Tehran University of Medical Sciences

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Challenges Impeding Integration of Oral Health Into Primary Health Care; [Les Obstacles a L’Integration De La Sante Bucco-Dentaire Aux Soins De Sante Primaires] Publisher Pubmed



Ghorbani Z1, 2 ; Pakkhesal M2 ; Arshi S3 ; Eghbal MJ4 ; Deghatipour M2 ; Tennant M5 ; Ardakani HM6
Authors

Source: Eastern Mediterranean Health Journal Published:2017


Abstract

The primary healthcare (PHC) services in the Islamic Republic of Iran have succeeded in addressing high levels of communicable diseases; however, they seem less able to deal with maternal and paediatric oral diseases. The aim of this study was to examine problems in integrating oral health services into PHC. This was a qualitative research study comprising focus group discussions and interviews. Five focus-group discussions were held with midwives, family healthcare practitioners, rural PHC workers, duty-service dentists, and public health dentists. Also, individual interviews were organized with experts of faculty members in related fields, informant managers and policy makers, and in-depth interviews were done with pregnant women in four PHC centres. Audiotapes were transcribed following each session, and then a qualitative thematic analysis was carried out on gathered data. Data analysis resulted in 4 main themes relating to the challenges: environmental, educational, organizational and school-based programme factors. This study provides a clearer understanding of the challenges of integrating oral health services into PHC. © 2017, World Health Organization. All Rights Reserved.
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