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本文引用的文献

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Facilitators and barriers to community-led monitoring of health programs: Qualitative evidence from the global implementation landscape.社区主导的卫生项目监测的促进因素和障碍:来自全球实施情况的定性证据。
PLOS Glob Public Health. 2024 Jun 20;4(6):e0003293. doi: 10.1371/journal.pgph.0003293. eCollection 2024.
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Oral Health Policy and Research Capacity: Perspectives From Dental Schools in Africa.口腔卫生政策和研究能力:来自非洲牙科学院的观点。
Int Dent J. 2024 Aug;74(4):722-729. doi: 10.1016/j.identj.2024.01.020. Epub 2024 Apr 26.
3
Oral health of adolescents in West Africa: prioritizing its social determinants.西非青少年的口腔健康:优先考虑其社会决定因素。
Glob Health Res Policy. 2023 Jul 19;8(1):28. doi: 10.1186/s41256-023-00313-2.
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Oral Health Workforce in Africa: A Scarce Resource.非洲的口腔卫生工作者队伍:稀缺资源。
Int J Environ Res Public Health. 2023 Jan 28;20(3):2328. doi: 10.3390/ijerph20032328.
5
Prevalence of dental caries in the permanent dentition amongst 12-year-olds in Africa: a systematic review and meta-analysis.非洲 12 岁儿童恒牙龋齿患病率的系统评价和荟萃分析。
BMC Oral Health. 2022 Oct 24;22(1):453. doi: 10.1186/s12903-022-02489-4.
6
Challenges in the Early Diagnosis of Oral Cancer, Evidence Gaps and Strategies for Improvement: A Scoping Review of Systematic Reviews.口腔癌早期诊断面临的挑战、证据空白及改进策略:系统评价的范围综述
Cancers (Basel). 2022 Oct 10;14(19):4967. doi: 10.3390/cancers14194967.
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Perspectives on Social and Environmental Determinants of Oral Health.口腔健康的社会和环境决定因素透视
Int J Environ Res Public Health. 2021 Dec 20;18(24):13429. doi: 10.3390/ijerph182413429.
8
Dental Policy Lab 3: towards oral and dental health through partnership.口腔政策实验室 3:通过合作实现口腔和牙齿健康。
Br Dent J. 2021 Dec;231(12):764-768. doi: 10.1038/s41415-021-3733-1. Epub 2021 Dec 17.
9
Implementation of Online Research Training and Mentorship for Sub-Saharan African Family Physicians.撒哈拉以南非洲家庭医生在线研究培训和指导的实施。
Ann Glob Health. 2021 Feb 3;87(1):13. doi: 10.5334/aogh.3171.
10
REVIEW OF DENTISTRY IN WEST AFRICA- CHALLENGES AND PROSPECTS.西非牙科综述——挑战与前景
J West Afr Coll Surg. 2018 Oct-Dec;8(4):93-113.

非洲的口腔健康资源。

Resources for oral health in Africa.

作者信息

Foláyan Moréniké Oluwátóyìn, Bhayat Ahmed, Mikhail Sara S, Ndembi Nicaise, El Tantawi Maha

机构信息

The Africa Oral Health Network (AFRONE), Alexandria University, Alexandria, Egypt.

Department of Child Dental Health, Obafemi Awolowo University, Ile Ife, Nigeria.

出版信息

Front Oral Health. 2025 Feb 7;6:1540944. doi: 10.3389/froh.2025.1540944. eCollection 2025.

DOI:10.3389/froh.2025.1540944
PMID:39989602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11842384/
Abstract

Oral health in Africa is often overlooked despite its substantial impact on overall health and well-being. Currently, Africa has a very high prevalence of dental diseases, including untreated dental caries in permanent teeth, severe periodontal disease and oral cancer. Dental human resources are also very low, with dentists ranging from 1.77 to 0.03 per 10,000 population across the continent. The number of technicians also varies across the continent from 0.17 to.0.1 per 10,000 population. Southern Africa has the highest median dental assistants and therapists per 10,000 population ratio (0.2), whereas Northern Africa has no dental assistants or therapists. In addition, limited infrastructure and funding have resulted in significant oral health disparities, leaving large portions of the population without adequate access to oral health services. Only 57% of African countries have developed an oral health policy that sets targets and implementation strategies. African countries have also been shown to spend a fraction of their health budget on oral health care, albeit that dentistry is one of the most expensive medical services. Addressing these gaps requires addressing the oral health workforce needs, facilitating the development of oral health policies built on context-specific evidence, and guiding practice and policy. In addition, partnerships are needed to support innovation, sustainability and monitoring of the instituted oral health programs.

摘要

尽管口腔健康对整体健康和福祉有重大影响,但在非洲,它常常被忽视。目前,非洲牙科疾病的患病率非常高,包括恒牙未治疗的龋齿、严重的牙周病和口腔癌。牙科人力资源也非常匮乏,整个非洲大陆每10000人口中的牙医数量从1.77人到0.03人不等。技术人员的数量在整个非洲大陆也有所不同,每10000人口中从0.17人到0.1人不等。南部非洲每10000人口中牙科助理和治疗师的中位数比例最高(0.2),而北部非洲没有牙科助理或治疗师。此外,基础设施和资金有限导致了严重的口腔健康差距,使得很大一部分人口无法获得足够的口腔健康服务。只有57%的非洲国家制定了设定目标和实施战略的口腔健康政策。尽管牙科是最昂贵的医疗服务之一,但非洲国家在口腔医疗保健方面的支出仅占其卫生预算的一小部分。解决这些差距需要满足口腔健康劳动力需求,推动基于具体情况证据制定口腔健康政策,并指导实践和政策。此外,还需要建立伙伴关系来支持已制定的口腔健康项目的创新、可持续性和监测。