Kapoor Surbhi, Mohanty Vikrant, Y Balappanavar Aswini, Chahar Puneet, Rijhwani Kavita
Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, IND.
Cureus. 2022 Feb 18;14(2):e22362. doi: 10.7759/cureus.22362. eCollection 2022 Feb.
Oral diseases and non-communicable diseases (NCD) share modifiable risk factors and common social determinants, thus creating new opportunities for improving oral health. The existing primary health care workers can play an integral role in NCD and oral health care integration by creating awareness, promoting oral health, controlling risk factors, and referring for timely dental care. This study aimed to identify and understand the roles of the existed human health resources working at primary health care and develop strategies to build on a unified NCD and oral health alliance human resources at this level. A scoping review was conducted to identify the primary health workforce in the Southeast Asia region, their roles and responsibility, and integration in oral health care. Various databases like NCBI (PubMed), Google Scholar, World Health Organisation (WHO)-Southeast Asia region (SEAR), Ministry of Health and Family Welfare websites in SEAR were comprehensively searched from January 1980 to December 2020 for reports, reviews, and original research. The keywords used were "primary health care workers," "community health care workers," "primary oral health care in SEAR," etc. Only full-text articles in English language and reports available in Ministry of Health and Family Welfare (MOHFW) sites of SEAR were included in the study. Information was taken from 39 full-text articles, six WHO reports, and two reports from Ministry of Health sites of SEAR. Primary health workers (PHW) are known by multiple names in different countries of Southeast Asia. They share various common roles and responsibilities. There are many opportunities for the prevention and control of oral diseases in the SEAR. Basic systems and human resources for the control of NCD are in place in many countries. Oral health can be integrated with NCD programs and policies to reduce the burden of diseases.
口腔疾病与非传染性疾病（NCD）具有共同的可改变风险因素和社会决定因素，从而为改善口腔健康创造了新机遇。现有的初级卫生保健工作者可通过提高认识、促进口腔健康、控制风险因素以及及时转诊接受牙科护理，在非传染性疾病与口腔卫生保健整合中发挥不可或缺的作用。本研究旨在确定并了解在初级卫生保健机构工作的现有卫生人力资源的作用，并制定战略，以建立这一层面统一的非传染性疾病与口腔健康联盟人力资源体系。开展了一项范围综述，以确定东南亚区域的初级卫生保健人力、他们的作用和职责以及在口腔卫生保健中的整合情况。1980年1月至2020年12月期间，全面检索了多个数据库，如美国国立医学图书馆（PubMed）、谷歌学术、世界卫生组织（WHO）东南亚区域（SEAR）、东南亚各国卫生和家庭福利部网站，以查找报告、综述和原始研究。使用的关键词包括“初级卫生保健工作者”“社区卫生保健工作者”“东南亚区域的初级口腔卫生保健”等。本研究仅纳入英文全文文章以及东南亚各国卫生和家庭福利部网站上提供的报告。信息来自39篇全文文章、6份WHO报告以及两份东南亚各国卫生部网站的报告。在东南亚不同国家，初级卫生工作者（PHW）有多种不同的称谓。他们有各种共同的作用和职责。东南亚区域在预防和控制口腔疾病方面存在诸多机遇。许多国家已具备控制非传染性疾病的基本体系和人力资源。口腔健康可与非传染性疾病项目及政策相结合，以减轻疾病负担。
