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.
There has been no Nation-wide study done to actually determine the burden of oral health conditions in India. Individual studies indicate the following:
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.
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
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.
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 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
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 Workshop for Dental Professionals 1st May 2017 Minutes of the Meeting A workshop for Pit and Fissure Sealant Trai... Read More >>
21 Mar 2017
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
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 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
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
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 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 International Childhood Cancer Day 8th February 2017 Centre for Dental Education and Research ... Read More >>
28 Jan 2017
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
27 Nov 2016
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
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
Slogan Competition NAME STATE Dr. SHWETA DELHI ... Read More >>
17 Feb 2016
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 health camps were organized by the Ministry of health & Family welfare , Government of India(NCD division) at India International... Read More >>
20 Mar 2016
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
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 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
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
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
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
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
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 >>