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Ottawa Charter ~ Oral Health Promotion

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Annika Wilson

on 28 May 2013

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Transcript of Ottawa Charter ~ Oral Health Promotion

The Five Key Principles Oral Health Promotion The 5 Key Principles The Ottawa Charter Ottawa Charter ~ Oral Health Promotion 1. Building Healthy Public Policy
2. Creating Supportive Environments
3. Strengthening Community Action
4. Developing Personal Skills
5. Reorienting Health Services
- 2004 - 2013 National Oral Health Plan- Healthy Mouths, Healthy Lives


- 2014 Dental Reform Package - Grow Up Smiling 1. Building Healthy Public Policy 2. Creating Supportive Environments 3. Strengthening
Community
Action 4. Developing Personal Skills 5. Reorienting Health Services - More holistic approach

- Refocus attention away from the responsibility to provide curative and clinical services towards achieving health gain.

- Strong focus on current health research

- Individuals, community groups, health professionals, government - Requires changes in professional education and training. - Create opportunity and conditions to enable individuals and communities to enjoy good oral health.

- Acknowledge the factors that promote poor oral health. ie. poor quality diet, smoking, poor OH techniques, stress, trauma, equity. - Focus on prevention and early intervention strategies. - Involve all sectors within communities to combat a myriad of causes and implement effective oral health strategies. References Introduction World Health Organization - Ottawa Charter 1986

-Established in response to heightened aspirations for a more contemporised, holistic public health movement

-Remains the benchmark for public health promotion world wide -Sociological approach to health promotion

-Support each other, our communities, and the environment Create Supportive Enviroments -Health - including oral health is the outcome of complex interaction between various influences

-Oral health disparity most strongly influenced by:

-Low SES status

-Economic inequity

-Social Exclusion

-Cultural differences, beliefs and behaviours

-Exposure to fluoride in water & maintenance of OH constitute two of the most important factors determining good oral health National Oral Health Plan 2004-2013 Acknowledges Supportive Environments: Poor oral health most evident amongst:

- Aboriginal and Torres Strait Islanders

- Rural and remote populations

- Elderly populations particularly those living in care

- People with special needs National Oral Health Plan 2004-2013 Acknowledges Supportive Environments: - Extend fluoridation of public water supplies

- Develop oral health workforces with emphasis on health promotion and disease prevention

- Continued expansion of school dental services

- Build upon health promotion and risk mitigation strategies in sporting and recreational setting

- Work towards limiting advertising of cariogenic and otherwise unhealthy foods that are harmful to children National Oral Health Plan - National Actions: Reorienting Health Services Moving Forward in Future Policies Grow Up Smiling (2014-) Refocuses attention to disadvantaged groups and people placed on waiting lists Both private and public sector public system to move away from a focus on emergency crisis management to prevention and oral health promotion. Healthy Mouths, Healthy Lives (2004-2013) National Dental Plan
-Focuses on teamwork between different sectors and different levels of society to create policies but also bring about healthy outcomes.

-Linking oral health promotion initiatives with broader international, national and local programmes Building Healthy Public Policy
“…building strong cooperation and partnerships across the health and community sectors to address the factors that determine oral health” National Oral Health Plan:
“Healthy Mouths, Healthy Lives” “Healthy mouths, healthy lives” promotes…

- Government, industry and media to limit the promotion and advertising of harmful food

-Team work between Indigenous specific and mainstream health services

-Government and universities working together to form rural scholarships

-Discussions between General and Australian council “Tobacco or Oral health”, a publication jointly developed by the WHO and FDI (Federation Dentaire Internationale)

- Discusses the role of dentists in tobacco control and provides a wide range of recommendations to move the tobacco control agenda forward

- The FDI supports the WHO’s Framework Convention on Tobacco Control (FCTC)

- Pushes for dental professionals to be actively involved in other sectors

- Pushes for dental professionals to work with governments and professional organisations Tackling Tobacco The Australian Dental Association upholds a strong work ethic which focuses on collaboration and teamwork between differing sectors.

The ADA…

- Frequently conducts member surveys

- Works against corruption to create supportive
environment for healthy collaboration

- Partners with Oxfam and is a signatory for the
“Close the Gap” campaign ADA Policies and Guidelines in Building Healthy Public Policy - increase the options available to people to exercise more control over their own health and over their environments

- achieve personal and social development through providing information, education for health, and enhancing life skills

- educational, professional, commercial and voluntary bodies, and within the institutions themselves. Developing Personal Skills - education to achieve a sufficient and appropriately skilled workforce and communities that effectively support and promote health

- build the skill base of the oral health workforce and the capacity of the dental education sector

- dental education

- undergraduate students are able to gain their clinical experience in the public health sector Healthy Mouths, Healthy Lives (2004-2013)
- training of health and community service practitioners need to be included in the oral health promotion modules

- improve oral health workforce skills Action Areas Action Area 1 Promoting Oral Health Across
the Population Commonwealth Government

State & Territory governments

Local governments

Professional bodies and associations

Oral health practitioners Schools and tertiary educators

Non-government organisations

Parents and children

Maternal and child health staff

School dental services

Child care workers Who will be involved?

- skills and motivation to maintain oral health as they move into adulthood






- develop an oral health workforce and promotion that will meet the need of older people.

- may require a multidisciplinary effort Action Area 3 Older people Action Area 2 Adolescents - In cooperation with appropriate education and communities authorities, health promotion activities shall be conducted

- children and parents can make knowledgeable decisions about their own oral health Australian Dental Association (ADA) Policies
and Guidelines Children -Education and support is required to assist them in developing sound oral health habits

-Educate on lifestyle and general health issues:
ochanged living arrangements, including leaving family support structures and homelessness;

- deleterious dietary behaviour, including grazing, snacking and frequent consumption of cariogenic foods and drinks with high sugar and acid content;

- excessive consumption of alcohol;
- use of tobacco;
- misuse of drugs;

- oral manifestations of diseases such as diabetes and eating disorders Adolescents Action Area 5 Special Needs - develop an oral health workforce and promotion that will meet the need of older people.

- range of oral health practitioners and primary health carers may be required
- educational programs addressing the treatment of the aged community
- develop public educational programs, encouraging the establishment of habits of regular care Aged Person
- dental hygienists: oral health education and the prevention of dental diseases

- dental therapists: more restricted to the prevention of dental diseases and control of dental caries in school children Allied Dental Personnel - Low rates of graduates from Australian dental schools

- further funding if more undergraduates are to be taught

- retention of teaching staff undermined by salaries that compares very unfavorably to those in the private dental sector Achieving workforce self-sufficiency
in the long term Future Policy - Creating Supportive Environments - Build upon effective elements of incumbent policy

- Consult widely with experts and professional bodies

- Focus on prevention and education

- Promote equality i.e. affordability, access, culturally sensitive services - empowering community ownership and control of it’s own health promotion
aspirations

- draws upon existing human and material resources from within communities to strengthening public participation in and direction of health matters

- requires full and continuous access to information, learning opportunities for health, as well as funding support Strengthening Community Action - Promoting regular local/regional surveys detailing oral health needs of communities

- Using community development approaches to develop and implement targeted health promotion programs

- Health promotion plans developed and implemented at the community level and are supported by adequate funding Strengthen Community Actions
- National Actions - Provide culturally appropriate and accessible oral health services

- Increase oral health workforce available to improve the health of Aboriginal and Torres Strait Islanders

- Improved recruitment and retention of professionals in rural and remote areas Strengthen Community Actions
- National Actions - Delivery of health care in regional and remote areas

- Care of indigenous communities

- Oral health promotion

- Oral Hygiene

- Diet & Nutrition

- Fluoride use Strengthen Community Action
- ADA Policy position statements
- Oral health workforce shortage addressed?

- Greater emphasis on incentives for professionals to work in rural and remote communities

- More needs to be done to select individuals for oral health training from rural and remote areas and retain them in the long term. Strengthen Community Action
- Future Policy Reorienting Health Services ~ ADA Policies - Intersectoral collaboration all aiming towards a healthcare system that contributes to the pursuit of health - Disadvantaged groups and minorities Healthy Mouths, Healthy Lives (2004-2013) National Dental Plan - Provide accessible and affordable dental care for everyone

- Full use of the skills of the dental team

- Aims to assess and foster the integration of oral health services within health systems and services Period of Policy Transition Replaced with: Phasing out: - How the ADAs key policy position statements align with Ottawa Charter’s 5 principles. Australian Dental Association In Closing... - Ottawa Charter is an integral part of many existing policies

- Can serve as a framework for
future public health policy development Group 2D
Andrew Wang, Jenny Wang, Luke Willis & Annika Wilson
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