Case Story


Click here to read the full case story (in Spanish)

Initiative Name:
Incorporating oral health and the Atraumatic Restorative Treatment (PRAT) technique into the primary health care model in Paraguay’s National Health System
Initiative Status:
Completed and consolidating results
Adaptation, replication or scaling up of a previous initiative?
Modality of the initiative:
Family/Community Health and Health Promotion
Improved Quality and Access to Health Systems and Services
PRAT, Salud Oral, Oral health

Geographic Identifiers

Countries Leading or Providing Technical Cooperation:
Countries Demanding Technical Cooperation:
Participating National Institutions, Organizations and/or Subregional Entities:
Ministerio de Salud Pública y Bienestar Social Paraguay (MSPBS), Ministerio de Salud Pública (MSP)
Participating International and Multilateral Organizations:
Organización Panamericana de la Salud (OPS), Organización Mundial de la Salud (OMS)
Initiative Start Date:
Initiative End Date:

Initiative Cost/Budget and Sources of Funding

Initiative Total Cost/Budget: (in US$)

Initiative Description

Paraguay is included in the group of countries that have a high prevalence of cavities. Improving access to oral health care services through a primary care model that takes a preventive approach and also incorporates cost-effective treatment techniques has been established as a public health priority for the country. Since Uruguay has successfully developed a model for primary health care that includes a preventive approach to oral health that incorporates the Atraumatic Restorative Treatment (PRAT), the project proposed for an exchange of experiences and joint collaboration to replicate the integration of PRAT into the primary health care model offered by public health services network in Paraguay. Likewise, the project proposed the development of a record and information system that would allow for the assessment of oral health indicators before and after the changes were introduced to determine if there was improvement over a two-year timeframe. To this end, managers from the oral health programs of the ministries of health of both countries participated in exchanges; training workshops were held for professionals and technical personnel from oral health services; and exchanges were held among institutions that train oral health professionals in Paraguay. Because of this collaboration, Paraguay now has two health regions that have begun the implementation of an educational and preventive-assistance program using the PRAT technique, and it also has tools and techniques for monitoring the program and evaluating its results.

Click here to read more about the project/initiative (in Spanish)

Additional Material:


Links and Additional Resources:

Contact Information:

Name of Contact Person:
Dr. Gabriel Antoniol, Asesor de la OPS
Organización Panamericana de la Salud (OPS)

Additional Contact Information:
Profesional Técnico Responsable de la elaboración del manual por la República Oriental del Uruguay: Dra. Alicia Guadalupe Profesionales Técnicos Responsables de la elaboración del manual por la República del Paraguay: Dr. Carlos Ma. Mallorquin Buey, Dra. Gloria B. Medina Quiñonez