2023-01-10-世界卫生组织-Draft_Global_Oral_Health_Action_Plan_2023–2030_57页_597kb

Summary of the Global Oral Health Action Plan (2023–2030)

Background and Context

• Oral health is a major global health burden, sharing risk factors with noncommunicable diseases (NCDs). It affects nearly 3.5 billion people, with higher prevalence than any other NCD.
• Disproportionately impacts vulnerable populations, such as the poor, older adults, and those in marginalized communities.
• The plan builds on commitments like the 2030 Sustainable Development Goals and WHO's global strategies, aiming for universal health coverage (UHC) for oral health by 2030.

Global Strategy on Oral Health

• Vision: UHC for all by 2030, enabling the highest attainable state of oral health.
• Goal: To promote oral health, reduce diseases and inequalities, and strengthen UHC integration.
• Guiding Principles: Public health approach, workforce innovation, integration into primary care, people-centered care, life-course interventions, and digital optimization.
• Strategic Objectives:
  • Objective 1: Improve political and resource commitment.
  • Objective 2: Promote oral health and prevent diseases by addressing social and commercial determinants.
  • Objective 3: Develop innovative health workforce models for oral health.
  • Objective 4: Integrate essential oral health care into primary care.
  • Objective 5: Enhance oral health information systems.
  • Objective 6: Advance oral health research agendas.

Overarching Global Targets

• By 2030, 80% of the global population entitled to essential oral health services.
• By 2030, a 10% relative reduction in the combined prevalence of main oral diseases.

Key Action Areas and Stakeholders

• Oral Health Governance: Strengthen national policies, partnerships, and leadership, including ratifying the Minamata Convention on Mercury.
• Oral Health Promotion and Prevention: Implement policies on free sugars, fluoride use, and tobacco control; focus on midstream and downstream measures.
• Health Workforce: Develop competency-based education, task-shifting, and interprofessional collaboration for oral health services.
• Oral Health Care: Ensure integration into primary care, financial protection, and availability of essential supplies.
• Oral Health Information Systems: Enhance surveillance and data collection for evidence-based decision-making.
• Oral Health Research: Prioritize population-based interventions and address gaps in knowledge.

Monitoring Framework

• Uses 11 core indicators and 29 complementary indicators to track progress.
• Core indicators measure political commitment, service availability, disease prevalence, and workforce training.
• Progress is reported every three years, with annual updates included in NCD reports.

The plan emphasizes collaborative action from governments, WHO, partners, civil society, and the private sector to achieve UHC for oral health and reduce global oral disease burden.