NATIONAL ORAL

HEALTH POLICY

FATHIMA SAHLA P
BDS 2016
FINAL YEAR PART 1
 CONTENTS

●Introduction
●Basic considerations

●Evolution of health systems

●National oral health policy

 INTRODUCTION
● India is drawing the world's attention, not only
because of its population explosion but also
because of its prevailing as well as emerging
health profile and profound political,
economical and social transformation
● Despite several growth oriented policies
adopted by the government, the widening
economic, regional and gender disparities are
posing challenges for the health sector
 ● 75%of health infrastructure, medical man
power and other health resources are
concentrated- urban areas where 27% of the
population live
● India has traditionally been a rural and

agrigarian economy
● Nearly three quarters of the population,

currently 1.2 billion, still live in rural areas

● National health programs are launched by

the govrnment of india for control of

communicable diseases, environmental
sanitation, nutrition, population control and
rural health
● Over decades, health in india is gaining less
importance and oral health, the least
● Oral health remained still a public health
problem for developing countries like india
especially among the rural populations
● Prevalance of oral diseases is very high in india
with dental caries and periodontal diseases as
nd
the 2 most common oral diseases
 BASIC CONSIDERATIONS

ORAL HEALTH
the world health organization defines oral
health as a “state of being free from chronic
mouth and facial pain, oral and throat cancer,
oral sores, birth defects such as cleft lip and
cleft palate, periodontaldisease, tooth decay and
tooth loss, and other diseases and disorders that
affect the oral cavity”
● POLICY
course or principle of action adopted by the
government
● HEALTH POLICY
is a statement of an authority adopted by the
government or public in order to improve the
health services
● NATIONAL HEALTH POLICY
it is an expression of goals for improving the
health, the priorities among these goals, and the
main directions for attaining them for a nation
●
 EVOLUTION OF HEALTH
SYSTEMS
It can be categorised into three distinctive
phases
1)Phase 1 (1947-83)
2)Phase 2 (1983-2000)
3)Phase 3 (above 2000)
 PHASE 1
● Health policy was based on 2 principles
i. None should be denied care for want of ability
to pay
ii.It was the state's responsibility to provide
health care for the people
 PHASE 2
● This phase witnessed an expansion of the
health facilitieas for providing primary health
care in rural areas and the implementaion of
national health programs for diseas control
under vertically designed and centrally
monitored structures
 PHASE 3
● The goals envisaged are
i. To increase public investment in health from the
current level of 0.9% to 2-3%
ii. To increase the utilisation of primary care facilities
from less than 19% to over 75%
iii.To reduce the maternal mortality rate by three quarters
from the current level of over 540 per 1000
iv.To reduce the infant mortality rate from 62 per 1000
live births to less than 30
v. To eradicate polio, eliminate leprosy, reduce deaths on
account of TB and malaria by over 50%
 NATIONAL ORAL HEALTH
POLICY
● It was formulated by the Dental Council of
India, through the inputs of two national
workshops organized in 1991 and 1994 at Delhi
and Mysore respectively
● These workshops considered the
recommendations of national workshops on
oral health for india, Bombay 1984 and a draft
oral health policy prepared by Indian Dental
Association in 1986
● In 1994 World health Organization had given
importance to dental health by selecting the
theme “ oral health for healthy life” for global
health for the year 1994
● In continuum for this, the core committee
appointed by Ministry of health and family
welfare, accepted national koral health policy
as a component of NHP and moved a 10 point
resolution in its forth conference in the year
1995
 THE 10 POINT RESOLUTION
➢ There is an urgent need for an oral health policy for the
nation as an integral part of the national oral health care
programme health policy
➢ Special, well coordinated, nataional oral health care
programme be launched to provide oral health care, both
in the rural as well as urban areas due to deterioting oral
health conditions in the country as revealed by various
epidemiological studies. Also, it is important to launch
preventive, curative, and educational oral health care
programmes integrated into the existing system utilizing
the existing health and educational infrastructure in the
rural, urban and deprived areas
➢ A post full time dental advicor at appropriate
level in the directorate general of health
services should be created as a first step
towards strengthening the technical wing of the
Dte. G.H.s
➢ Studies have revealed that dental diseases have
been increasing both in prevalance and severity
over the last few decades. There is, therefore,
an urgent need to prevent the