Evaluation of a school based oral health promoting programme in Rwanda

Evaluation of a school based oral health promoting programme in Rwanda.Objectives: To evaluate the effect of the project on oral health, practices, knowledge and attitudes of pupils and teachers. Methods: Thirteen primary schools were included, six schools served as controls. Schoolteachers supervis...

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Principais autores: Nörmark, Sten Wienberg, Mukabahire, Beata, Danielsen, Bo, Lempert, susanne Merethe
Formato: Online
Idioma:inglês
Publicado em: International Association for Dental Research (Nigeria Division) 2021
Acesso em linha:https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/123
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author Nörmark, Sten Wienberg
Mukabahire, Beata
Danielsen, Bo
Lempert, susanne Merethe
author_facet Nörmark, Sten Wienberg
Mukabahire, Beata
Danielsen, Bo
Lempert, susanne Merethe
author_sort Nörmark, Sten Wienberg
collection OJS
description Evaluation of a school based oral health promoting programme in Rwanda.Objectives: To evaluate the effect of the project on oral health, practices, knowledge and attitudes of pupils and teachers. Methods: Thirteen primary schools were included, six schools served as controls. Schoolteachers supervised handwashing and toothbrushing with fluoride toothpaste on school days, parallel with training sessions by dental therapists. Data were collected at baseline and after two years’ activities. Results: At baseline, 44% of the children had problems from their mouth. Caries prevalence in the pupils’ permanent dentition was 45%, and 64% showed gingival bleeding. About 30% cleaned their teeth twice daily, 60% washed hands at least twice daily. After two years, dental problems of project school pupils were reduced to one sixth of the baseline level, caries and gingival bleeding went down to one third or one fourth. The number of pupils brushing with fluoride toothpaste twice daily doubled. Knowledge of teachers from project schools improved by 68%, attitudes by 29%. Findings in the control groups were similar to baseline or slightly improved. The moderate improvements in the pupils’ attendance and academic performance were slightly higher in intervention schools than in control schools. Discussion: Apparently, frequent professional supervision of the teachers and involvement of district health personnel and authorities is crucial. Conclusions: With few expenses and low technology efforts it is possible within two years to implement efficient daily oral health self-care in the school setting in African countries leading to impressive improvements of health.
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spelling oai:ojs2.ajoh.oauife.edu.ng:article-1232021-12-03T13:07:58Z Evaluation of a school based oral health promoting programme in Rwanda Nörmark, Sten Wienberg Mukabahire, Beata Danielsen, Bo Lempert, susanne Merethe Evaluation of a school based oral health promoting programme in Rwanda.Objectives: To evaluate the effect of the project on oral health, practices, knowledge and attitudes of pupils and teachers. Methods: Thirteen primary schools were included, six schools served as controls. Schoolteachers supervised handwashing and toothbrushing with fluoride toothpaste on school days, parallel with training sessions by dental therapists. Data were collected at baseline and after two years’ activities. Results: At baseline, 44% of the children had problems from their mouth. Caries prevalence in the pupils’ permanent dentition was 45%, and 64% showed gingival bleeding. About 30% cleaned their teeth twice daily, 60% washed hands at least twice daily. After two years, dental problems of project school pupils were reduced to one sixth of the baseline level, caries and gingival bleeding went down to one third or one fourth. The number of pupils brushing with fluoride toothpaste twice daily doubled. Knowledge of teachers from project schools improved by 68%, attitudes by 29%. Findings in the control groups were similar to baseline or slightly improved. The moderate improvements in the pupils’ attendance and academic performance were slightly higher in intervention schools than in control schools. Discussion: Apparently, frequent professional supervision of the teachers and involvement of district health personnel and authorities is crucial. Conclusions: With few expenses and low technology efforts it is possible within two years to implement efficient daily oral health self-care in the school setting in African countries leading to impressive improvements of health. International Association for Dental Research (Nigeria Division) 2021-11-24 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/123 African Journal of Oral Health; Vol 10 No 2 (2021): Vol10No 2(2021); 37-49 0189-5710 0189-5710 eng https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/123/45 Copyright (c) 2021 African Journal of Oral Health
spellingShingle Nörmark, Sten Wienberg
Mukabahire, Beata
Danielsen, Bo
Lempert, susanne Merethe
Evaluation of a school based oral health promoting programme in Rwanda
title Evaluation of a school based oral health promoting programme in Rwanda
title_full Evaluation of a school based oral health promoting programme in Rwanda
title_fullStr Evaluation of a school based oral health promoting programme in Rwanda
title_full_unstemmed Evaluation of a school based oral health promoting programme in Rwanda
title_short Evaluation of a school based oral health promoting programme in Rwanda
title_sort evaluation of a school based oral health promoting programme in rwanda
url https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/123
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