Faculty Bibliography
Searched for:
person:mhb8
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102
Global Health Partnerships and the Brocher Declaration: Principles for Ethical Short-Term Engagements in Global Health
Short- term experiences in global health (STEGH), also known as short-term medical missions continue to be a popular mode of engagement in global health activities for students, healthcare providers, and religious groups, driven primarily by organizations from high-income countries. While STEGH have the potential to be beneficial, a large proportion of these do not sustainably benefit the communities they intend to serve, may undermine local health systems, operate without appropriate licenses, go beyond their intended purposes, and may cause harm to patients. With heightened calls to "decolonize" global health, and to achieve ethical, sustainable, and practical engagements, there is a need to establish strong guiding principles for global health engagements. The Advocacy for Global Health Partnerships (AGHP), a multi-sectoral coalition, was established to reflect on and address the concerns relating to STEGH. Towards this end, AGHP created the Brocher Declaration to lay out six main principles that should guide ethical and appropriate STEGH practices. A variety of organizations have accepted the Declaration and are using it to provide guidance for effective implementation of appropriate global health efforts. The Declaration joins broader efforts to promote equity in global health and a critical reevaluation of volunteer-centric, charity-based missions. The current state of the world's health demands a new model of collaboration - one that sparks deep discussions of shared innovation and builds ethical partnerships to address pressing issues in global health.
PMCID:9122001
PMID: 35646612
ISSN: 2214-9996
CID: 5236302
Affordability of essential medicines: The case of fluoride toothpaste in 78 countries
BACKGROUND:Fluoride toothpaste (FT) has recently been included in the WHO Model List of Essential Medicines. Whereas it is essential for preventing dental caries, its current affordability around the globe remains unclear. This study aimed to analyse the affordability of FT in as many as possible countries worldwide, to capture the extent of variations in FT affordability between high-, middle- and low-income countries. METHODS:A standardized protocol was developed to collect country-specific information about the characteristics of the cheapest available FT at a regular point of purchase. 82 members of the WHO Global Oral Health Network of Chief Dental Officers (CDOs), directors of WHO Collaborative Centres and other oral health experts collected data using mobile phone technology. In line with established methodologies to assess affordability, the Fluoride Toothpaste Affordability Ratio (FTAR) was calculated as the expenditure associated with the recommended annual consumption of FT relative to the daily wage of the lowest-paid unskilled government worker (FTAR >1 = unaffordable spending on fluoride toothpaste). RESULTS:There are significant differences in the affordability of FT across 78 countries. FT was strongly affordable in high-income countries, relatively affordable in upper middle-income countries, and strongly unaffordable in lower middle-income and low-income countries. The affordability of FT across WHO Regions was dependent upon the economic mix of WHO Regions' member states. CONCLUSION:FT is still unaffordable for many people, particularly in low-income settings. Strategies to improve the universal affordability of FT should be part of health policy decisions in order to contribute to reducing dental caries as a global public health problem.
PMCID:9581416
PMID: 36260605
ISSN: 1932-6203
CID: 5352452
Global public health must end the neglect of oral health [Meeting Abstract]
ISI:000895463400373
ISSN: 1101-1262
CID: 5439752
The global oral health workforce - Authors' reply [Comment]
PMID: 34922667
ISSN: 1474-547x
CID: 5107582
The WHO global strategy for oral health: an opportunity for bold action
PMID: 34174182
ISSN: 1474-547x
CID: 4964912
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 2021:64:871-878.DOI: 10.1007/s00103-021-03353-6
[Global oral health in the international health policy spotlight-challenges and new opportunities for sustainable improvement]
Oral diseases are a significant global health problem across all countries and populations. With about 3.5 billion cases (2017), more people are affected than by any other disease group. The main oral diseases comprise tooth decay of permanent and deciduous teeth, severe periodontal disease, and oral and lip cancer. With a largely unchanged high global prevalence, but significantly growing population sizes, the pressure on health systems is increasing, particularly in low- and middle-income countries.Nonetheless, in many countries oral health has insufficient priority as a key health topic, including the global health policy discourse of German and international stakeholders. One of the fundamental challenges is ensuring universal and equitable access to basic oral healthcare services for all and without financial hardship (Universal Health Coverage).This paper provides an introductory overview of the global trends for the main oral diseases, which are generally characterized by stark inequalities. Opportunities for improving the situation through population-wide risk reduction and preventive approaches, access to oral healthcare, and policy options are highlighted. In addition, a range of relevant global (oral) health topics with potential for tangible change are discussed. Lastly, the reform areas of the Lancet Series on Oral Health from 2019 are presented and recommendations for the German and international global health policy discourse are provided.
PMCID:8185487
PMID: 34100957
ISSN: 1437-1588
CID: 4936632
The return of oral health to global health is significant for public health everywhere [Editorial]
PMID: 33908041
ISSN: 1752-7325
CID: 4852142
Time to change the narrative [Editorial]
PMID: 34050270
ISSN: 1476-5373
CID: 4911802
Rational Perspectives on Risk and Certainty for Dentistry During the COVID-19 Pandemic
PMCID:7290219
PMID: 32534866
ISSN: 1527-3296
CID: 4484402
Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019
ISI:000667484800014
ISSN: 2468-2667
CID: 4968562
