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Oral Health Care Delivery in India

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Oral health care delivery is one of the determinants of oral health. In India, where 21.9% population is living below the poverty line, with no separate budget, insurance, policy and national programs, oral health care is delivered by a mix of public and private sector providers. Unequal distribution of dental personnel, variation in quality of care between government and private sectors and affordability of oral health care are major challenges involved. A rapid growth in the dental market, dental tourism and an increase in oral health care awareness are some of the positive aspects of oral health care delivery in Indian scenario. Introduction: India is an emerging economy with the population more than one billion. The basis for the …show more content…

It recommends dentists to be appointed at primary and community health centers. Until today the policy has not been implemented.2 However, in few states an insignificant number of dentists are posted at various PHC’s. Of 11,000 government jobs only 5500 are filled in the year 2011.4 • A few numbers of civil and district hospitals have a separate dental wing, but the presence of MDS speciality personnel is negligible. • In India, there are about 40 government dental colleges and hospitals, which are providing dental education and dental treatment to the poorer sections of the community.8 • Dental Insurance schemes: Now, most of the insurance companies have included dental treatment under general insurance scheme. Government employees from some states have a fee reimbursement facility and for others, stand alone dental insurance is available.3 Few of the state governments have initiated health coverage for below poverty line (BPL) sections which include oral health care (Ex: Rajiv Aarogyashri, Andhra Pradesh; Kalaignar Kaapittu Thittam, Tamil Nadu) • Defense and railways: Dentists: population in the Indian army is 1:5000; because it is mandatory to see every individual’s teeth once in year.4 Railway hospitals in the cities and urban areas of each state have dental unit with a dentist. • Autonomous and semi-autonomous Bodies: Autonomous and semi-autonomous bodies like AIMS, NIMS, ESI hospitals, ISRO etc. have their own hospitals which have a dental

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