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The National Oral Health Research Initiative (Nohri)

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The National Oral Health Research Initiative (Nohri) THE NATIONAL ORAL HEALTH RESEARCH INITIATIVE (NOHRI) The National Oral Health Research Conference 2008 organised by the Oral Health Division, Ministry of Health Malaysia, identified the need to establish a multiagency initiative to identify oral health research priorities for the country and to better manage the oral health research agenda in the country. The establishment of the National Health Research Initiative (NOHRI) in the 10th Malaysia Plan (10 MP) was mooted by the Oral Health Division in 2010 towards enhancing evidence-based policy decisions in the oral healthcare delivery system in the country. Stakeholders with oral health research interests from various organisations in the country which are currently represented in NOHRI are as follows: Oral Health Division, Ministry of Health Malaysia Faculty of Dentistry, University of Malaya (UM) Faculty of Dentistry, National University of Malaysia (UKM) Faculty of Dentistry, Science University of Malaysia (USM) Faculty of Dentistry, International Islamic University of Malaysia (UIAM) Faculty of Dentistry, Islamic Science University of Malaysia (USIM) Faculty of Dentistry, Mara University of Technology (UiTM) Faculty of Dentistry, International University of Malaysia (IMU) Faculty of Dentistry, Asian Institute of Medicine, Science & Technology (AIMST) Faculty of Dentistry, Malaysia Allied Health Science Academy (MAHSA) Dental Corp, Ministry of Defence Oral Cancer Research and Coordinating Centre, University Malaya (OCRCC) Malaysian Dental Association (MDA) The establishment of NOHRI is timely to better manage the oral health research agenda in the country in the following ways: Oral health research priorities of relevant stakeholders in oral health in the country are identified and collated. These priorities will be taken into consideration in the national health research priority setting. A mechanism that support collaboration for oral health research. Better bargaining power for research funds for oral health research initiatives. A national database on oral health research priorities in line with 5-year Malaysia Plans for monitoring the status of uptake and conduct of identified oral health research needs. This database will be updated annually. A compilation of oral health research abstracts to facilitate sharing of research findings. The facilitation of selection of oral health research projects that reflect local and national needs for training undergraduate and postgraduate students. PROPOSED ORAL HEALTH RESEARCH PRIORITIES FOR PERIOD 2011-2015 A B C D E F National Problems No. Group What do you need to know? Gaps & Needs Suggested Research (Document referred Research Scope Expected Output (Purpose/Objectives) (Rationale) Areas to) 1 Burden of Oral 1. Prevalence of oral disease 1. To determine the prevalence 1.High caries 1. Epidemiological 1. Burden of oral 1,2 Disease Disease/Condition and their contributory factors, of oral disease/conditions and prevalence 5-year studies for dental diseases and load of illness, risk factors to to identify contributory factors. olds: 76.2 % (2005), caries for evidence treatment needs oral disease and health seeking 87.1% (1995) to support policy 2. Risk factors behaviors 2.To determine the relationship change. to oral diseases between amount of smoking and 2.Special needs 3. Identification of 2. Predictors for caries risk caries risk children: Caries 2. Identify barriers to care amongst at risk population prevalence 78.2 % markers for caries 4. Data for oral groups 3.Predictors for caries risk (2008) risk assessment healthcare amongst at risk among risk groups financing population groups 2 Burden of Community Oral 1.Impact of community oral 1. Prevalence of enamel 1. Continuing 1. Epidemiological 1.Monitoring data Disease Health health intervention measures opacities among schoolchildren monitoring of Study on enamel 3,4 Interventions prevalence of enamel opacities on 2. Fluoride content of opacities (last done target groups. alternative sources of drinking in 2001) among 16- water. year old school children is needed to support the existing programme 2. Data on 2.Surveilance Study 2.Fluoride content fluoride content of in bottled drinking alternative sources /mineral of drinking water is water/reverse needed for informed osmosis drinking choices of drinking water. water. (A study in Sabah has shown variation in fluoride levels of bottled mineral water). Document updated_12 May 2011 PROPOSED ORAL HEALTH RESEARCH PRIORITIES FOR PERIOD 2011-2015 A B C D E F National Problems No. Group What do you need to know? Gaps & Needs Suggested Research (Document referred Research Scope Expected Output (Purpose/Objectives) (Rationale) Areas to) 3. Burden of Late detection To assess level of awareness To undertake multi-centre, 1. Oral cancer in Epidemiological 1. Increased Disease (Stage III & IV) of on characteristics and risk hospital and community-based Stages III & IV: 58.7% studies on success of awareness, early oral cancer, high factors of oral cancer among case-control, epidemiological different awareness detection and prevalence among the public; to determine and molecular studies on oral 2. High programs; changes higher survival 5 Indians nutritional intake and well- cancer patients on: prevalence among in nutrient intake 2. Data on rd th Increasing case being of oral cancer patients; 1. Mouth cancer awareness Indians: 3 and 7 among cancer effect of among young people to evaluate the diagnostic 2. Nutritional intake most common cancer patients; disease/ 6 with no habit value of detection tools for 3. Diagnostic tools for early intervention for treatment on Dietary nutrient early detection; to identify detection 3. Young people potentially malignant nutritional intake is significantly biomarkers significant in oral 4. Molecular biomarkers without habit having disorders and oral status, leading lower among oral cancers; to develop new anti- 5. Anti-cancer drug oral cancer: 8.3% cancer; evaluation of to formulation 7,8 cancer cases cancer drug against oral cancer effectiveness of of policies for 4. Lack of data different diagnostic general well- on effect of tools for early being of patients disease/treatment detection; molecular 3. Identificatio on nutritional status studies on n of biomarkers identification of and development potential biomarkers of anti-cancer and anti-cancer drugs drug for oral cancer Document updated_12 May 2011 PROPOSED ORAL HEALTH RESEARCH PRIORITIES FOR PERIOD 2011-2015 A B C D E F National Problems No. Group What do you need to know? Gaps & Needs Suggested Research (Document referred Research Scope Expected Output (Purpose/Objectives) (Rationale) Areas to) 4. Health Systems The need to develop Evidence and data for 1.Cost analysis, cost benefit 1.Limited costing data 1.Cost analysis, cost 1.Cost analysis a package for oral construct of package and cost effectiveness analysis on delivery of oral benefit and cost data to be used in healthcare in 1Care. of oral healthcare health care effectiveness analysis budgeting and interventions, Costing studies of oral healthcare oral health care of dental procedures and cost 2.Limited data on out- interventions, planning, relative per patient/attendance for of-pocket expenditure values of costs of primary and specialist care for oral healthcare 2.Costing studies of dental dental procedures procedures and 2.Econometric modeling for a 3.Lack of statistics to and cost per reimbursements basic oral healthcare package; model a basic oral patient/attendance in oral healthcare weighted capitation studies healthcare package. for primary and financing. specialist care 2.Data is useful 3.Econometric for working out modeling for a basic oral healthcare oral healthcare packages. package; weighted capitation studies Basic package that will ensure the coverage of the poorer segments of the population 5. Health Systems The need to Health seeking behaviors and Evaluation of dental services - Limited dental care 1.Oral Health Seeking Improvement and strengthen oral barriers to care focus on accessibility and services for adults Behaviors of Adults expansion of healthcare services utilization of services by adults. and concern about 2.Utilization of oral dental services for adults in Malaysia Look at current adults services, dental health of healthcare by adults especially for barriers, manpower needs. adults as they age. 3.Barriers of oral adults without healthcare amongst compromising adults current services for children. Document updated_12 May 2011 PROPOSED ORAL HEALTH RESEARCH PRIORITIES FOR PERIOD 2011-2015 A B C D E F National Problems Group What do you need to know? Gaps & Needs Suggested Research (Document referred Research Scope Expected Output (Purpose/Objectives) (Rationale) Areas to) 6. Health Systems Limited data on oral Oral health status and Health Needs Assessment Limited data on oral Studies on oral Useful data for health status and treatment needs of population health status and health status and planning oral treatment needs of with special needs, elderly and treatment needs of treatment needs of healthcare population with indigenous populations of population with population with marginalized and special needs, elderly Sabah and Sarawak. special needs, elderly special needs, elderly underserved and indigenous and indigenous and indigenous population groups. populations of Sabah populations of Sabah populations of Sabah and Sarawak. and Sarawak. and Sarawak. 7. H ealth Systems Evidence is needed Gains on population health as a Oral health policy research
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