How feasible is it to maintain the intervention? What role should a public health department play in making sure the intervention is adopted and maintained?
Maintenance: Focus on how intervention effects will be sustained over time, the improvement of oral health and a shift towards prevention
1. Community Water Fluoridation (CWF):
- Implementation of a safe and cost effective intervention
- Requires partnerships between public, private and non-profit stakeholders
- Additionally, state and local health officials, water plant engineers, dental providers, physicians, consumers and educators contribute to the continued use of community water fluoridation
2. Coordinated School Health Programs:
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School-based screenings/sealant delivery programs require partnerships between state and local health department oral health programs
- Additionally, State Board of Dentistry, dental schools and school staff help implement and maintain these programs
3. Additional Programs:
- Maintaining these programs varies based on the provider and target population
- Requires the incorporation of public education, prevention programs and substantial contribution from the health department
- Outreach programs that are targeted at high-risk populations utilize local non-profit organizations to maintain the programs effectiveness and efficacy
- Collaboration with dental schools, special interest groups and state and local health department oral health programs