Health policy and regulations in Seychelles – barriers and opportunities for oral health inclusion

TL;DR

This study explores how oral health is included in health policies in Seychelles, identifying barriers and opportunities for better integration.

Contribution

The study provides a qualitative analysis of policy fragmentation and lack of commitment to oral health in Seychelles.

Findings

Oral health is fragmented within broader health agendas in Seychelles.

There is a lack of involvement and commitment to addressing oral health issues.

Integration of oral health into national NCD policies is needed to reduce disease incidence.

Abstract

Successful and inclusive policies that embrace oral health as part of the health agenda have the potential to alleviate the burden of oral diseases and to promote dental public health. This study aimed to understand the factors influencing the inclusion of oral health in health and public policy and regulations in the Seychelles. The barriers and opportunities for inclusion / non-inclusion as well as the impact thereof were explored.

A qualitative approach was adopted using document analysis and interviews as data collection strategies to allow for a complete analysis of the research problem. Using a purposive sampling approach, individual face to face interviews were conducted with patients, dental staff and representatives of the upper management. Policy and related oral health statistical documents were reviewed to ascertain how oral health was located and implemented from a national to a district level. Thematic analysis and content analysis were used to analyse and interpret the qualitative data.

The study provided insight on how oral health is contextualised in the Seychelles and how public policy and strategic documents influences the oral health outcomes. There is fragmentation in how the health and oral health agendas are managed and it is coupled with a severe lack of involvement and commitment to address the latter.

Oral health needs to be integrated in all relevant policies and public health programmes as part of the broader national NCDs in Seychelles in order reduce the incidence of oral diseases in the population.