dc.contributor.author | Kaguru, George | |
dc.contributor.author | Ayah, Richard | |
dc.contributor.author | Mutave, Regina | |
dc.contributor.author | Mugambi, Cosmas | |
dc.date.accessioned | 2022-07-12T08:46:51Z | |
dc.date.available | 2022-07-12T08:46:51Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Kaguru G, Ayah R, Mutave R, Mugambi C. Integrating Oral Health into Primary Health Care: A Systematic Review of Oral Health Training in Sub-Saharan Africa. J Multidiscip Healthc. 2022 Jun 21;15:1361-1367. doi: 10.2147/JMDH.S357863. PMID: 35761842; PMCID: PMC9233489. | en_US |
dc.identifier.uri | https://pubmed.ncbi.nlm.nih.gov/35761842/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/161291 | |
dc.description.abstract | Background: Globally, oral health training has shown positive influence on knowledge, competency and practices for both oral and non-oral health-care workers towards integration of oral health into primary health care (PHC). Sub-Saharan Africa has very divergent social-cultural-political-economic settings. Since healthcare is contextual, it is necessary to review oral health training programs in this region to establish if their formulation, implementation and evaluation are context-reliant.
Objective: To assess if oral health trainings aimed at integrating oral health into PHC in sub-Saharan Africa were context-reliant.
Methodology: The reviewers searched five electronic databases and WHO sites. Selection of publications was done using the PRISMA framework. Oral health training programs for oral and non-oral health-care workers in sub-Saharan Africa published in English language between year 2001 and 2020 were included in the study.
Findings: Only 4 (0.8%) of the original 512 publications for oral health-care workers and 9 (1.5%) of the 613 for non-oral health-care workers publications met the inclusion criteria. Countries established and/or increased number of dental schools, 1 university adopted competency-based curriculum and 2 introduced community rotations. Dental auxiliaries varied by cadre, training duration and scope of practice. Non-oral health-care workers training programs used diverse approaches like pre-service, workshops and printed materials. Target groups for the trainings varied from nurses, traditional healers, health promotion officers to community health volunteers. Evaluations were done mainly using pre-post or quasi-experimental studies. Outcomes of interest varied from level of knowledge, services provision, early childhood caries, oral health seeking behavior and oral hygiene practices.
Conclusion: Oral health training for integration of oral health into PHC in sub-Saharan Africa varied by targeted cadre, training methods and evaluation method and scope. It was thus context-reliant. More programs are necessary to accommodate other training approaches, evaluation methods and other health-care cadres in the region. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | integration; oral health training; primary healthcare; sub-Saharan Africa. | en_US |
dc.title | Integrating Oral Health Into Primary Health Care: a Systematic Review of Oral Health Training in Sub-saharan Africa | en_US |
dc.type | Article | en_US |