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CDC Cooperative Agreement 3022
  Projects
 

IMPROVING PERINATAL AND INFANT ORAL HEALTH

 Project Description
 Resources
 Professional Literature
 Partners
 

PROMOTING STATE ORAL HEALTH POLICIES

 PROJECT OVERVIEW
 
 ACTIVITY 6: POLICY STRATEGY
 ASSESSING OPPORTUNITIES
 ENHANCING INFRASTRUCTURE
 1. Legislative Language for Leadership
 2. Fluoridation
 -- Legislative Language for Fluoridation
 -- NRC Report Response
 3. Sealants
 4. State Oral Health Plans
 POLICY TOOL
 RESOURCES - Grantee State Resource Links
 RESOURCES - General Links
 RESOURCES - CDC Resources
 

AWESOME SMILES

 Project Description
 Defining Adolescence
 Dental Coalition
 Positive Youth Development
 PIPPAH Partners
 Adolescence Resources
 National Network Resources
 CNMC/AETNA Grant Project
 

INTERFACES

 Project Description
 Publications
 Invitational Meeting Presentations
 American Academy of Pediatrics Policy Statement
 

FILLING GAPS

 Project Description
 Grant Achievements Timeline
 Task Force and Leadership Council
 Leadership Council
 Site Visits
 

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Through a cooperative agreement, the Centers for Disease Control and Prevention provides funding and technical assistance to help state and territorial health agencies develop and operate public health programs to improve oral health. Funds have been awarded to 12 states - Alaska, Arkansas, Colorado, Illinois, Michigan, Nevada, New York, North Dakota, Oregon, Rhode Island, South Carolina, and Texas - and the Republic of Pulau under Program Announcement 3022, State-based Oral Disease Prevention Programs. This cooperative agreement has, as its aims, the following goals:

1. Build capacity for promoting oral health in the states.
2. Implement community water fluoridation efforts.
3. Implement school-based/school-linked dental sealant programs.
4. Extend the model towards the goal of national policy.

CDC has defined ten activities for the states to accomplish during the Building Capacity stage. The first eight activities are designed such that, upon successful completion, they will create optimal conditions for the implementation of the final two population-based activities - community water fluoridation and school-based/school-linked dental sealant programs. To facilitate this process, CDC has contracted with Oral Health America and Children's Dental Health Project to assist the states in this endeavor to improve the oral health of the population.



Activity 1: Leadership Capacity
Develop a State oral health team, including a full-time dental director and support from an epidemiologist, a water fluoridation engineer/specialist, a dental sealant program coordinator, a health educator/communicator, and other appropriate staff.

Activity 2: Oral Disease Burden Document
Describe the oral disease burden, health disparities, and unmet needs in the state. Also, document unmet oral health needs of target populations and existing oral health assets (e.g., professional dental/dental hygiene schools, prevention interventions undertaken within the state).

Activity 3: State Oral Health Plan
Develop or update a comprehensive state oral health plan for oral health promotion and disease prevention, which includes specific objectives for future reductions in oral disease and related risk factors and objectives for the promotion of oral health. The plan should also provide specific, measurable, and time-phased objectives to accomplish each goal. The plan should address: a) oral health infrastructure; b) Healthy People 2010 objectives; c) caries; d) water fluoridation and school-based or school-linked sealant programs; e) description of priority populations and burden of disease; f) strategies to address oral health promotion across the lifespan; g) strategies to identify best practices that can be replicated; h) evaluation strategies and recommendations for monitoring outcomes; i) implementation strategies, leveraging of resources, partnerships; and j) oral cancer, periodontal diseases, and infection control.

Activity 4: Statewide Oral Health Coalition
Establish a coalition to assist in the formulation of plans, guide project activities, and identify additional financial resources for this project. Coalition membership should be representative of stakeholder organizations.

Activity 5: Oral Disease Surveillance System
Develop key resources, data sources, and capabilities to promote the state's surveillance needs. Establish plan for how data collection, analysis, and dissemination will support program activity. Conduct surveillance so that key oral health indicators have been collected in a valid and timely manner. Monitor water fluoridation on a monthly basis comparable and consistent with Water Fluoridation Reporting System (WFRS).

Activity 6: Policy and Health Systems Strategies
Identify prevention opportunities for systemic, socio-political and/or policy change to improve oral health. Conduct a periodic assessment of policy and systems level strategies with potential to reduce oral diseases. The assessment should include identification of opportunities to make changes in policy and health systems to overcome barriers, capitalize on assets, increase capacity, and coordinate prevention interventions.

Activity 7: Partnership Development
Identify, consult with and involve appropriate partners to assess areas critical to the development of state-level and community-based oral health promotion and disease prevention programs. Partnerships should augment the oral health coalition.

Activity 8: Evaluation of Oral Health Programs
Evaluate, document, and share state program accomplishments, best practices, lessons learned, and use of evaluation results. Document outcome evaluation measures including but not limited to percentage of population receiving fluoridated water and dental sealants.

Activity 9: Community Water Fluoridation Program
Develop and implement a water fluoridation program. Provide or develop fluoridation educational materials to promote water fluoridation. Implement a program to support new replacement water fluoridation equipment. Evaluate the accomplishments of the water fluoridation program.

Activity 10: School-based/school-linked Dental Sealant Program
Develop, coordinate and implement limited school-based or school-linked dental sealant programs. Describe and document the number of eligible public elementary or secondary schools. Document that infrastructure is in place for the coordination and management of school-based or school-linked dental sealant program. Develop programs targeting schools located in certain urban and rural areas.

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