By Gom Mirian
The World Health Organization (WHO) has urged Ministries of Health to prioritize oral health as part of NCDs and UHC agendas and increase political and financial commitment to make a paradigm shift from treatment-oriented oral health care into more prevention and promotion approaches to address oral health inequality.
The organization also lamented the under-investment and chronic lack of an oral health workforce in Africa and added that dentists per 10,000 population in the region equate to one-tenth of the global ratio.
Dr. Matshidiso Moeti, the WHO Regional Director for Africa, gave this hint in her message on Monday night to commemorate the 2023 World oral health day in Abuja.
According to Moeti, more than 70% of the countries in the continent spent less than US$ 1 per person per year on treatment costs for oral health care in 2019.
She said that in the year 2019, oral diseases affected around 43.7 percent of the population in the WHO African region.
“The burden of oral diseases has high social, economic, and health systems consequences and reflects significant inequalities. For example, noma, a disease, destroys the mouths and faces of mostly young children.
“If left untreated, it is fatal in 90% of cases. Noma is primarily found in Sub-Saharan Africa and is a marker of extreme poverty.
“Based on the regional summary of the WHO Global Oral Health Status Report in 2022 among WHO’s six regions, our region has experienced the largest increase in the number of major oral disease cases in the previous 30 years.
“However, there is fundamental under-investment in oral health. Half of our countries do not have oral health policies,” Moeti said.
Moeti however, said to address these challenges, countries, WHO, and partners should unite, follow, and implement the Regional and Global strategies on oral health, which guide countries to address oral diseases, as part of non-communicable diseases (NCDs) prevention and control towards Universal Health Coverage (UHC).
She said “Oral diseases can be prevented by addressing common risk factors, such as the use of tobacco and alcohol, and an unhealthy diet with other NCDs, such as diabetes and cancers.
” Moreover, people should have a right to access essential, quality oral health care that responds to their needs without financial difficulty.
“At WHO, we have supported countries to develop and implement oral health strategies. In 2022, we helped Cabo Verde, Kenya, Malawi, Mauritius, and Senegal to launch and implement national oral health policies.
“We did the same with Algeria, Botswana, and Lesotho. To address the scarce oral health workforce in response to the population’s needs, we are developing an online training course, in partnership with Harvard University, for community health workers to facilitate task sharing of oral health interventions among oral and other health professionals.
“We have supported eleven countries to develop, implement and monitor an integrated national noma control programme, funded by the German nongovernmental organization, Hilfsaktion Noma e.V.
” In July 2022, we successfully launched the online training course for noma towards primary care workers.
“Around 3,600 people registered for this course to learn about this severe disease, have their capacity built on prevention and control of noma, and hopefully use that knowledge and skill on early detection and treatment at the primary care level”.
