RESUMEN
Strategic planning and implementation of oral health care and disease prevention programmes after the 1990/91 Gulf war are discussed. The key concept was to develop access to care and disease prevention for all Kuwaiti children in government kindergarten/primary schools and to eliminate emphasis on extractions and restorations. Resources were restored to pre-war levels and then increased. Prevention programmes for 150 000 children were established. Prevention funds increased from 7% to 20% of the oral health budget. Prevention-based dentists increased from 9.7% to 28.0% of staff. Rising caries trends were stabilized or reduced by up to 36.8%. Percentage of caries-free primary dentition in children increased up to 37.6%, permanent dentition up to 27.0%. A dentistry school was established.
Asunto(s)
Atención Dental para Niños/organización & administración , Caries Dental/prevención & control , Planificación en Salud/organización & administración , Programas Nacionales de Salud/organización & administración , Odontología Preventiva/organización & administración , Servicios de Salud Escolar/organización & administración , Niño , Preescolar , Índice CPO , Caries Dental/epidemiología , Odontólogos/provisión & distribución , Odontólogos/tendencias , Gastos en Salud/tendencias , Promoción de la Salud/organización & administración , Accesibilidad a los Servicios de Salud/organización & administración , Investigación sobre Servicios de Salud , Humanos , Kuwait/epidemiología , Salud Bucal , Objetivos Organizacionales , Evaluación de Resultado en la Atención de Salud , Prevención Primaria/organización & administración , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , GuerraRESUMEN
Strategic planning and implementation of oral health care and disease prevention programmes after the 1990/91 Gulf war are discussed. The key concept was to develop access to care and disease prevention for all Kuwaiti children in government kindergarten/primary schools and to eliminate emphasis on extractions and restorations. Resources were restored to pre-war levels and then increased. Prevention programmes for 150 000 children were established. Prevention funds increased from 7% to 20% of the oral health budget. Prevention-based dentists increased from 9.7% to 28.0% of staff. Rising caries trends were stabilized or reduced by up to 36.8%. Percentage of caries-free primary dentition in children increased up to 37.6%, permanent dentition up to 27.0%. A dentistry school was established
Asunto(s)
Servicios Preventivos de Salud , Instituciones Académicas , Odontólogos , Programas Nacionales de Salud , Análisis Costo-Beneficio , Salud BucalRESUMEN
Of the 10 539 cases of cancer recorded in the Kuwait Cancer Registry in the 10 years 1979-1988, 784 (7.4%) involved the lip, oral cavity or pharynx. Nearly half of these were of the nasopharynx or salivary glands, and the incidence of salivary gland cancer appears to be increasing. The aetiology may be related to poor oral hygiene and tobacco-smoking.