Authors: Richard Niederman, Eyitope Ogunbodede, Magda Feres


The oral health chapter in Disease Control Priorities in Developing Countries, second edition, focused on noncommunicable disease models for health systems (Bratthall and others 2006). The current chapter provides a complementary approach based on the definition of health care delivery as the “effective provision of services to people with diseases for which proven therapies exist” (Kim, Farmer, and Porter 2013, 1060–61).  These complementary approaches—top down and bottom up, respectively—are both necessary; neither alone is sufficient to improve oral health. More specifically, we focus on the effective provision of preventive services and the implications of this goal for global policy changes, and the upstream value and economic choices that must be made to effect these positive changes.


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