INTEGRATING ORAL HEALTH CARE ACROSS NON-DENTAL PROFESSIONALS
PART 2: CASE STUDY Integrated oral health care in midwifery practice
SEGMENT
Filmed in Melbourne, Liverpool, NSW and Sydney | February 2025
INTERVIEWS
Associate Professor Rachel Martin, Adjunct Associate Professor,
University of Melbourne & Western Sydney University &
Director, Australian Network for the Integration of Oral Health (NIOH) & Director, Australian Dental Research Foundation
Dr Ajesh George, Professor of Interprofessional Oral Health,
School of Nursing and Midwifery, Western Sydney University &
Co-Founder & Director, Australian Centre for Integration of Oral Health (ACIOH)
Alison Weatherstone, Chief Midwife
Australian College of Midwives
Bonnie Morrison, Health Promotion Team Lead
Dental Health Services Victoria
Cindy Scott, Endorsed Midwife & Registered Nurse
Growing Great Babies and Kids Program, Tweddle &
Early Parenting Centre, Barwon Health, Victoria
Following the Australian Health Journal segment, “Integrating oral health care across non-dental professionals: Part 1 How oral health and cardiovascular health, diabetes and cognitive decline are related”, Part 2 is a Case Study on an integrated oral health care in midwifery practice called the midwifery initiated oral health model, or MIOH for short.
There is limited emphasis being placed on perinatal oral health by prenatal care providers in Australia. Pregnant women have no system in place that can offer them regular oral assessment during pregnancy and prompt dental treatment at minimal or no cost as experienced in other countries. To address the oral health needs of pregnant women, a unique midwifery initiated oral health (MIOH) model was developed to promote and maintain maternal oral health.
The model equips midwives with the skills and confidence to include oral health promotion in the first antenatal care booking visit. Commenced in 2008 in Campbelltown Hospital in South Western Sydney, MIOHis succeeding in improving the oral health knowledge, behaviours and oral health outcomes of pregnant women.
This widely researched online education program was prepared by the Australian Centre for Integration of Oral Health, in collaboration with various partners including Western Sydney University, Sydney & South Western Sydney Local Health District, Sydney Dental Hospital, Dental Health Services Victoria, and the Australian College of Midwives. It was supported by funding from the NSW Centre for Oral Health Strategy, Western Sydney University and the Australian College of Midwives.
Australian Health Journal spoke with some of the key representatives of the organisations involved in the establishment, support and involvement in the program.
To see the Australian Health Journal segment, “Integrating oral health care across non-dental professionals: PART 1 How oral health and cardiovascular health, diabetes and cognitive decline”, click here
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Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Growing impact of blood cancer on women
According to the Leukaemia Foundation, blood cancer is one of the most urgent and under-recognised women’s health issues in Australia, with three times more Australian women diagnosed with blood cancer than ovarian and cervical cancer combined (Source: AIHW, Cancer Data in Australia, 2024).
Blood cancer has also emerged as the second most common cancer diagnosed in Australian women overall – behind only breast cancer – and the leading cancer amongst girls and women under the age of 30 (Source: AIHW, Cancer Data in Australia, 2024).
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HIGHLIGHTS The power of social determinants of health, panel discussion
Clinicians and consumers know only too well that life circumstances such as poor housing, income and food insecurity can have a negative impact on health outcomes. Conversely, participation in community activities, social connection and access to nature parks and leisure facilities can help maintain health and wellbeing.
More recent phenomena in public health have also focused us on the health and social care connection. Stress factors such as the sudden loss of employment and social interaction, moving to remote work or schooling, and the impacts of sudden, localised COVID-19 ‘lockdowns’ to prevent further outbreaks were triggers of increased psychological distress.
And loneliness is being described as our latest epidemic with chronic loneliness inked to a myriad of health problems and earlier death. A recent report found one in four Australians say they feel persistently lonely, and that loneliness costs $2.7 bn a year in health costs alone.
