PURPOSE: Iowa’s Actions to Improve Oral Health Outcomes proposal for Component 1 will provide the Oral Health Center within the Iowa Department of Public (IDPH) Health the ability to decrease dental caries and oral health disparities for at-risk Iowans. In order to achieve these outcomes, IDPH will expand school sealant program enrollment to reduce barriers and increase prevention (sealants, fluoride varnish, silver diamine fluoride) and education; increase the proportion of Iowans served by community water systems who receive optimally fluoridated water through monitoring, reporting and increased awareness of community water fluoridation; and disseminate oral health surveillance data on oral disease, risk factors, and use of preventive oral health services through an enhanced oral health surveillance and evaluation system.
OUTCOMES: The planned outcomes to be achieved by August 31, 2023 include:
School Sealant Programs (SSP):
Outcome 1: Increase the number of eligible schools served by a SSP by 5 percentage points (69% to 74%). IDPH will target high-risk elementary and middle schools with 50% or greater free or reduced lunch rates.
Outcome 2: Increase the number of children ages 6-14 receiving sealants on one or more of their permanent molars through SSP by 5% (18,841 to 19,800). IDPH will target grades 1-8 in high-risk elementary and middle schools.
Outcome 3: Increase the SSP consent return rate by 10 percentage points (42% to 52%). IDPH will identify ways to increase program participation by increasing the reach of consent form distribution and the number of consents returned.
Community Water Fluoridation (CWF):
Outcome 1: Increase the proportion of Iowans with access to optimally fluoridated water by 10 percentage points (64% to 74%). IDPH and partners will work water operators and communities to ensure that water systems are fluoridating at the optimal level.
Outcome 2: Decrease the number of non-fluoridated water systems serving more than 1,000 people by 10 (70 to 60). IDPH will use outreach and education to reduce the number of systems that are not fluoridating.
Outcome 3: Increase the proportion of water systems submitting monthly reports to IDPH by 11 percentage points (89% to 100%). IDPH will strengthen partnerships with water operators and the Iowa Department of Natural Resources to improve data collection.
Oral Health Surveillance (OHS):
Outcome 1: Decrease dental caries experience (54% to 51%) and untreated decay (16% to 15%), and increase dental sealants (59% to 62%) by 5% among third grade children. IDPH will use a Basic Screening Survey to measure these indicators.
Outcome 2: Conduct OHS to monitor prevalence and inform program and policy decisions, including completion of three Basic Screening Surveys and addition of two new indicators within Iowa’s OHS System. IDPH will conduct a Basic Screening Survey of WIC, third grade, and Head Start children and will incorporate two new indicators within the OHS system.
Outcome 3: Disseminate OHS data on oral disease, risk factors, and use of preventive services, including annual (5) summary reports and biennial updates of the Burden of Disease document. IDPH will use the redesigned surveillance system to more effectively use and share data and incorporate within program and policy development.