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Updated: Oct 15, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Universal oral health coverage - Perspectives from a developing country
Bharathi M Purohit1, O P Kharbanda2, Harsh Priya1
1Division of Public Health Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India.
Integrating oral health into Universal Health Coverage (UHC) is crucial for improving access and reducing disparities, especially in developing nations. Increased public spending on primary oral care is recommended to enhance outcomes and affordability.
Area of Science:
- Public Health
- Health Services Research
- Oral Health Policy
Background:
- Universal Health Coverage (UHC) aims to provide equitable, accessible, and affordable healthcare for all.
- Oral diseases present significant challenges in developing countries due to limited resources, high treatment costs, and insufficient focus on prevention.
- Barriers to dental service utilization are prevalent in populations like India, hindering oral health equity.
Purpose of the Study:
- To highlight the importance of integrating oral health services into Universal Health Coverage (UHC) frameworks.
- To address the disparities in oral healthcare access and outcomes, particularly for disadvantaged communities.
- To advocate for policy changes in public health spending for oral healthcare.
Main Methods:
- This study is a policy analysis and literature review focusing on the integration of oral health into UHC.
- It examines existing barriers to oral healthcare access and utilization in developing countries and India.
- It analyzes the impact of public sector spending on oral health services.
Main Results:
- Optimal oral disease intervention is not universally available or affordable, especially in developing nations.
- Limited public sector resources, escalating treatment costs, and inadequate primary prevention impede oral health equity.
- Barriers to dental service utilization significantly affect the Indian population.
Conclusions:
- Integrating oral health into UHC is essential for improving oral health outcomes and reducing health inequalities.
- Increased public sector investment in primary oral healthcare, rather than solely tertiary care, is vital.
- A shift towards primary prevention and accessible care can reduce the progression of oral diseases and associated costs.
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