scholarly journals Dental Attendance in Undocumented Immigrants before and after the Implementation of a Personal Assistance Program: A Cross-Sectional Observational Study

2018 ◽  
Vol 6 (4) ◽  
pp. 73 ◽  
Author(s):  
Martijn Lambert

Undocumented immigrants are a high-risk social group with low access to care. The present study aims to increase awareness and dental attendance in this subgroup, assisted by community health workers (CHW). Starting from 2015, two trained dentists volunteered to perform free oral health examinations and further dental care referral in a welfare organisation in Ghent, Belgium. In 2016 and 2017, a two-day oral health training was added, enabling social workers to operate as community oral health workers and to provide personal oral health advice and assistance. Over the three years, an oral health examination was performed on 204 clients from 1 to 69 years old, with a mean age of 36.7 (SD = 15.9), showing high levels of untreated caries (71.6%; n = 146) and a Dutch Periodontal Screening Index (DPSI) score of 3 or 4 in 62.2% of the sample (n = 97). Regarding dental attendance, the total number of missed appointments decreased significantly, with 40.9% in 2015, 11.9% in 2016 and 8.0% in 2017 (p < 0.001). Undocumented immigrants can be integrated into professional oral health care. Personal assistance by community health workers might be an effective method, although this requires further investigation.

2021 ◽  
Author(s):  
Najmunnisa K P ◽  
Susan Thomas Thomas ◽  
Mary Shimi S Gomez ◽  
Jesline Merly James ◽  
Vivek Narayan

Abstract BackgroundBeliefs and attitudes of community health workers affect their oral health behaviour and knowledge which in turn affects their potential to motivate the public to undertake preventive oral health measures. This study was performed to assess knowledge, attitude, and practices as well as determinants of oral health behaviour among community health workers in rural regions of Kerala.MethodsA cross-sectional study was conducted among 123 community healthcare workers at primary health centres in the Ettumanoor block zone, Kottayam. A two-stage cluster sampling method was used. Data regarding knowledge, attitude, and practice of oral health were acquired through self-administered questionnaires and analyzed using SPSS software version 25. Statistical association between responses in different group of health workers were determined by using Chi-square test. Independent t-test and ANOVA were used to test the difference in attitude and knowledge scores. Bivariate and multivariate regression analyses were applied to identify factors associated with the oral health behaviour of community health workers.ResultsAbout 65% of the participants exhibited poor oral health behaviour. A positive attitude has a significant relation with oral health behaviour status of the participants (p=0.003). Community health workers who attended an oral health education program had a better oral health behaviour status when compared to those who had not attended (p=0.006). ConclusionsThe results emphasize that oral health education should be given to all the community health workers to enhance their awareness about preventive oral health care.


2017 ◽  
Vol 6 (10) ◽  
Author(s):  
Waleska Fernanda Souto Nóbrega ◽  
Gustavo Correia Basto da Silva ◽  
Arlete Maria Gomes de Oliveira ◽  
Danilo Vieira Barbosa ◽  
Renata de Sousa Coelho Soares ◽  
...  

Objetivo: Avaliar como a literatura científica apresenta o papel do Agente Comunitário de Saúde (ACS) na disseminação de conhecimentos acerca da Saúde Bucal. Métodos: Foram estabelecidos os seguintes descritores: Agente Comunitário de Saúde/Community Health Workers; Programa Saúde da Família/Family Health Strategy; Promoção da Saúde/Health Promotion e Saúde Bucal/Oral Health. As bases bibliográficas selecionadas foram SciELO (Scientific Electronic Library Online), Pubmed (U.S. National Institutes of Health's National Library of Medicine) e BIREME (Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde). Foram utilizadas referências bibliográficas do período de 1991 a 2015. Resultados: Tem sido evidenciado que os usuários das Unidades Básicas de Saúde da Família apresentam níveis satisfatórios de auto-confiança, acesso e uso dos serviços odontológicos quando o ACS atua como multiplicador de informações/orientações em saúde bucal. Apesar disso, os ACS ainda necessitam de uma melhor capacitação e preparo em atividades educativas, garantindo maior formação profissional e melhoria na execução destas atividades. Conclusão: Salienta-se que neste cenário os cirurgiões-dentistas devem contribuir no processo de empoderamento desta população, promovendo a saúde bucal da mesma.Descritores: Agente Comunitário de Saúde; Estratégia Saúde da Família; Promoção da Saúde; Saúde Bucal.


2017 ◽  
Vol 46 (2) ◽  
pp. 185-193 ◽  
Author(s):  
Kavita R. Mathu-Muju ◽  
Xiaoli Kong ◽  
Candace Brancato ◽  
James McLeod ◽  
Heather M. Bush

2020 ◽  
Author(s):  
Ileana Ponce-Gonzalez ◽  
Allen Cheadle ◽  
Michael Parchman

Abstract Objectives. An important question for oral health education is whether knowledge gained during a workshop is retained and applied in daily practice. This study assessed the knowledge retention and changes in oral health practices several months after a lay-led education workshop for migrant farmworkers. Methods. Follow-up interviews were conducted with a random sample of participants 2-12 months post participation. Three Community Health Workers conducted the interviews using a structured Interview guide that included open-ended questions asking about both knowledge and behavior change.Results. A total of 33 interviews were conducted with participants. The results showed a fairly high degree of retention, in such areas as general oral health knowledge, and brushing/flossing frequency and technique.Conclusions. An interactive, lay-led oral health education program can be an effective way to increase oral health knowledge and change daily oral health practice in migrant populations.


2021 ◽  
Vol 12 ◽  
pp. 215013272110024
Author(s):  
Ileana Maria Ponce-Gonzalez ◽  
Allen D. Cheadle ◽  
Michael Leo Parchman

Introduction An important question for oral health education is whether knowledge gained during lay-led workshops is retained and applied in daily practice. This study assessed the knowledge retention and changes in oral health practices several months after oral health education workshops were held for migrant farmworkers by Community Health Workers (CHWs). Methods and Results Follow-up surveys were conducted with 32 participants 1 to 43 months post participation (60% between 6 and 21 months). The results showed a high degree of retention, in such areas as general oral health knowledge, and brushing/flossing frequency and technique among this sample. There was no relationship between length of time since the educational workshop and knowledge retained or behaviors changed. Conclusions and Recommendations An interactive, lay-led oral health education program run by CHWs can be an effective way to deliver sustained improvements in oral health knowledge and changes in oral health practice in migrant populations.


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