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Intersectoral collaboration and coordination mechanisms for implementing water fluoridation: Challenges from a case
Rafael Aiello Bomfim1,2, Richard G Watt3, Paulo Frazão2
1Department Community Health, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Journal of Public Health Dentistry
|December 10, 2021
Summary
Community water fluoridation improves oral health. This study found informal collaboration in sanitation but challenges in health and sanitation sector partnerships for implementing fluoridation policies.
Area of Science:
- Public Health
- Environmental Health
- Health Policy
Background:
- Community water fluoridation is globally linked to improved oral health and reduced dental caries.
- Water fluoridation policy implementation involves both health and sanitation sectors, presenting unique collaboration challenges.
Purpose of the Study:
- To assess intersectoral collaboration in water quality management for potential water fluoridation in Brazil.
- To understand sanitation agents' perceptions of coordination mechanisms for water fluoridation.
Main Methods:
- Semi-structured interviews with sanitation agents from various water companies.
- Analysis guided by theoretical frameworks of intersectoral collaboration and coordination mechanisms.
Main Results:
- Informal collaboration exists within the sanitation sector.
- Network and market-type coordination mechanisms are prevalent.
- Positive attitudes towards a common health and sanitation agenda were noted, but fluoridation was not on the state's regulatory agenda.
Conclusions:
- Establishing strong partnerships and a shared mission between health and sanitation sectors are critical challenges for water fluoridation policy implementation.
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