Literature and Concept Review: Issues in Maternal and Child Oral Health

Steffensen, J

doi:10.1111/j.1752-7325.1990.tb02151.x

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…A benefit of a cross‐disciplinary approach is that it can facilitate consistency in health messaging across disciplines, presenting an opportunity to address dental knowledge gaps exposed during the health professional focus groups. Unfortunately, this type of task shifting is not without challenges and previous studies or commentaries have cited issues around lack of training, unfavourable remuneration structures, time pressure and lack of referral pathways for managing oral conditions that might be identified 26‐29 . Despite the challenges, the use of non‐dental professionals, particularly in maternal‐child interventions, appears to be a promising for early intervention and for addressing some of the social determinants of disease 30,31 …”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, this type of task shifting is not without challenges and previous studies or commentaries have cited issues around lack of training, unfavourable remuneration structures, time pressure and lack of referral pathways for managing oral conditions that might be identified. [26][27][28][29] Despite the challenges, the use of non-dental professionals, particularly in maternal-child interventions, appears to be a promising for early intervention and for addressing some of the social determinants of disease. 30,31 As well as demonstrating the clinical effectiveness of an intervention, stakeholder perceptions are also central to the justification of upscale/service delivery and this aspect is lacking from many studies from low-and middle-income countries.…”

Section: Ta B L E 5 Description Of Fluoridementioning

confidence: 99%

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Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Turton

Durward

Crombie

et al. 2020

Comm Dent Oral Epid

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Objective To critically evaluate an early childhood caries (ECC) intervention performed by non‐dental primary healthcare providers. Methods This mixed‐methods investigation includes data from three sources: (a) a pilot non‐randomized controlled trial to examine clinical outcomes at four health centres; (b) stakeholder focus group interviews; and (c) a survey of parents whose children were exposed to the intervention. The pilot study involved four Community Health Centres in rural Cambodia whereby mother‐child (6‐24 months of age)dyads received oral health education (OHE), toothbrushes, fluoride toothpaste and fluoride varnish on up to six occasions as part of the routine vaccination schedule. Outcomes were as follows: presence of ECC; impacts on oral health‐related quality of life (OHRQoL); stakeholder perceptions of intervention delivery; and parental perceptions of fluoride varnish. Results Participants in the intervention group had six times lower odds of developing ECC than those in the comparison group after controlling for socio‐economic status (OR 0.13). Those in the intervention group also had a large reduction OHRQoL scale scores. Key knowledge and practice gaps were identified among stakeholders. Surveyed parents had favourable views of the fluoride varnish placement by medical professionals, and four out of five stated that they would recommend fluoride varnish for other children. Primary healthcare providers, commune council representatives and community health promoters supported oral health interventions being provided in CHCs. Conclusions OHE and fluoride varnish interventions provided by non‐dental primary health workers were feasible and acceptable for stakeholders in a Cambodian setting. The intervention group had lower ECC experience and better OHRQoL at 2 years of age.

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Section: Discussionmentioning

confidence: 99%

Section: Ta B L E 5 Description Of Fluoridementioning

confidence: 99%

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Turton

Durward

Crombie

et al. 2020

Comm Dent Oral Epid

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“…The Public Health Service Workshop on Oral Health of Mothers and Children held in 1989 is another landmark event that outlined the need for local, state, and national initiatives to promote, coordinate, and integrate effective oral health activities for children and mothers (National Center for Education in Maternal and Child Health, 1989 ; Steffensen, 1990 ). It also emphasized the need to identify and promote coordinated strategies to maximize resources for prevention, education, services, and research to ensure continued progress in oral health.…”

Section: A Historical Perspectivementioning

confidence: 99%

Oral Health of Women and Children: Progress, Challenges, and Priorities

Kumar¹,

Crall²,

Holt

2023

Matern Child Health J

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Introduction Tooth decay remains the most prevalent chronic disease in children and adults, even though it is largely preventable. Studies show that mothers’ oral and overall health is linked to children’s oral health and pregnancy outcomes. This paper examines achievements during the last 20 years, assesses current challenges, and discusses future priorities. Oral health status Data show a modest improvement in children’s oral health during the last 20 years; however, tooth decay still affects more than half of adolescents. According to national survey data, about 26% of working-age adults had untreated tooth decay. Overall, significant oral health disparities by race/ethnicity and income persist. Dental service utilization The annual dental visit rate for children in the 2015 Medical Expenditure Panel Survey was 48%. Among children enrolled in Medicaid, dental visit rates increased from 18% in 1993 to nearly 50% in 2018. About 46% of women are estimated to receive teeth cleaning during pregnancy. Over the years, race or ethnicity and income-level differences in dental visits observed in the early 2000s have narrowed substantially in children but not among pregnant women. Discussion Many effective interventions are available at the community and individual levels but are underutilized. Lack of integration of oral health into the overall health care system and programs, community conditions, poverty, and limited health literacy make it difficult for families to engage in healthy habits, use preventive interventions, and access treatment promptly. Conclusion To further improve oral health, policy and system reforms are needed to address the factors mentioned above. Therefore, we urge the federal Maternal and Child Health Bureau to take steps to convene a workshop to develop a framework for future actions.

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“…Opportunities where oral health measures could effectively be embedded in the spectrum of general health care were explored (14–20). Furthermore, programmes designed to improve the oral health of the special populations, particularly the maternal and child groups, illustrated the importance of incorporating oral health standards and procedures within general health policies (21–26).…”

Section: Integration Of Oral Health Into Primary Carementioning

confidence: 99%

Integration of oral health into primary health care: the role of dental hygienists and the WHO stewardship

Monajem

2006

Int J Dental Hygiene

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: Interest in addressing the unmet oral health needs of the citizens of the world has manifested itself, lately, in noteworthy expressions of commitment. Oral health is integrated with general health and support for community programmes offering ‘essential oral health’ within primary health care (PHC) is increasing. The WHO Global Goals for Oral Health 2020 has assumed a more directed public health orientation, and the Global Oral Health Programme has its focus on modifiable oral risk behaviours. Last, but not the least, opportunities are being created, under the ‘stewardship’ of the World Health Organization (WHO), for the expansion of oral disease prevention and health promotion knowledge and practices in communities. A review of the literature on community‐oriented oral health primary care reveals one dominant and disease‐oriented practice model with dental practitioners being the principal and exclusive actors. One alternative to this biomedical model of care that may be better suited to translate health promotion principles into action at community levels is the practice that involves hygienists serving as primary oral health care providers. The WHO ‘stewardship’ should include the support of dental hygiene practice within PHC, many legislative restrictions and regulatory barriers would be relaxed, thus enabling dental hygienists to respond to the WHO's call for community‐based demonstration projects. With their focus on preventive oral care, hygienists are ‘best poised’ to help accelerate the integration of oral health with primary care, particularly in the light of the compelling evidence confirming the cost‐effectiveness of the care delivered by intermediate providers.

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Literature and Concept Review: Issues in Maternal and Child Oral Health

Cited by 7 publications

References 31 publications

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Evaluation of a community‐based early childhood caries (ECC) intervention in Cambodia

Oral Health of Women and Children: Progress, Challenges, and Priorities

Integration of oral health into primary health care: the role of dental hygienists and the WHO stewardship

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