2022-11-17-世界卫生组织-Oral_Health_Jordan_2022_country_profile_2页_660kb

Jordan Oral Health Country Profile Summary

1. Oral Disease Burden

• Current Situation (2019):
  • High prevalence of untreated caries in children (untreated deciduous teeth: 42.8%, permanent teeth in those 5+ years: 38.5%).
  • Significant issues with severe periodontal disease (13.8% of adults 15+) and edentulism (7.3% of people over 20).
  • Moderate incidence rate for lip and oral cavity cancer (~1.3-56.5 per 100,000 for populations aged 15+).
• Risk Factors:
  • High tobacco (34.6%) and sugar consumption in some demographics.
  • Per capita health expenditure PPP is moderate (~294 USD).

2. National Health System Response

a) Policies & Resources

• Has an existing national oral health strategy/action plan (operational/drafting stage).
• Includes dedicated staff responsible for NCD oral health work at the Ministry of Health.
• Essential oral healthcare interventions included in the largest national health financing scheme.

b) Infrastructure & Availability

• Available basic emergency oral care & pain relief.
• Procedure availability across public primary care facilities:
  • X-rays, basic restorative care (fillings), non-surgical extractions.
  • Oral health screening: unavailable as a preventive measure.

c) Economic Impact

• Total dental healthcare expenditure: Approx 87 million USD in 2019.
• Per capita expenditure: Approx 7.7 USD.
• Losses due to oral diseases: Approx 1.5 million lost labour days/productivity (linked to multiple oral diseases).

d) Prevention & Affordability

• Low affordability of fluoride toothpaste (requires ~2.1 days' labor per person).
• Advanced and curative interventions not included, alongside rehabilitation advancements.

3. Key Risk Assessment Factors Identified

• High rates of tobacco and sugar use.
• Absence (as of 2021) of an SSB tax being implemented.
• Mixed record of workforce (dental professionals exist but with gaps in numbers/roles).

4. Limitations & Areas for Improvement

• Screening programs for early detection are lacking.
• Sugar-sweetened beverages tax not implemented, limiting prevention efforts on sugar intake.
• While strategy exists, full integration of preventive measures is still needed across the system, especially diagnostics and advanced interventions.