2025-01-30-世界卫生组织-Bangkok_Declaration_–_No_Health_Without_Oral_Health_5页_172kb

Bangkok Declaration – No Health Without Oral Health: Summary

Core Content

The Bangkok Declaration – No Health Without Oral Health was adopted at the WHO Global Oral Health Meeting held in Bangkok, Thailand, on 29 November 2024. It outlines a global commitment to achieving Universal Health Coverage (UHC) for oral health by 2030, emphasizing the critical role of oral health in overall public health and sustainable development.

Main Views and Key Points

1. Oral Health as a Fundamental Human Right

• Oral diseases affect 3.5 billion people globally, highlighting the urgent need to address them as part of the broader non-communicable diseases (NCDs) burden.
• The declaration underscores that oral health is integral to the right to health and must be prioritized in national health policies and strategies.

2. Global and National Commitments

• The declaration aligns with previous UNHLM on NCDs and UHC, including the 2011, 2014, 2018, 2019, and 2023 political declarations.
• It calls for national oral health roadmaps to be developed and implemented, integrating essential oral health services into UHC benefit packages.

3. Strategic Areas for Action

The declaration outlines seven strategic areas for accelerating oral health action:

1. Oral Health Governance

• Strengthen national financing and resource allocation for oral health.
• Develop or update national oral health policies and roadmaps, with regular updates to WHO.

2. Oral Health Promotion and Disease Prevention

• Scale up policies targeting risk factors such as high sugar consumption, tobacco, and alcohol.
• Promote community-based, evidence-informed initiatives and self-care practices.
• Update national fluoride guidelines to reflect population needs.

3. Health Workforce

• Integrate oral health care planning into national health workforce strategies.
• Invest in competency-based education, training, and retention for oral health professionals.
• Emphasize gender balance and diversity in leadership and workforce.

4. Oral Health Care Services

• Integrate essential oral health care services into UHC benefit packages.
• Promote cost-effective, equitable service delivery models to reduce out-of-pocket payments.

5. Oral Health Information Systems

• Strengthen national oral health surveillance systems.
• Establish clear national targets aligned with global WHO goals and measure progress using integrated monitoring systems.

6. Oral Health Research Agendas

• Advance research on effective interventions for oral disease prevention and management.
• Institutionalize data-driven decision-making at all levels of governance.

7. Oral Health and the Environment

• Phase down or out mercury-containing dental amalgam in line with the Minamata Convention.
• Promote eco-friendly, climate-resilient oral health practices, including the use of non-toxic and sustainable products.

Key Expectations and Calls to Action

• Call for inclusion of oral health in the 4th UNHLM on NCDs (2025) and 3rd UNHLM on UHC (2027) agendas.
• Three reference targets for oral health by 2030:
  1. 80% of the global population should have access to essential oral healthcare services.
  2. A 10% relative reduction in the combined prevalence of main oral diseases and conditions.
  3. 50% of countries should implement measures to reduce free sugars intake.
• Support for low-resource settings and SIDS through global, regional, and national collaboration.
• Engagement of civil society and private sector to ensure equitable access and aligned business practices with public health goals.

Conclusion

The Bangkok Declaration represents a collective global commitment to address the unequal burden of oral diseases and integrate oral health into the broader UHC and NCD frameworks. It calls for coordinated action, sustainable investment, and policy alignment to ensure universal access to essential oral health care services by 2030.