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Dispatches from the front-line: an analysis of fluoridation campaigns in southern New Zealand, 2002-2006.
N Z Dent J 2008; 104(4):139-43NZ

Abstract

OBJECTIVES

The paper aims to analyse recent campaigns for water fluoridation in the South Island and to identify lessons to be learned from the outcomes.

DESIGN

The research uses a systematic case study analysis based on a public policy framework, drawing on key informants, public documents and participant observation of campaigns in five separate communities.

RESULTS

Over a four-year period in five specific communities (Gore and Southland in 2004; Ashburton in 2002 and 2006; and Grey and Westland in 2005), the opportunity to introduce or retain fluoridation was rejected by local Councils. The extent of community understanding of the issues, the processes of engagement on the part of the health systems and the approaches to decision-making by Councils varied widely, but the main inputs to decisions were the rejection of expert health advice and a reliance on binding referenda or other assessments of the strength of community feeling.

CONCLUSION

More evidence-based decision-making on fluoridation is required. Options at local level include tribunals and other mechanisms to support Councils, but it is likely that stronger national policy leadership and the application of robust health impact assessment may be necessary to ensure improved oral health and the reduction of inequalities.

Authors+Show Affiliations

Department of Public Health and General Practice, University of Otago, Christchurch. pauline.barnett@otago.ac.nzNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19180865

Citation

Barnett, Pauline, et al. "Dispatches From the Front-line: an Analysis of Fluoridation Campaigns in Southern New Zealand, 2002-2006." The New Zealand Dental Journal, vol. 104, no. 4, 2008, pp. 139-43.
Barnett P, Penny M, Brunton C, et al. Dispatches from the front-line: an analysis of fluoridation campaigns in southern New Zealand, 2002-2006. N Z Dent J. 2008;104(4):139-43.
Barnett, P., Penny, M., Brunton, C., & Begg, A. (2008). Dispatches from the front-line: an analysis of fluoridation campaigns in southern New Zealand, 2002-2006. The New Zealand Dental Journal, 104(4), pp. 139-43.
Barnett P, et al. Dispatches From the Front-line: an Analysis of Fluoridation Campaigns in Southern New Zealand, 2002-2006. N Z Dent J. 2008;104(4):139-43. PubMed PMID: 19180865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dispatches from the front-line: an analysis of fluoridation campaigns in southern New Zealand, 2002-2006. AU - Barnett,Pauline, AU - Penny,Melanie, AU - Brunton,Cheryl, AU - Begg,Annabel, PY - 2009/2/3/entrez PY - 2009/2/3/pubmed PY - 2009/4/29/medline SP - 139 EP - 43 JF - The New Zealand dental journal JO - N Z Dent J VL - 104 IS - 4 N2 - OBJECTIVES: The paper aims to analyse recent campaigns for water fluoridation in the South Island and to identify lessons to be learned from the outcomes. DESIGN: The research uses a systematic case study analysis based on a public policy framework, drawing on key informants, public documents and participant observation of campaigns in five separate communities. RESULTS: Over a four-year period in five specific communities (Gore and Southland in 2004; Ashburton in 2002 and 2006; and Grey and Westland in 2005), the opportunity to introduce or retain fluoridation was rejected by local Councils. The extent of community understanding of the issues, the processes of engagement on the part of the health systems and the approaches to decision-making by Councils varied widely, but the main inputs to decisions were the rejection of expert health advice and a reliance on binding referenda or other assessments of the strength of community feeling. CONCLUSION: More evidence-based decision-making on fluoridation is required. Options at local level include tribunals and other mechanisms to support Councils, but it is likely that stronger national policy leadership and the application of robust health impact assessment may be necessary to ensure improved oral health and the reduction of inequalities. SN - 0028-8047 UR - https://www.unboundmedicine.com/medline/citation/19180865/full_citation/Dispatches_from_the_front_line:_an_analysis_of_fluoridation_campaigns_in_southern_New_Zealand_2002_2006_ L2 - https://medlineplus.gov/dentalhealth.html DB - PRIME DP - Unbound Medicine ER -