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ACCESSIBILITY OF DENTAL CARE TO PREGNANT WOMEN IN ALMATY: AN ANALYSIS OF AWARENESS, ROUTING AND TARIFF POLICY
N Madraimov1, M Laktionova2, R Kulmanbetov3
11Kazakhstan Medical University "Higher School of Public Health", Almaty, Republic of Kazakhstan.
Georgian Medical News
|December 10, 2025
Summary
Pregnant women in Kazakhstan have very low dental care coverage due to awareness, financial, and access barriers. Improving interdisciplinary collaboration and healthcare policies is crucial for better oral health outcomes.
Area of Science:
- Public Health
- Dental Medicine
- Health Policy
Background:
- Dental care coverage for pregnant women in Kazakhstan is critically low, despite inclusion in the guaranteed volume of free medical care (GVFMC) package.
- Factors contributing to poor oral health include delayed treatment, lack of patient awareness, and financial constraints, increasing risks for pregnancy complications.
Purpose of the Study:
- To investigate the current state of dental care utilization among pregnant women in Kazakhstan.
- To identify barriers to accessing dental services during pregnancy.
- To analyze the relationship between dental care access and oral health status, and evaluate relevant healthcare policies.
Main Methods:
- A survey of 455 pregnant women was conducted using an author's questionnaire.
- Data analysis included descriptive statistics, medians, interquartile ranges, and Kruskal-Wallis tests.
- Retrospective analysis of Compulsory Social Health Insurance (CSHI) tariffs for dental services from 2020-2024 was performed.
Main Results:
- Only 17.6% of pregnant women sought dental care, with just 4.8% for preventive reasons.
- A significantly higher median caries index (6.0) was observed in women who did not seek care compared to those referred by an obstetrician-gynecologist (2.0).
- Low rates of preventive care, issues with patient information, out-of-pocket payments (65%), and provider-related complaints highlight systemic problems. CSHI tariff analysis indicates a widening gap between costs and coverage.
Conclusions:
- Low dental care coverage, insufficient patient information, and economic barriers significantly impact pregnant women's oral health in Kazakhstan.
- There is a need to enhance interdisciplinary collaboration between obstetric and dental care providers.
- Improvements in healthcare routing, patient education, and a review of tariff policies are essential to address these challenges.
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