oral health equity in alameda countyprenatal oral health integration to pediatric efforts...
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ORAL HEALTH EQUITYIN ALAMEDA COUNTY
Baharak Amanzadeh, DDS, MPHDental Health Administrator
Alameda County Department of Public Health
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• Child development/well-being
• Quality of life
– Eating/Nutrition
– Speech
– Smile & Self-esteem
• School readiness/performance
• Disability and death
2
Dental Health and Overall Well-being
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Disparities in Children’s Oral Health
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Community Perspective on Dental Health Needs
“Dental coverage, and dental care available starting at an early age”
“Need funding for oral health services”
“People with Disabilities: Lack of dental resources –sedation dentistry; accessible dental offices and chairs; OR privileges for anesthesia”
DPH Community Needs Assessment Focus Groups
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Alameda County Oral Health Strategic Plan
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Prenatal Infancy Early Childhood Childhood Adolescent AdultSenior/
Disabled
Current
Future
WICHead start
First 5
School based
Prevention and TX
Reimbursement/incentive models
Innovative e.g. Virtual
Dental HomePrenatal Oral Health
Integration to Pediatric Efforts
County-wide Sealant
Promotoras
Policy Efforts such as SSB policies
Life Course Model for Alameda County Oral Health
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Socio-Ecological Model for Oral
Health
Health Equity Lens
Family-level influences
Child-levelInfluences
Oral Health
Community-level influences
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Prevention or Treatment or Systems?
• All!
• More upstream approaches!
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• Achieve Health Equity for Children, Youth and Prenatal Women: Access to Dental Care and Integrated
Preventive, Treatment and Culturally Sensitive Oral Health Approaches
• Every Child Has a Dental Home by Age 1
• No Untreated Urgent Dental Needs in Children and Adults
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2025 Goals
• Reduce the Prevalence of Caries in Alameda County Children by 50%
• A Countywide Dental Health Surveillance and Data Tracking System
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Dental Health Data Tracking System
• Plan to retrieve and analyze the current available dental data
• Establish meaningful indicators that reflect health equity
• Plan and get funding for a dental surveillance every 3 years
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Oral Health Committee and3 Active Workgroups
• Prenatal Oral Health
• Integration Of Oral Health into Primary Care Efforts
• Community Health Worker Program
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Community Health Worker Program
Develop a sustainable CHW (Community Health Worker) program with the goal of improving oral health of communities with the highest need
