National Oral Health Programme

Centre for Dental Education and Research

National Centre of Excellence for Implementation of National Oral Health Programme
WHO Collaborating Centre for Oral Health Promotion

All India Institute of Medical Sciences, New Delhi

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National Oral Health Program

National Oral Health Program(NOHP)

Introduction

According to the World Health Report-2003, oral diseases qualify as a major public health problem owing to their high prevalence and incidence in all regions of the world. The greatest burden of oral diseases is on disadvantaged and socially marginalized populations. Poor oral health may have a profound effect on general health. Poor oral health may have a profound effect on general health. Oral diseases have been linked to bacterial endocarditis due to transient bacteremia from oral focus. Also, inflammatory mediators in periodontal disease are not only involved in local tissue destruction but have the potential to modulate the course of cardiovascular, chronic obstructive lung and autoimmune diseases, diabetes mellitus and preterm birth. In addition, major impact on people’s daily lives in terms of pain and suffering, impairment of function and quality of life due to missing, discolored or damaged teeth must be considered. The economic impact of oral disease is also significant. Traditional treatment of oral disease is costly. In developing countries, resources are primarily allocated to emergency oral care and pain relief; if treatment were available, the costs of dental caries in children alone would exceed the total health care budget for children. Furthermore, oral diseases restrict activities at school and work, causing millions of school and work hours to be lost each year throughout the world.

  • Burden of Oral Diseases in India

    There has been no Nation-wide study done to actually determine the burden of oral health conditions in India. Individual studies indicate the following:

    • Average prevalence of dental caries: 40-45 % in all age-groups
    • Periodontal diseases: 90%
    • Malocculsion: 30%
    • Poor oral health can cause poor esthetics, affects mastication adversely, causes agonizing pain and can lead to loss of productivity due to loss of man-hours.
    • The dentist: population ratio is also low and there is wide differential and the ratio is worst in rural areas. Most of the rural areas in the country do not have any services for basic oral health and hence about 72.6% of the rural population remains totally neglected.
      ( Source: Oral Health in India: A report of the Multicentric study )

    2. Rationale for a National Oral Health Programme

    India has a high prevalence of oro-dental disease and it is well established that oral diseases are a public health problem and have a great impact on systemic health. Poor oral health can cause poor aesthetics, affects mastication adversely, causes agonizing pain and can lead to loss of productivity due to loss of man-hours.

    Though as per the data from Dental Council of India, there are approximately 79,000 dentists for the population of about 109 million, with dentist: population ratio of 1:8,000 in urban areas and 1:50,000 in rural areas, the distribution in different geographical locations is not adequate. Most of the rural areas in the country do not have any services for basic oral health and hence about 72.6% of the rural population remains totally neglected. Some states have dentists posted upto the PHC level whereas others are able to provide till district level. Some states have good number of dental hygeinists and dental assistants while on the other hand there is acute shortage of such staff in many other states. Therefore a comprehensive National Oral Health Programme under NHM would go a long way in improving the oral health situation in the country.

    Apart from this fact, the issue of accessibility (reaching to the health services) also exists, as it becomes a costly affair for the rural population to seek oral health related treatment. There is need to integrate oral health services with general health care, right from village level. Given the burden of oral diseases in our country and their impact, oral diseases need to be paid attention along with prevention and control of other non-communicable diseases under NHM. Promotion of healthy lifestyles with respect to oral health needs to be considered. World Health Assembly in 2005 included Oral Health with other non-communicable diseases (NCDs) for health promotion & disease prevention strategies.

    3. Goals and Objectives of the NOHP

    The Programme objectives of NOHP are the following :


    a) Improvement in the determinants of oral health e.g. healthy diet, oral hygiene improvement etc and to reduce disparity in oral health accessibility in rural & urban population.

    b) Reduce morbidity from oral diseases by strengthening oral health services at Sub district/district hospital to start with.

    c) Integrate oral health promotion and preventive services with general health care system and other sectors that influence oral health; namely various National Health Programmes (National Tobacco Control Program, School Health Programme, National Program for Prevention & Control of Fluorosis, National Program for Prevention & Control of CVD, Diabetes & Stroke etc) education, social welfare, women and child development, etc.

    d) Promotion of Public Private Partnerships (PPP) for achieving public health goals

    4. Strategies

    To set up a model dental clinic at least one in each district which would be strengthened by following support :


    IEC and BCC: shall be conducted through word of mouth, rural outdoor methods and mass media and will be integrated IEC for other programme.

    Training: General oral health training of all the health care staff, special training of Nodal Medical Officers

    Human Resources: Dental Surgeons, Dental Hygienist & Dental Assistant on contract basis to supplement the efforts of the State/UTs.

    Logistical Support: One dental chair with supportive equipment’s and materials.

    Monitoring, Supervision & Evaluation: The NOHP shall be monitored at all the level from District to Central level utilizing the existing HR support of NCD Cell and under the program.

    Public Private Partnership (PPP): The state would have the choice to do it either through strengthening one of the hospital/SDH/CHC or do it through PPP mode.

  • Components of National Oral Health Program

    A. For District and below activities under NHM component:

    • A total of 200 districts in a phased manner would be taken up.
    • A District will be supported with equipments and man-power for a Dental Unit. The unit cost has been worked out. [Equiments @ Rs. 7 lakh for each dental unit and manpower and consumables @ Rs.13.4 lakh/year]
    • For those States, which already have the dental units at the district level, the option would be given to set it up at the CHC level or below.

    B. The Central and State HQ component:

    This would augment the activities for NOHP under the NHM and will have the following components:


    1. IEC and BCC: shall be conducted through word of mouth, rural outdoor methods and mass media: electronic and outdoor.

    2. Training: Training modules would be developed by Centre for Dental Education and Research (CDER), AIIMS, New Delhi which would be declared as the Centre for National Excellence for Oral Health. TOT would be conducted at AIIMS for State level trainers selected from 25 Dental colleges. The State level trainers would provide training to 2 district level trainers from each district. General oral health training of all the health care staff, special training of Nodal Medical Officers at CHC, Staff Nurse, PHN/HE, (where dental hygienist are not available) would be provided training by the district trainers by integrating oral health training with other trainings conducted in the district by NRHM

    Once trainers are available at district level they can integrate and piggy back on all other trainings and field level IEC activities for promoting healthy oral health practices & educating volunteers, ASHAs, AWW and public. CDER would again conduct the TOT for the State Trainers and training would be rolled out in cascade manner and would also identify and coordinate with about 15 Dental Institutions/colleges for conducting Regional trainings through them in coordination with the State Governments.

    Comprehensive Programme Management: at National, State & District level and periphery including coordination & linkages with various stakeholders through a National Oral Health Cell under Dte GHS/MoHFW and Oral Health Cell/NCD Cell under DHS in each State.

News and Events

  • 31 May 2017

    Training ASHAs,ANMs,Medical Offi...

    Training ASHAs,ANMs,Medical Officers and Staff Nurses in Population based Screening of NCDs   at CDER,AIIMS-New Delhi   11-31 May 2017 &nbs... Read More >>

  • 05 May 2017

    Launch of IEC on Maternal Oral H...

    Oral health Promotion activities at International Midwife Day Celebrations by Society of Midwives of India  (Delhi Chapter) 5th May 2017   The Inte... Read More >>

  • 01 May 2017

    Pit and Fissure Sealant Training...

    Pit and Fissure Sealant Training Workshop for Dental Professionals 1st May 2017 Minutes of the Meeting   A workshop for Pit and Fissure Sealant Trai... Read More >>

  • 21 Mar 2017

    Public lecture and Panel Discuss...

    A  Public lecture and Panel discussion was held at JLN auditorium,AIIMS Delhi as a part of the celebrations for World Oral Health Day on 21 March 2017. The even... Read More >>

  • 20 Mar 2017

    Poster ,Slogan and Logo Design C...

    The National level Poster,slogan and Logan design competion was flagged off on the occassion of World Oral Health Day on 20th March 2017  . Entries are invited ... Read More >>

  • 20 Mar 2017

    Launch of Media Kit developed un...

    Launch of Media Kit developed under NOHP on the occasion of World Oral Health Day  20 March 2017   World Oral Health Day was celebrated on the 20th... Read More >>

  • 20 Mar 2017

    World Oral Health Day 2017 Oral ...

    Centre for Dental Education and Research All India Institute of Medical Sciences, New Delhi A Report on World Oral Health Day 2017   World Oral ... Read More >>

  • 28 Feb 2017

    Video Conference with Dental Sur...

    National Oral Health Programme A Report on Video Conference with Dental Surgeons at various DH and CHCs of Maharashtra  28 February 2017 A video co... Read More >>

  • 13 Feb 2017

    Oral Health Awareness Talk on Li...

    Oral Health Awareness Talk on Lifestyle Management BWWA,  Border Security Force Hospital , RK Puram, New Delhi  13th February 2017  &nbs... Read More >>

  • 08 Feb 2017

    Oral Health Promotion Drive on I...

       Oral Health Promotion Drive on International Childhood Cancer Day  8th February 2017    Centre for Dental Education and Research ... Read More >>

  • 28 Jan 2017

    Progress review and reorientatio...

     Progress review and reorientation workshop for State Nodal Officers under NOHP 27-28 January 2017   Inauguration The progress review and reori... Read More >>

  • 14 Nov 2016

    Childrens Day Celebrations at AI...

  • 27 Nov 2016

    Swasthya Chetna Evan Jan Sampark...

    Swasthya Chetna Evan Jan Sampark Abhiyan in Mission Mode Awareness and Screening Shivir India International Trade Fair (IITF), Pragati Maidan, New Delhi   ... Read More >>

  • 11 Nov 2016

    International Symposium on "Is S...

    No more sugar coating! AIIMS Global symposium advocates a cut down in sugar intake to reduce burden of early childhood caries   The International Sympo... Read More >>

  • 11 Jul 2016

    Result : Poster / Slogan Competi...

    Slogan Competition NAME STATE Dr. SHWETA DELHI ... Read More >>

  • 17 Feb 2016

    Training programme for State Nod...

    CDER, AIIMS being the National Centre of Excellence for National Oral Health Programme, a training was organized for State Nodal Officers (SNO) under National Oral Healt... Read More >>

  • 27 Nov 2015

    Awareness and Screening Camp at ...

    Awareness and screening  health camps were  organized by the Ministry of health & Family welfare , Government of India(NCD division) at India International... Read More >>

  • 20 Mar 2016

    Result : Nationwide Poster / Slo...

    World Oral Health Day, 20th March 2016 Nationwide Poster / Slogan Competition on www.mygov.in Theme: Healthy Mouth -Healthy Body   Poster Compe... Read More >>

  • 24 Sep 2015

    60th Institute Day Exhibition, A...

    One the occasion of 60th Institute Day of the All India Institute of Medical Sciences a public exhibition was organized(24-26 Sep, 2015). This Exhibition themed ‘B... Read More >>

  • 14 Jul 2015

    Meeting of State Nodal Officers ...

    Meeting of State Nodal Officers for National Oral Health Program was held on 13th - 14th July, 2015 at AIIMS, New Delhi. The agenda of this meeting w... Read More >>

  • 22 Oct 2014

    Action Plan for Promoting Oral H...

    A regional consultation meeting of South East Asian (SEA) countries on “Action Plan for Promoting Oral Health & Surveillance in the South-East Asia Region&rdqu... Read More >>

  • 26 May 2015

    World No Tobacco Day

    31st May is being observed the world over as “No Tobacco Day” as per WHO guidelines. In India, both smoking and smokeless tobacco use is rampant, creating ex... Read More >>

  • 20 Mar 2015

    Results Poster/Slogan Competitio...

    To mark World Oral Health Day on March 20th a poster and slogan competition was hosted by CDER, AIIMS, WHO-Collaborating Centre for Oral Health Promotion and National Ce... Read More >>

  • 20 Mar 2015

    World Oral Health Day Report

    20th March is declared as World Oral Health Day. On the occasion, Centre for Dental Education and Research, AIIMS also joined some 95 countries, 65 National Dental Assoc... Read More >>

  • 23 Dec 2014

    Brainstorming meeting to develop...

    As an important step towards the development of IEC/BCC material for the outdoor and mass media campaigning a Brainstorming meeting was held on 23-12-2014 at the Cen... Read More >>