Foláyan Moréniké Oluwátóyìn, Bhayat Ahmed, Mikhail Sara S, Ndembi Nicaise, El Tantawi Maha
The Africa Oral Health Network (AFRONE), Alexandria University, Alexandria, Egypt.
Department of Child Dental Health, Obafemi Awolowo University, Ile Ife, Nigeria.
Front Oral Health. 2025 Feb 7;6:1540944. doi: 10.3389/froh.2025.1540944. eCollection 2025.
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.
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。