Adeniyi Abiola, Akama Gladys, Lukandu Ochiba, Ikemeri Justus E, Jumah Anjellah, Chelagat Sheilah, Kasuya Anusu, Ruhl Laura, Songok Julia, Christoffersen-Deb Astrid
School of Policy and Global Studies, Fairleigh Dickinson University, Vancouver, BC, Canada.
Department of Community, Preventive Dentistry and Periodontology, School of Dentistry, Moi University College of Health Sciences, Eldoret, Kenya.
Front Oral Health. 2024 Jun 28;5:1429332. doi: 10.3389/froh.2024.1429332. eCollection 2024.
Oral conditions disproportionately affect mothers and children in Sub-Saharan Africa, due to biological vulnerabilities, a scarcity of oral health workers, deficient preventive strategies, and gender-based barriers to care. The World Health Organization (WHO) recommends integrating oral health into broader health delivery models, to reduce these disparities. We propose integrating preventive oral healthcare into community-based programs to bridge these gaps. We examine integrating preventive oral healthcare into Western Kenya's Chamas for Change () community-based program which aims to reduce maternal and child health disparities. incorporates women's health and microfinance programs best practices to produce a low-cost, community-driven, sustainable, and culturally acceptable health delivery platform. Our strategy is based on the Maternal and Child Oral Health Framework and uses the WHO Basic Package of Oral Care principles. This framework prioritizes community involvement, cultural sensitivity, regular screenings, and seamless integration into general health sessions. We discuss the strengths, weaknesses, opportunities, and threats to enriching with oral health promotion activities. It is crucial to assess the effectiveness, sustainability, and acceptability of the proposed strategy through implementation and evaluation. Future studies should investigate the long-term impact of integrated oral health models on community health and oral health disparity reduction in Africa.
由于生理脆弱性、口腔卫生工作者短缺、预防策略不足以及基于性别的护理障碍,撒哈拉以南非洲的母亲和儿童受到的口腔疾病影响尤为严重。世界卫生组织(WHO)建议将口腔健康纳入更广泛的卫生服务模式,以减少这些差距。我们提议将预防性口腔保健纳入社区项目,以弥合这些差距。我们研究将预防性口腔保健纳入肯尼亚西部的“变革查马斯”社区项目,该项目旨在减少母婴健康差距。“变革查马斯”结合了妇女健康和小额融资项目的最佳实践,打造了一个低成本、社区驱动、可持续且文化上可接受的卫生服务平台。我们的策略基于母婴口腔健康框架,并采用了WHO口腔保健基本套餐原则。该框架将社区参与、文化敏感性、定期筛查以及无缝融入一般健康检查作为优先事项。我们讨论了通过开展口腔健康促进活动来丰富“变革查马斯”的优势、劣势、机遇和威胁。通过实施和评估来评估所提议策略的有效性、可持续性和可接受性至关重要。未来的研究应调查综合口腔健康模式对非洲社区健康和减少口腔健康差距的长期影响。