scholarly journals Knowledge of Five Different Types of Indonesian Health Workers Regarding Oral Health Services for Pregnant Women

2021 ◽  
Vol 15 (1) ◽  
pp. 250-256
Author(s):  
Anne A. Suwargiani ◽  
Erry M. Arief ◽  
Dudi Aripin ◽  
Sunardhi Widyaputra ◽  
Sri Susilawati

Background: Oral health care for pregnant women is often not provided by five health professionals in Indonesia: dentist, general practitioner, gynaecologist, promotion health officer, and midwives. While pregnant women also neither seek nor receive oral health treatment, even with apparent oral disease signs. This condition might occur due to a lack of understanding regarding the importance of oral health care for a healthy pregnancy. Objective: This study aimed to determine the knowledge of five different types of Indonesian health workers regarding oral health services for pregnant women. Methods: A cross-sectional study was conducted on a population of five types of health workers in Indonesia. The sampling technique used was non-probability sampling with consecutive sampling technique from August until September 2019. The sample size was 191 health workers; calculation of sample size was conducted using the survey population to estimate the population proportion formula. The research data was collected using Google® Form questionnaire, which consisted of questions regarding regulations and socialisation about the oral health of pregnant women, the minimum number of visits of pregnant women to health service facility during pregnancy, the necessity for oral health examination during pregnancy, oral health treatment package for pregnant women, advisory for pregnant women to have an oral health examination, maternal and child health manual book. The questionnaire was distributed online to the five types of health workers in Indonesia. Data were analysed using Microsoft® Excel and presented in tabular form. Results: Nine out of thirteen knowledge criteria were in the 'less' category, which means 69% of health workers lacked knowledge regarding oral health services for pregnant women. Likewise, the number of respondents who knew the correct knowledge was found in 9 of the 13 criteria, indicated that only a small proportion of health workers had adequate knowledge regarding oral health services for pregnant women. Conclusion: Five different types of Indonesian health workers are not knowledgeable enough regarding the importance of oral health services for pregnant women. Only a small portion of Indonesia's health workers have adequate knowledge regarding appropriate oral health services for pregnant women.

2018 ◽  
Vol 11 (1) ◽  
pp. 66
Author(s):  
Ni Nengah Arini Murni ◽  
Suwanti Suwanti

Abstract : The study aimed to determine the correlation among knowledge and attitude with the behavior of pregnant women in dental and oral health care during pregnancy. The research was analytic observational and in terms of time used crossectional approach. The population in this study were pregnant women at Narmada Community Health Center whereas the sample obtained by 34 people who came to check Antenatal Care (ANC) in June 2015 taken by accidental sampling technique. Data collection of knowledge, attitude and behavior variables used questionnaire and Statistical analysis was performed by using Chi Square test. The research finding indicated that from 34 respondents, 17 pregnant women (50%) had lack knowledge level about oral and dental health care during pregnancy. The attitude of pregnant women in dental and oral care during pregnancy was 73.5% (poor attitudes), and in terms of respondents’ behaviour was the same like respondents’ attitude by 73.5% (poor attitude). Therefore, it can be concluded that there was a significant correlation between knowledge with pregnant women behavior in dental and oral health care (P value = 0.013) and there was significant correlation between attitude with respondents behaviour in oral and dental care during pregnancy (P value = 0.004). Suggestion: It is expected for Health Care Institutions and health workers need to do an effort of sustainable counselling to communities, especially pregnant women about risk factors that can cause dental caries which can affect the health of both fetus and mother, increasing promotive efforts, for instance the improvement and maintenance of health and preventive efforts for communnities and pregnant women in order to have a good knowledge and attitude in maintaining oral an dental health care during pregnancy can be preserved and further enhanced, hence the sense of responsibility in terms of a behavior in the community or pregnant women concerning dental and oral health increases in line with knowledge improvement and developing attitudes.


2020 ◽  
Vol 4 (6) ◽  
pp. 177-179
Author(s):  
Aprilia Martha Bakoil ◽  
Dinah Charlota Lerik ◽  
Sabina Gero

Improving the optimal health status requires commitment and continuous effort so that a sub-standard development goals (SDGS) program is formed, one of which aims to tackle health problems in pregnant women. Dental and oral disease during pregnancy is a public health problem. The incidence of dental and oral diseases during this period is due to a lack of knowledge about oral health maintenance. The low use of service facilities by the community is related to treatment seeking behavior and ill-health concepts from the community. The purpose of the study was to analyze the relationship of knowledge and assessment of pregnant women with the use of dental health services at the Dental Clinic at the Health Centers in Kupang City. The design of this research was cross-sectional. The samples were 250 respondents, selected using proportional random sampling technique. Data were collected using a questionnaire as an instrument, then analyzed using ordinal regression test. Based on the data analysis results, it could be concluded that there was relationship between knowledge and assessment of pregnant women with the utilization of dental and oral health services in Public Health Center in Kupang City. Keywords: knowledge; pregnant women; utilization; dental and oral health services


2019 ◽  
Author(s):  
Thandiwe Phiri

UNSTRUCTURED Background: Pregnancy is associated with the development of oral cavity disorders and diseases due to the increase in the levels of the hormones Estrogen and Progesterone, which predispose the oral cavity of the pregnant woman to diseases. Some of the common self-reported oral diseases in pregnancy are gingivitis, dental caries, periodontitis, pregnancy tumors and many more. In most developing countries research on the oral health during pregnancy has not been done leading to limited information to general public. The main objective of this study is to determine the self-reported oral diseases, oral hygiene and utilization of oral health services among pregnant women attending antenatal clinic at New Masala Clinic. Methods: A descriptive cross-sectional study was conducted among 208 pregnant women attending antenatal clinic at New Masala Clinic of Ndola town. All participants completed a questionnaire with following parameters; socio-demographics, self-oral care, oral symptoms during pregnancy and utilization of oral health services during pregnancy. The data collected was then analyzed using SPSS software version 20 statistical software. Chi-square test was used to determine significant associations. Results: over one third of participants reported to experience bleeding gums, 85.1% reported to have been brushing regularly at least twice or more daily. None (0%) used floss while majority (80.3%) of the participants reported use of toothpick. Majority (80.8%) had never visited a dentist in their entire life while 7.2% of the participants reported to have visited a dental clinic in less than 1 year ago. Majority (99%)of the participants had never visited a dentist during their pregnancy Conclusion and recommendations: Despite the high level of self-reported oral care among pregnant women there is great need for radical sensitization and awareness about oral health during pregnancy and utilization of dental services among pregnant women. Social economic status and education back ground do not influence dental services utilization or development of oral health diseases and. However the age of gestation has great influence of the development of certain oral symptoms and diseases.


2020 ◽  
Author(s):  
Ariana C Kong ◽  
Mariana S Sousa ◽  
Lucie Ramjan ◽  
Michelle Dickson ◽  
Joanne Goulding ◽  
...  

Abstract Background Aboriginal Health Workers provide a unique insight into understanding the health needs of the Aboriginal peoples in the community on account of their cultural knowledge, experiences and understanding of the health services. The aim of this study was to explore the perceptions and experiences of Aboriginal Health Workers towards oral health care to inform the development of an oral health care program to better meet the oral health needs of Aboriginal pregnant women and new mothers.Methods A participatory action research methodology informed the study. Focus groups were conducted with Aboriginal Health Workers at two antenatal health services in Sydney, Australia.Results A total of 14 people participated in the focus groups. The four themes that emerged from the focus groups provided insight on the importance of trust in the building of empowering relationships with Aboriginal women and highlighted the need for Aboriginal Health Workers to receive additional training to better address the oral health needs of Aboriginal pregnant women and new mothers. However, the Aboriginal Health Workers worked in a system fundamentally driven by the legacy of colonisation and integenerational trauma that has created systemic barriers to access of health services, including dental care. The participants recommended that a priority dental referral pathway, that supported continuity of care, could provide increased accessibility to dental care for Aboriginal pregnant women and new mothers.Conclusions The oral health of Aboriginal pregnant women and new mothers is supported by Aboriginal Health Workers, who outlined both a systems and an individual approach in delivery of existing dental care. The Aboriginal Health Workers provided recommendations to develop a program of dental care that could break down the systemic factors that create barriers to accessing dental care for Aboriginal women.


Author(s):  
Nurbaiti Nurbaiti ◽  
Donal Nababan ◽  
Asima Sirait

During pregnancy routine monitoring can be done using K1 and K4 coverage. In 2017 K4 coverage was 96.7%. Whereas in 2018, K4 coverage for pregnant women amounted to 356 (68.5%) of the target pregnant women amounted to 519 (100%). From these data it can be seen that in 2018 the coverage of K4 in pregnant women decreased compared to the K4 coverage in 2017. The aim of the study was to determine the relationship of knowledge, parity, family support, availability of pregnancy check-ups, coverage of health services, support of health workers and other factors. most dominant on K4 visits for pregnant women in the Work Area of Kualasimpang City Health Center, Aceh Tamiang Regency. This type of research is analytic with cross-sectional design methods. The population of this study was the third trimester pregnant women who examined their pregnancies in the Work Area of Kualasimpang City Health Center in Aceh Tamiang Regency with a total of 356 samples using a Slovin formula of 78 people. The sampling technique uses accidental sampling technique. From the results of multiple logistic regression tests with a value of value = 0.25, it was found that there was a significant relationship of knowledge (p = 0.000, PR = 0.075), parity (p = 0.001, PR = 15,863), the availability of a pregnancy checkup (p = 0.011, PR = 0.132), range of health services (p = 0.006, PR = 0.112), support (p = 0.007, PR = 0.084), the most dominant variable is parity (p = 0.001; PR = 15,863; 95% CI: 3,221- 78,114) which means that respondents with multigravida parity have a risk of not doing K4 visits 15,863 times greater than primigravida parity. It is expected that pregnant women will be more active and active in conducting K4 visits in order to detect all possibilities that can occur so as to avoid danger during pregnancy or before delivery.ABSTRAKSelama kehamilan dapat dilakukan pemantauan rutin dengan menggunakan cakupan K1 dan K4. Tahun 2017 cakupan K4 berjumlah 96,7%. Sedangkan pada tahun 2018, cakupan K4 pada ibu hamil berjumlah 356 (68,5%) dari sasaran ibu hamil berjumlah 519 (100%). Dari data tersebut dapat diketahui bahwa pada Tahun 2018 cakupan K4 pada ibu hamil menurun dibandingkan dengan cakupan K4 di Tahun 2017.Tujuan penelitian untuk mengetahui hubungan pengetahuan, paritas, dukungan keluarga, ketersediaan alatpemeriksaan kehamilan, jangkauan ketempat pelayanan kesehatan, dukungan petugas kesehatan serta faktor yang paling dominan terhadap kunjungan K4 pada ibu hamil di Wilayah Kerja Puskesmas Kota Kualasimpang Kabupaten Aceh Tamiang. Jenis penelitian adalah analitik dengan metode rancangan crossectional. Populasi penelitian ini adalah ibu hamil trimester III yang memeriksakan kehamilannya di Wilayah Kerja Puskesmas Kota Kualasimpang Kabupaten Aceh Tamiang berjumlah 356 dengan sampel menggunakan rumus Slovin sebanyak 78 orang. Teknik pengambilan sampel menggunakan teknik accidental sampling. Dari hasil uj iregresi logistic berganda dengan nilaip value = 0.25, diperoleh bahwa ada hubungan yang signifikan pengetahuan (p=0.000, PR=0.075), paritas (p=0.001, PR=15.863), ketersediaan alat pemeriksaan kehamilan (p=0.011, PR=0.132), jangkauan ketempat pelayanan kesehatan (p=0.006, PR=0.112), dukungan (p=0.007, PR=0.084), variabel yang paling dominan adalah paritas (p=0.001; PR=15.863; 95%CI:3.221-78.114)yang berarti bahwa responden dengan Paritas multigravida mempunyai risiko tidak melakukan kunjungan K4 15.863 kali lebih besar dibandingkan paritas primigravida. Diharapkan kepada ibu hamil agar lebih aktif dan giat dalam melakukan kunjungan K4 agar terdeksi segala kemungkinan yang dapat terjadi sehingga terhindar dari bahaya selama kehamilan maupun menjelang persalinan.


2020 ◽  
Author(s):  
Ariana C Kong ◽  
Mariana S Sousa ◽  
Lucie Ramjan ◽  
Michelle Dickson ◽  
Joanne Goulding ◽  
...  

Abstract Background: In Australia, models of care have been developed to train antenatal care providers to promote oral health among pregnant women. However, these models are underpinned by Western values of maternity care that do not consider the need to ensure cultural safety for Aboriginal and Torres Strait Islander women. This study aimed to explore the perceptions and experiences of Aboriginal Health Workers and Family Partnership Workers towards oral health care during pregnancy. It is part of a larger program of research to develop a new, culturally appropriate model of oral health care for Aboriginal pregnant women and new mothers.Methods: A participatory action research methodology informed the study. Focus groups were convened to yarn with Aboriginal Health Workers, Family Partnership Workers and Aboriginal management staff at two antenatal health services in Sydney, Australia. Results: A total of 14 people participated in the focus groups. There were four themes that were constructed. These focussed on the importance of trust to build relationships with clients, and the need to receive training to better address the oral health needs of Aboriginal pregnant women and new mothers. Further, the staff work in a system fundamentally driven by the legacy of colonisation and its subsequent effects of integenerational trauma on Aboriginal people and communities. This has significantly contributed to the systemic barriers Aboriginal continue to face in accessing health services, including dental care. The participants recommended that a priority dental referral pathway, that supported continuity of care, could provide increased accessibility to dental care for Aboriginal pregnant women and new mothers.Conclusions: There is the need for an individual and systems approach to promote oral health among Aboriginal pregnant women and new mothers. This approach should cultivate trust between Aboriginal women and both care providers and healthcare systems. A new model of care is needed that provides oral health training to Aboriginal Health Workers and addresses the systemic factors that create barriers to accessing dental care for Aboriginal women.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Angelo Giuseppe Roncalli

Abstract Background This study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different stages of implementation of the National Oral Health Policy. Methods The design was based on repeated cross-sectional surveys using secondary data from household-based studies carried out in Brazil in 1998, 2003, 2008, and 2013. The dependent variable was “having access to a dentist appointment at least once in a lifetime (yes/no).” Monthly household per capita income, based on Brazil’s minimum wage, was included as the main independent variable. To measure the inequalities in oral health access related to economic position, the following complex indexes based on regression were used: (a) the slope index of inequality (SII) and (b) the relative index of inequality (RII). Results There was a reduction in the percentage of individuals who never had a dentist appointment for all age groups and income classifications. In general, there was a reduction trend in absolute inequality for all age groups (p < 0.001). The relative inequality and reduction trend were different between the age groups studied. Conclusions The National Oral Health Policy was very important for expanding free of charge, public access to dental appointment. However, despite policy implementation, there continues to be high levels of inequality in access to dental consultation. Assessing which strategies are necessary to overcome this challenge is discussed.


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