2022-11-17-世界卫生组织-Oral_Health_Bangladesh_2022_country_profile_2页_661kb

Bangladesh Oral Health Country Profile Summary

Oral Health Disease Burden

Bangladesh has high rates of oral diseases based on 2019 data. Key findings include untreated caries in children aged 1-9 years (59.5%), severe periodontal disease in adults aged 15+ years (23.4% of the population), edentulism in individuals aged 20+ years (1.2%), and lip and oral cavity cancer incidence rates (female: 6.5 per 100,000, male: 12.4 per 100,000). Risk factors involve high tobacco use (35.2% among 15+ years) and sugar consumption (16.9g per capita per day).

Health System Response

The national oral health policy is absent but development is in drafting stage. Dedicated staff for non-communicable diseases (NCDs) exist in the Ministry of Health. Primary care facilities offer basic oral health services like screening and emergency care, but affordable fluoride toothpaste is often unaffordable, requiring up to 2.8 labor days per person to purchase annual supply. Oral health is not integrated into health benefit packages.

Risk Factors

Significant risk factors include high prevalence of current tobacco use (35.2%) and elevated sugar intake (16.9g/day). Alcohol consumption is negligible. These factors contribute to rising oral disease burdens.

Economic Impact

Oral health outcomes have low economic investment, with per capita dental expenditure at US$0.1 and total annual dental healthcare cost estimated at US$13 million. Productivity losses due to oral diseases reach US$637 million. Lack of preventive and curative oral health interventions limits economic gains.

General Observations

Overall, Bangladesh faces challenges in oral health system capacity, with sparse workforce relative to population needs and limited fiscal allocation. Future efforts should focus on policy development, risk reduction, and economic affordability.