TPS Oral Health Final
-
Upload
ictph -
Category
Health & Medicine
-
view
1.152 -
download
3
description
Transcript of TPS Oral Health Final
![Page 1: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/1.jpg)
Oral Health:
Addressing Dental Diseases in Rural India
Shawn Lin & Allison Mauk
![Page 2: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/2.jpg)
Overview
Burden of Disease
Determinants
Intervention Strategies
Implementation
Evaluation Plan
![Page 3: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/3.jpg)
Burden of Disease
![Page 4: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/4.jpg)
Dental Caries
Most common non-communicable disease in the
world1
Slight increase in prevalence in Tamil Nadu
• 47.8% (1973)2 → 49.8% (2004)3
• Higher prevalence in rural areas3
• One survey in rural TN found a prevalence of
70.2% in 6 year-olds4
![Page 5: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/5.jpg)
0
10
20
30
40
50
60
70
80
90
100
5 12 15 35-44 65-74
Pre
vale
nce o
f P
eriodto
nalD
ise
ase (
%)
Age (years)
Prevalence of Periodontal Disease in ThanjavurRegion, 20033
![Page 6: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/6.jpg)
Burden
Personal: impact on Quality of Life
• Difficulty eating5
• Severe dental disease acts as focus of infection for other organs
(kidneys, heart, brain)3
Population
• 1,247,000 DALYs in 1998 in India6
Health System
• Lack of infrastructure → difficult to assess
• Inflammation a risk factor as well7
• Significant risk factor for several systemic diseases
• The birth of pre-term low-birth weight babies, coronary artery
diseases, and diabetes mellitus7
![Page 7: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/7.jpg)
Determinants
![Page 8: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/8.jpg)
• Significant risk factor for periodontal disease and caries8,9,10
• Tamil Nadu: 10% of adults report using tobacco regularly3
Substance Use
• Expanding economy → greater access and higher preference of junk foods11
• Change in dietary patterns influences oral health
Diet & Nutrition
![Page 9: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/9.jpg)
• Tamil Nadu: 40% reported using fluoride toothpaste or fluoridated tooth powder3
Fluoride Exposure
• Dentist to Population Ratio12:
• Urban 1:10,000
• Rural 1:250,000
• 72.2% of population lives in rural areas4
Access to Care
• In Tamil Nadu:
• 57% report using a toothbrush3
• 3.9% report brushing twice per day3
Knowledge & Behavior
![Page 10: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/10.jpg)
Intervention Strategies
![Page 11: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/11.jpg)
•School-based oral health promotion programPrimary
•Establish comprehensive oral health screeningSecondary
• Increase access to oral health careTertiary
![Page 12: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/12.jpg)
Implementation
![Page 13: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/13.jpg)
Primary Prevention Strategy:
School-based oral health promotion program
Activities:
• Administer fluoride rinse in schools
• Screen oral health education video on school TVs
![Page 14: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/14.jpg)
Secondary Prevention Strategy:
Establish comprehensive oral health screening
Activities:
• Train CHWs and RMHC staff in oral screening and education
• Develop & validate non-invasive oral health screening
instrument
• Integrate non-invasive oral screening instrument to PISP, RRA,
and Patient Visit Protocol
• Implement Oral Health Screening Protocol
• Perform oral health screening at schools
• Add oral health education to Patient Visit Protocol
![Page 15: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/15.jpg)
![Page 16: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/16.jpg)
Secondary Prevention Strategy:
Establish comprehensive oral health screening
Activities:
• Train CHWs and RMHC staff in oral screening and education
• Develop & validate non-invasive oral health screening
instrument
• Integrate non-invasive oral screening instrument to PISP, RRA,
and Patient Visit Protocol
• Implement Oral Health Screening Protocol
• Perform oral health screening at schools
• Add oral health education to Patient Visit Protocol
![Page 17: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/17.jpg)
Tertiary Prevention Strategy:
Increase access to care
Activities:
• Install dental equipment in the RMHC
• Establish rotation of visiting dentists to staff bi-weekly dental
clinic in RMHC
![Page 18: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/18.jpg)
Evaluation
![Page 19: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/19.jpg)
Formative Evaluation
Validity of non-invasive oral health screening
instrument
Pretest: comprehension
Validity: sensitivity & specificity
![Page 20: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/20.jpg)
Process Evaluation
Primary Prevention Objectives:
• Schoolchildren received 7 fluoride rinses per semester
• Schoolchildren viewed video twice per semester
Secondary Prevention Objectives:
• Majority of population screened for oral health
• Increased visits to RMHC for follow-up comprehensive
screening
Tertiary Prevention Objectives:
• Increased visits to RMHC for dental issues
![Page 21: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/21.jpg)
Impact Evaluation
Objectives
• Reduction in the incidence of dental caries and periodontal
disease in schoolchildren
• Improved oral hygiene behavior and practices
• Increased oral hygiene knowledge
• Decreased prevalence of dental caries and periodontal disease
![Page 22: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/22.jpg)
Goal
Reduction in the prevalence and
incidence of dental caries and
periodontal disease in Rural India
![Page 23: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/23.jpg)
Acknowledgements
ICTPH Staff
Arun Jithendra
SughaVazhvu Staff
Fellow TPS Students
![Page 24: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/24.jpg)
Contact Information
Shawn LinBA, MSW/MPH Candidate
Allison MaukBA, MPH Candidate
George Warren Brown School of Social Work
Washington University in St. Louis
One Brookings Drive
Saint Louis, MO 63130
![Page 25: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/25.jpg)
Thank you
![Page 26: TPS Oral Health Final](https://reader034.fdocuments.in/reader034/viewer/2022051411/54739cd4b4af9fb40a8b54b6/html5/thumbnails/26.jpg)
References1Beaglehole, R., Benzian, H., Crail, J., & Mackay, J. (2009). The oral health atlas. FDI World Dental Federation. Retrieved from:
http://www.oralhealthatlas.org/uniflip/index.html
2Ramachandran, K., Rajan, B.P., & Shanmugam, S. (1973). Epidemiological studies of dental disorders in Tamil Nadu populations. Journal of the Indian Dental
Association, 45(4), 65-70.
3Bali, R.K., Aswath Narayanan, M.B., Mathur, V.B., Talwar, P.P., & Chanana, H.B. (2004). National oral health survey & fluoride mapping, 2002-2003, Tamil Nadu. Dental
Council of India.
4Saravanan, S., Kalyani, V., Vijayarani, M.P., Jayajodi, P., Felix, J.W.A., Arunmozhi, P., … Sampath Kumar, P. (2008). Caries prevalence and treatment needs of rural
school children in Chidambaram Taluk, Tamil Nadu, South India. Indian Journal of Dental Research, 19(3), 186-190.
5Shah, N. (2005). Oral and dental diseases: causes, prevention and treatment strategies. In NMCH Background Papers – Burden of Disease in India (p.275-298). New
Delhi, India. Retrieved from: http://www.whoindia.org/LinkFiles/Commision_on_Macroeconomic_and_Health_Bg_P2_Oral_and_dental_diseases.pdf
6Peters, D., Yazbeck, A., Ramana, G., Sharma, R., Pritchett, L., & Wagstaff, A. (2001). Raising the sights: Better health systems for India’s poor. Washington, DC: The
World Bank.
7Agarwal, V., Khatri, M., Singh, G., Gupta, G., Marya, C., & Kumar, V. (2010). Prevalence of periodontal diseases in India. Journal of Oral Health & Community Dentistry,
4, 7-16.
8Winn, D.M. (2001). Tobacco use and oral disease. Journal of Dental Education, 65(4), 306-312. Retrieved from: http://www.jdentaled.org
9Tomar, S.L., & Winn, D.M. (1999). Chewing tobacco and dental caries among U.S. men. The Journal of the American Dental Association, 130(11), 1601-1610.
Retrieved from: http://www.jada.ada.org
10Tomar, S.L., & Asma, S. (2000). Smoking-attributable periodontal disease in the United States: findings from the NHANES III. Journal of Periodontology, 71(5), 743-
751.
11Goldman, A.S., Yee, R., Holmgren, C.J., & Benzian, H. (2008). Global affordability of fluoride toothpaste. Globalization and Health, 4(7), 1-8.
doi: 10.1186/1744-8603-4-7
12Tandon, S. (2004). Challenges to the oral health workforce in India. Journal of Dental Education, 68(7 Supplement), 28-33.