Reviewing public policy for promoting population oral health in Victoria, Australia (2007–12)
Adina Y. Heilbrunn-Lang A D , Lauren M. Carpenter B , Seona M. Powell A , Susan L. Kearney A , Deborah Cole A and Andrea M. de Silva A C
+ Author Affiliations
- Author Affiliations
A Dental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia. Email: sue.kearney@dhsv.org.au; deborah.cole@dhsv.org.au; andrea.deSilva@dhsv.org.au; seonapowell@bigpond.com
B University of Melbourne, Centre for Health Equity, The Melbourne School of Population and Global Health, Level 4, 207 Bouverie Street, Carlton, Vic. 3053, Australia. Email: lmca@unimelb.edu.au
C University of Melbourne, Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, Level 4, 720 Swanston Street, Carlton, Vic. 3053, Australia.
D Corresponding author. Email: adina.heilbrunn@dhsv.org.au
Australian Health Review 40(1) 19-26 https://doi.org/10.1071/AH15013
Submitted: 3 February 2014 Accepted: 23 April 2015 Published: 27 July 2015
Abstract
Objective Government policy and planning set the direction for community decisions related to resource allocation, infrastructure, services, programs, workforce and social environments. The aim of the present study was to examine the policy and planning context for oral health promotion in Victoria, Australia, over the period 2007–12.
Methods Key Victorian policies and plans related to oral health promotion in place during the 2007–12 planning cycle were identified through online searching, and content analysis was performed. Inclusion of oral health (and oral health-related) promotion initiatives was assessed within the goals, objectives and strategies sections of each plan.
Results Six of the 223 public health plans analysed (3%) included oral health ‘goals’ (including one plan representing nine agencies). Oral health was an ‘objective’ in 10 documents. Fifty-six plan objectives, and 70 plan strategies related to oral health or healthy eating for young children. Oral health was included in municipal plans (44%) more frequently than the other plans examined.
Conclusion There is a policy opportunity to address oral health at a community level, and to implement population approaches aligned with the Ottawa Charter that address the social determinants of health.
What is known about the topic? Poor oral health is a significant global health concern and places a major burden on individuals and the healthcare system, affecting approximately 50% of all children and 75%–95% of adults in Australia. The Ottawa Charter acknowledges the key role of policy in improving the health of a population; however, little is known about the policy emphasis placed on oral health by local government, primary care partnerships and community health agencies in Victoria, Australia.
What does this paper add? This is a review of oral health content within local government (municipal) and community health plans in Victoria, Australia.
What are the implications for practitioners? The findings identify several opportunities for public health and community health practitioners and policy makers to place greater emphasis on prevention and improvement of the oral health of Victorians through policy development.
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