A Scoping Review to Improve Universal Health Coverage for Pediatric Dental Services Policies

Leila  Pouraghasi; Alireza  Olyaeemanesh; Mehdi  Jafari

doi:10.18502/htaa.v8i2.15631

Leila Pouraghasi Health Service Management Department, School of Health Management & Information Science, Iran University of Medical Science, Tehran, Iran
Alireza Olyaeemanesh Health Equity Research Center, Tehran University of Medical Science, Tehran, Iran
Mehdi Jafari Health Service Management Department, School of Health Management & Information Science, Iran University of Medical Science, Tehran, Iran

DOI: https://doi.org/10.18502/htaa.v8i2.15631

Keywords: Universal Health Coverage; Utilization; Access; Pediatric Dentistry; Dental Care for Children

Abstract

Background: Poor oral and dental health significantly affects public health, impacting over half the world’s population. Dental caries can undermine children’s academic success and career prospects. Social inequities result in unequal access to oral healthcare, particularly among populations with lower socioeconomic status (SES). National policies that improve access to oral health can reduce these disparities. Objectives: This study aims to compile policies implemented by various countries to achieve universal health coverage (UHC) for pediatric dental services.

Methods: This scoping review was conducted according to Arksey and O’Malley’s framework and is reported using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) guidelines. A systematic search was conducted on databases including Scopus, PubMed, Magiran, SID, Irandoc, Google Scholar, the WHO website, and the databases of Iran’s Ministry of Health. The search aimed to identify literature discussing governmental steps taken to achieve UHC for pediatric dental health, published between January 1, 2011, and December 31, 2022. The results were charted and presented in a table.

Results: This review included 22 studies. Six themes were identified based on the roles played by key players in this field, including schools, government policy and support, community-oriented preventive plans, insurance support, parents’ awareness, and inequality in accessing dental services.

Conclusions: A comprehensive policy that reduces barriers to access, increases utilization, and engages all stakeholders—including parents, schools, and community centers—can effectively achieve UHC for pediatric dental health.