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Oral health promotion programmes in the Balkan countries: Part I

vuksavicJuly 19, 2024

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Marković Dejana ORCID, Matović Marinab, Xhajanka Editc, Zukanović Amilad, Syngelakis Aristomenise, Charalambous Chrystalaf, Tsantidou Mariag, Gjorgievska Elizabetah, Getova Biljanai, Perlea Paulaj, Kilibarda Biljanak ORCID, Ece Edenl, Kargul Betulm, Perić Tamaraa ORCID

aUniverzitet u Beogradu, Stomatološki fakultet, Klinika za dečiju i preventivnu stomatologiju, Srbija
bCommunity Health Centre “Dr. Simo Milosevic”, Belgrade
cUniversity of Medicine, Faculty of Dental Medicine, Tirana, Albania
dUniverzitet u Sarajevu, Stomatološki fakultet sa klinikama, Bosna i Hercegovina
eChief Dental Officer, Greece + National and Kapodistrian University of Athens, Faculty of Dentistry, Department of Community and Preventive Dentistry, Athens, Greece + European University Cyprus, School of Dentistry, Nicosia, Cyprus
fEuropean University Cyprus, School of Dentistry, Nicosia, Cyprus
gPanhellenic Union of Public Health Physicians, Greece + Dep. Chief Dental Officer, Greece
hUniversity “Ss. Cyril and Methodius”, Faculty of Dental Medicine, Department of Paediatric and Preventive Dentistry, Skopje, North Macedonia
iHealth canter “Zdravje”, Valandovo, North Macedonia
jCarol Davila University of Medicine and Pharmacy, Faculty of Dentistry, Department of Endodontics, Bucharest, Romania
kInstitut za javno zdravlje Srbije ‘Dr Milan Jovanović Batut’, Beograd, Srbija
lEge University, Faculty of Dentistry, Department of Paediatric Dentistry, Izmir, Turkey
mMarmara University, Dental School, Department of Paediatric Dentistry, Istanbul, Turkey

Abstract

Background/Aim: The aim of this study was to conduct a comparative analysis of the national oral health programmes in the Balkan countries, to compare key measures and activities in the implementation of the general and specific objectives of the programme, and to analyse the results achieved after the implementation of the programme. Material and Methods: The data were obtained through an electronic search of publicly available documents published by the relevant institutions in the field of dental health care in the Balkan countries. The search terms were: “national programme”, “strategy”, “action plan”, “project”, and “oral health”. The search was conducted in English and in the native languages of the Balkan Peninsula countries. A comparative analysis of valid documents and those whose validity period has expired was carried out. Results: Bulgaria and the Republic of North Macedonia have valid national preventive programmes. In Cyprus, a strategic plan for the provision of dental services is described. An oral health promotion programme for elementary school children and universal preventive programme for children (“dentist pass”) have been implemented in Greece. Serbia has a national preventive programme that has expired, but the programme activities still apply. Albania, Bosnia and Herzegovina, Montenegro, Romania, and Turkey do not have national oral health preventive programmes. Countries in the region with no oral health promotion programmes have poorer oral health indicators compared to countries with existing programmes. Conclusions: While countries in the Balkan Peninsula have made progress in improving the oral health of their inhabitants, the absence of national oral health promotion programmes is striking in many countries in the region. Greater involvement of the community in activities to maintain and improve oral health is needed, as is more comprehensive dental care for vulnerable populations. This paper (Part I) compares national oral health promotion programmes of the Balkan countries, the key measures and activities, and general and specific objectives of the programme.

Keywords: oral health; prevention; national programme; Balkan countries

Reference

*** (n.d) National program for the prevention of oral diseases in children from 0 to 18 years in the Republic of Bulgaria 2021-2025. Government of Bulgaria, Ministry of Health, https:// www.strategy.bg/StrategicDocuments/View.aspx?lang=bg-BG&Id=1408 (in Bulgarian)
*** (n.d) Strategic plan 2024-2026. Government department of Cyprus, Ministry of Health, https://www.moh.gov.cy/moh/moh.nsf/E8765DF6DF924BDCC2257864003AC43, in Greek
*** (n.d) Oral Health Promotion Programme for Primary Schools. Greek Ministry of Health, https://www.moh.gov.gr/articles/health/ dieythynsh-prwtobathmias-frontidas-ygeias/draseis-kaiprogrammata-agwghs-ygeias/pagkosmies-hmeres/6122pagkosmia-hmera-stomatikhs-ygeias-2019 (in Greek)
*** (n.d) Preventive Programme ‘Dentist Pass’. Government of Greece, Ministry of Health, https://www.moh.gov.gr/ articles/ministry/grafeio-typoy/press-releases/11505-aposhmera-h-ypobolh-aithsewn-gia-to-programma-dentist-passmesw-vouchers-gov-gr (in Greek)
*** (2001) CyLaw. Law 89(I), 2001, The General Healthcare System law of 2001. / O Perί Genicoύ Systήmatos Ygeίas Nόmos toy 2001. Cyprus Bar Association, cylaw.org, in Greek

Damaskinos, P., Koletsi-Kounari, H., Economou, C., Eaton, K.A., Widström, E. (2016) The healthcare system and provision of oral healthcare in European Union member states, Part 4: Greece. Br Dent J, 20(5):253-260
Eurostat (2023) Healthcare personnel statistics – dentists, pharmacists and physiotherapists. https://ec.europa. eu/eurostat/statistics-explained/index.php?title=Healthcare_ personnel_statistics_-_dentists,_pharmacists_and_ physiotherapists#Healthcare_personne


Government of Serbia, Ministry of Health (2009) National program for prevention of oral diseases in Republic of Serbia. Službeni glasnik RS, 22/2009, http://demo.paragraf.rs/demo/combined/ Old/t/t2009_04/t04_0044.htm(in Serbian)

Sarakinova, O., Carcev, M., Getova, B., Salja, C.S., Janevska, S. (2013) National strategy for prevention of oral diseases in children from 0 to 14 years old age in the Republic of Macedonia for the period 2008-2018. Pril (Makedon Akad Nauk Umet Odd Med Nauki), 34(2):129-134

Syngelakis, A.I., Tsantidou, M., Tsarnava, Z., Charalambous, C. (2024) Oral Health: Luxury or a fundamental human right: The necessity of introducing a dedicated oral health budget and Proportionate Universalism in Greece. Community Dent Health, 41(1):3-4, editorial
World Health Organization (2023) Global oral health status report: Towards universal health coverage for oral health by 2030. Summary of the WHO European Region. Copenhagen: WHO Regional Office for Europe, https://reliefweb.int/report/world/global-oralhealth-status-report-towards-universal-health-coverageoral-health-2030?gad_source=1&gclid=CjwKCAjw65zBhBkEiwAjrqRMJJDc67S85q9-SAqJeJMS3M3Da3zLtFIPf ijt7g5
World Health Organization Regional Office for Europe (2013) Health 2020: A European policy framework and strategy for the 21st century. Copenhagen: WHO Regional Office for Europe, https://iris.who.int/handle/10665/326386
World Health Organization Regional Office for Europe (2012) Noncommunicable diseases prevention and control in the South-eastern Europe Health Network: An analysis of intersectoral collaboration. Copenhagen: WHO Regional Office for Europe, https://www.who.int/europe/ publications/i/item/9789289002660

Balkan Journal of Dental Medicine, 2024, vol. 28, br. 2, str. 85-90

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