The construction of the oral health care network in the Federal District, Brazil

Basso, Mauricio Bartelle; Nunes, Nathalee Barbosa; Corrêa, Luisa Barreto Costa; Vieira, Celi Novaes; Vilarinho, Josy Lorena Peres da Silva; Pucca, Gilberto Alfredo

doi:10.1590/1413-81232018246.08552019

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ARTICLE • Ciênc. saúde colet. 24 (6) • June 2019 • https://doi.org/10.1590/1413-81232018246.08552019 linkcopy

The construction of the oral health care network in the Federal District, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The Oral Health Policy of the Federal District State Health Secretariat was in a fragmented state, similarly to the entire health system. There was no integration between oral health teams and other Primary Care professionals and performance at the other levels was inconsistent and limited, preventing the effective establishment of the Care Network. In 2017, the head management chose to convert the system organically based on the family health strategy and the logic of the care networks. The aim of this study is to report on the main actions carried out so that oral health care would conform to the changes, developing into the construction of the specific Care Line in the area, allowing increased access and qualification of care .

Keywords
Oral health; Health policy; Primary health care; Delivery of health care; Health services

Socioeconomic and cultural criteria	Score
The head of the Family is unemployed, or the family is in living in extreme poverty (beneficiary of the government’s social assistance programs)	2
User or head of the family is not literate or is functionally illiterate	2
Total	4
Maximum score: 4

Biological and systemic criteria	Score

DecompensatedDiabetes	3
Immunosuppressed patient	3
Individual with disabilities that prevents oral self-care	3
Bedridden patient	2
Total	11
Maximum score: 11

Risk factors for oral pathologies	Score

User has no access to fluoridated water or fluoridated dentifrice	2
User does not have the habit of brushing their teeth daily	3
Frequent consumption of sucrose	3
User of alcohol, tobacco or other drugs	2
Total	10
Maximum score:10

Risk factors for children aged 0-5 years old	Score

The child isbottle-fed without subsequent hygiene.	3
The child uses a pacifier coated with sugar or honey	3
The child has a non-cooperative behavior during oral hygiene	3
The child carries out their hygiene without the supervision / complementation of an adult person	3
The child has hypocalcified and / or hypoplastic teeth and / or congenital defects	2
Total	14

Dental Conditions	Score

Presence of visible tooth plaque	1
The user has active carious lesion	3
Presence of gingival bleeding	2
Presence of permanent tooth mobility	3
Presence of mouth sore for more than 15 days	4
Total	13
Maximum score: 13
Overall total score: 52

Primary Health Care teams	Feb/2017 (n./coverage*)²¹	Feb/2019 (n./coverage**)²¹
Oral Health Teams	92 (10.66%)	187 (21.22%)
Equivalent Oral Health Teams	140 (14.10%)	92 (10.16%)
BCCoverage ConsolidatedOral Health	24.76%	31.66%

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ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

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[TFN1001] Source: eGESTORBC and SESDF, 2018. *Coverage calculated based on the population (2,977,216) IBGE, 2016; ** Coverage calculation based on the population (3,039,444) IBGE, 2017.