Post on 18-Mar-2016
description
Smiles & Hopes
global child dental fund GCDHT Cambodia
For Cambodia’s vulnerable and destitute children
Background
Most Cambodian children have little or no access to dental
treatment, yet their rates of decay are among the highest in the
world. Orphans are no exception to the case. The average 5 year
old in Phnom Penh has 10 decayed teeth, and a recent study of
16-18 year old adolescents showed that they had an average of
6 decayed permanent teeth. By the age of 15, many children need
to have permanent teeth extracted.
Dental diseases not only cause pain and infection, but also have
a major impact on quality of life. Children with painful teeth often
miss school, have difficulty concentrating on their studies, and find
it difficult to chew solid and more micronutrient food, therefore
causing over-reliance on liquids and sweets for sustenance.
Decayed or missing front teeth, and swollen bleeding gums, can
lead to feelings of shame and embarrassment. These children may
find it hard to make friends, and when older to find employment.
For children who have disabilities, having poor dental health
exacerbates their problems of speech, eating ability, and social
acceptance. Teachers often make the observations that children
with more severe caries tend to perform poorly at school.
Severe caries are a completely preventable infectious disease.
Severe caries also increase a child’s risk for adult chronic disease.
Because of this, public health strategies to prevent caries –
especially in children – are part of this project to ensure maximum
benefit and impact for children’s health and protection.
‘An initiative to address the dental andmedical needs of vulnerable and
destitute children in orphanages andpoor communities around Cambodia.’
Cambodia
Population: 14,805,000 (2010)
Capital City: Phnom Penh
Language: Khmer
GDP (PPP): Total: $28,092 billionPer Capita: $2084
GDP Total: $11.453 billion(Nominal) Per Capita: $805
The Beginnings of Smiles & Hopes
The Smiles & Hopes Project was established in 2010 as a collaborative national project between
the following organisations: The Cambodian Ministry of Health; the Faculty of Odonto-Stomatology,
the University of Health Sciences, Phnom Penh; the Faculty of Dentistry, International University,
Phnom Penh; The Cambodian Dental Association; Cambodia World Family (CWF); One-2-One
Cambodia; the GCDHT_Cambodia and the Global Child Dental Fund
The programme aims to address the dental and medical needs of vulnerable and destitute
children in orphanages and poor communities in Cambodia. The project is sponsored by:
The Project Aims
The aims of this project are to:
• Provide basic dental and medical care
for children in orphanages and poor
communities
• Provide training in basic health and hygiene
for orphanage and community caregivers and health workers
• Provide a range of preventive health measures, which will reduce some of the
more prevalent health and oral health problems the orphanage and poor
communities are faced with
The Vision of Smiles & Hopes
Our vision is to help address the needs for dental and
medical care in orphanages and poor communities
around Cambodia by providing the following services
to each child enrolled in the programme:
• Fissure sealants 6s (6-7yr) and 7s (11–12yr)
• Fluoride varnish – 2x per year
• Toothbrushes / toothpaste
• Dental Health education
• Relief of pain
• Treatment of permanent teeth (if appropriate)
• De-worming
• Basic personal hygiene e.g. hand washing with soap, nail clipping, hair care
The Target Group ofSmiles & Hopes
The target groups are orphanages
and poor communities in Cambodia
with little or no access to basic
dental and medical services.
The Objective of Smiles & Hopes
The objective is to improve
the medical and oral health
of children in Cambodia –
without bias in religion, race
or gender – to boost their
quality of life.
THE DENTAL HEALTH COMPONENT
The work will be carried out by
approved partners of GCDHT_
Cambodia, to ensure best
practice and best care.
• Oral Health Education for
the children
• Provision of toothbrushes
and toothpaste for the
children
• A new brush twice a year
• Fissure sealing of first and
second permanent molars
(with GIC)
• Relief of pain (primarily
extraction of teeth)
• Restoration of decayed
permanent teeth
• Fluoride varnish 2 times
per year
Additional oral health
interventions can be carried
out over and above these
activities by the organisation.
Children will be seen twice
a year. A document with
guidelines for the above care
activities will be provided to
each organisation.
Most of the children will have
had teeth restored and
extracted, which will render
them pain-free and infection-
free for years to come.
Fissure sealants will be placed,
which will help protect the
permanent molar teeth against
decay in the future.
In addition, children will be
taught good oral hygiene
and dietary practices so
that the risk for future dental
problems will be minimised.
Toothbrushes and toothpaste
will be supplied so that the
children can brush in the
orphanages.
These benefits can be
expected to continue in the
long-term, and future dental
needs should be reduced. If
possible we would like to follow
these children for 3 years.
GENERAL HEALTH COMPONENT
Simple public health measures
will be implemented, by the
Beacon Center in line with
Ministry of Health guide-
lines.
These will include:
• basic personal hygiene
e.g. hand washing, nail
clipping, hair care
• de-worming and
de-licing, soap
TRAINING OF CAREGIVERS
Training in a range of health
and dental health areas will
be provided for orphanage
caregivers and community
health care workers by the
Beacon Center.
This will include: First aid,
Food hygiene, Personal
hygiene and sanitation,
Tooth brushing, Preparation
of nutritious food, Good dietary
practices, De-worming,
scabies and head lice and
exercise for life.
The training programme will
be organised by the Beacon
Center and a certificate will
be awarded on successful
completion of the course.
This care package will be implemented in an integrated way over a one-year period.
The Smiles & Hopes Programme
Child safety is of the utmost importance and our greatest priority. We have policies in
place to ensure that all children who are enrolled in our programme are safe.
We take our duty of care seriously: we aim to provide the safest possible programmes
and environments for children. We identify and manage any potential situations that
may lead to harm.
We are committed to children’s protection and participation as per the United Nations
Convention stated in ‘On the Rights of the Child’ (UNCRC). We will uphold these rights.
A copy of our Child Protection Policy and a full report is available on request.
Commitment to Child Protection
The Smiles & Hopes
programme will be overseen
and governed by the GCDHT_
Cambodia task force Beacon
Center, and the Global Child
Dental Fund.
The Beacon Center will
be responsible for the
implementation and
monitoring of the program.
Sponsors will be provided with
an information pack about the
orphanage(s) or communities
they are sponsoring. This will
include background information
about the orphanage or
community, the province they
are in and any other relevant
information.
A report will be sent after the
initial treatment visit. It will
include photos, information on
the treatment provided, health
information (height and
weight), project activities and
personal stories.
A further report will be sent at
the end of the 1 year period –
outlining the success and
the health outcomes achieved
including photos and personal
stories.
Sponsors can visit their
orphanage/community in
Cambodia but this will be
arranged through the
Beacon Center. Beacon
Center staff will accompany
visitors. They will need to
submit to the Beacon
Center a police certificate
prior to the visit.
The Beacon Center will be
the contractor on behalf of
One-2-One CAMBODIA and
the GCDF.
All communication to the
providers, orphanages and
children by either GCDF,
One-2-One CAMBODIA or
any sponsor will go through
the Beacon Center.
Governance Communicationwith sponsors
Contracting
Distribution of FundsEthical Employment of Staff
DISTRIBUTION OF FUNDS
As a UK-registered and governed charity, the Global Child
Dental Fund is responsible for the collection, handling and
distribution of all funds in a way that supports the mission
values and strategic goals of the programme.
The funds will be allocated via the Beacon Center in accordance
with the needs of the orphanages and poor communities
involved, and the fulfillment of criteria as set
out by the Beacon Center.
Each recipient partner is expected to report
back to the Beacon Center on the
success of the project and the use of the
funds allocated to ensure transparency,
fairness and accountability.
ETHICAL EMPLOYMENT OF STAFF
Our commitment to child safety and
quality clinical care ensures that all staff
are recruited and selected to ensure the
most suitable people are working with
the values and ethos of the programme.
Staff providing services shall be trained
and experienced.
Each organisation will employ their own staff, as well as using
volunteers (including senior dental students) where appropriate.
Service providers will undergo a training workshop organised
by the Beacon Center to familiarise themselves with processes,
reporting forms and guidelines.
Quality ControlProject Evaluation
QUALITY CONTROL
Each recipient organisation receiving funds
must report on a regular basis to the Beacon
Center, using the standard forms provided, to
include photos and stories that can be used
to promote the programme.
The Beacon Center will monitor the activities
undertaken by each organisation providing
services within the programme.
There will be a regular paper audit and
regular site visit by a Beacon Center
employee to observe first-hand the work
of each organisation.
All service providers are requested to
follow the programme guidelines. Training
and updates will be regularly given to all
service providers.
Non-compliance with protocols and policies
will affect future funding to that organisation.
PROJECT EVALUATION
At the end of the project, an evaluation
will be conducted. This will be organised
by the Beacon Center. It will look at health
gains, and include process evaluation,
cost-effectiveness, etc.
We are seeking sponsorship for orphanages and poor communities from professionals
working in the dental, medical and veterinary fields.
Please visit the Global Child Dental Fund website at www.gcdfund.org to learn how
you can donate to the programme and help us help these children.
We welcome your partnership and support. As a valued sponsor you will receive:
• A plaque for your practice signifying your partnership in the programme
• A GCDHT_Cambodia logo for your practice use, for example on appointment cards
• A patient collection box for your reception
• A tri-monthly newsletter on the project for your staff and patient waiting room
All email enquiries to BeaconAdmin@me.com
How You Can Get Involved