2022-11-17-世界卫生组织-Oral_Health_Barbados_2022_country_profile_2页_660kb

Oral Health Country Profile Summary

Core Content

This document provides an overview of the oral health status, risk factors, economic impact, and the national health system response in a specific country. It includes data from 2019 and 2020, focusing on prevalence of oral diseases, risk behaviors, and health system policies and resources.

Main Points

1. Oral Disease Burden

• Prevalence of untreated caries:

  • Deciduous teeth in children 1-9 years: 44.6%
  • Permanent teeth in people 5+ years: 28.4%
  • Severe periodontal disease in people 15+ years: 26.8%
  • Edentulism in people 20+ years: 10.0%

• Lip and Oral Cavity Cancer:

  • New cases (2020): 3 (female), 7 (male), 10 (total)
  • Incidence rate (per 100,000 population): 0.5 (female), 2.5 (male), 1.4 (total)

2. Risk Factors for Oral Diseases

• Per capita availability of sugar (g/day): 148.2
• Prevalence of current tobacco use (15+ years):
  • Female: 1.9%
  • Male: 15.0%
  • Total: 8.5%
• Per capita alcohol consumption (15+ years, litres of pure alcohol/year):
  • Female: 4.4
  • Male: 17.0
  • Total: 10.4

3. Economic Impact

• Total expenditure on dental healthcare (2019): $15 million
• Per capita expenditure on dental healthcare (2019): $53
• Total productivity losses due to 5 oral diseases (2019): $23 million
• Affordability of fluoride toothpaste:
  • Measured by the number of labour days required to buy the annual supply.
  • Data is not provided, but the definition is given.

4. National Health System Response

• Implementation of tax on sugar-sweetened beverages (SSB): Yes
• Existence of a national oral health policy/strategy/action plan: Yes (operational or under development)
• Presence of dedicated staff for oral health working on NCDs at the MoH: Yes
• Noma recognized as a national public health problem: No

Key Information

Oral Health Workforce (2014-2019)

Availability of Procedures in Primary Care Facilities (2021)

• Oral health screening for early detection: Unavailable
• Urgent treatment for emergency oral care & pain relief: Unavailable
• Basic restorative dental procedures to treat dental decay: Unavailable

Oral Health Interventions in Health Benefit Packages (2021)

• Coverage of the largest government health financing scheme: Data not provided
• Routine and preventive oral health care: Data not provided
• Essential curative oral health care: Data not provided
• Advanced curative oral/dental care: Data not provided
• Rehabilitative oral health care: Data not provided

Notes and References

• Total population (2020): 281,000 (in thousands)
• Per capita current health expenditure (2019): $1029 (in PPP international dollars)
• Data sources:
  • Population data: United Nations, World Population Prospects 2022
  • Health expenditure: WHO Global Health Observatory, 2019
  • Oral disease prevalence: GBD2019 by IHME
  • Risk factors: WHO Global Health Observatory, 2019
  • Health system response: WHO NCD Country Capacity Survey, 2021
  • Noma: Regional Noma Control Programme in WHO African Region, 2021

Summary of Findings

The country faces a significant oral disease burden, with high prevalence rates of untreated dental caries and severe periodontal disease. Risk factors such as sugar consumption, tobacco use, and alcohol consumption are also notable. While the economic impact of oral diseases is quantified, the affordability of essential oral health products like fluoride toothpaste is not fully detailed. The national health system has implemented a tax on sugar-sweetened beverages, has a national oral health policy, and includes dedicated staff for NCDs. However, key procedures such as oral health screening, urgent treatment, and basic restorative care are not available in primary care facilities. Information on the inclusion of oral health interventions in health benefit packages is incomplete.