation process in post-apartheid South Africa. Despite South Africa’s progress and attempts at implementing primary health care, various factors still limit its success. Discussion Inconsistencies and poor understanding of primary care and primary health care raises unrealistic expectations in service delivery and health outcomes, and blame is apportioned when expectations are not met. It is important for all health practitioners to consider the contextual influences on health and ill-health and to recognise the role of the underlying determinants of ill-health, namely, social, economic and environmental influences. The primary health care approach provides a strong framework for this delivery but it is not widely applied. There is a need for renewed political and policy commitments toward quality primary health care delivery, re-orientation of health care workers, integration of primary health care activities into other community-based development, improved management skills and effective coordination at all levels of the health system. There should also be optimal capacity building, and skills development in problem-solving, communication, networking and community participation. Summary A well-functioning district health system is required for the re-engineering of primary health care. This strategy requires a strong leadership, a strengthening of the current district heath system and a greater emphasis on health promotion, prevention, and community participation and empowerment.

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“…[24] The main components of this framework were “stable parameters” and “potential external threats,” including changes in policy focus, public opinion, and political environment, as a belief in this “oral health promotion” framework. In the adapted form of ACF, “oral health promotion” was considered as “shared beliefs,” whereas in the triangle model and other frameworks reviewed, it was considered to be the interest of stakeholders.…”

Section: Discussionmentioning

confidence: 99%