Mndzebele, Samuel (2010): Towards an oral healthcare framework and policy analysis for Swaziland.
Download (530kB) | Preview
Background and Rationale: A synopsis by the researcher suggested that caries was becoming a public health problem among the youth, hence there was a need for deeper investigations which would lead to possible oral health interventions.
Purpose: The purpose of the study was to assess dental care practices and experiences among teenagers in the Northern region of Swaziland. Based on the outcomes and views from health professionals; develop a framework for oral healthcare delivery and policy analysis.
Design: The study engaged a randomized-survey design. The subjects filled a total of 562 questionnaires, of which 508 were selected for data-analysis. Their ages ranged between 12-20years.
Essential Results: Regression-analysis results indicated that, taking soft-drinks increased the odds of having caries by 3.33 times compared with sugar-free drinks. What was strange among this group was that knowing causes of caries doubled the odds (eB=1.918) compared to lack of knowledge. Living within 10kms radius from the dental-clinic significantly reduced the odds of being found with caries by a factor of 0.719 compared to living >10km away.
Conclusion: All the signs of the corresponding regression-coefficients seemed to be in the right direction except for “knowledge on how tooth-decay occurs” amongst this group. Based on these findings regarding caries experiences and practices amongst the youth, a framework for oral health care and policy analysis for Swaziland was developed.
|Item Type:||MPRA Paper|
|Original Title:||Towards an oral healthcare framework and policy analysis for Swaziland|
|Keywords:||dental caries; oral health framework; policy analysis|
|Subjects:||I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health|
|Depositing User:||sam mndzebele|
|Date Deposited:||04. Aug 2011 13:33|
|Last Modified:||26. Sep 2015 00:02|
Chestnutt, IG. & Gibson, J. (eds). (2002). Churchill’s Pocketbook of Clinical Dentistry. Glasgow: Harcourt Publishers.
Gugushe, TS. & du Plessis, JB. (1998). Regional urban-rural distribution of dental caries experience in Swaziland. South African Dental Journal 53: 409-412.
Höllund, U. (1990). The effect of a nutrition education programme 'learning by teaching' on the dietary attitudes of a group of adolescents. Community Dental Health 7(4):395-401.
Ministry of Health & Social Welfare. (1994). Report on the Oral Health Survey. Mbabane.
Ministry of Health & Social Welfare. (2007). National Health Policy, Mbabane.
Moynihan, P. Petersen, PE. (2004). Diet, Nutrition and the Prevention of Dental Diseases. Public Health Nutrition 7(1A) Supplement 1:201-226. Piggs Peak Government Hospital Statistics Office. (2007). Annual statistics at the Piggs Peak Government Hospital.
Rugg-Gunn, AJ. Nunn, JH. (1999). Nutrition, Diet and Oral Health. London: Oxford University Press.
Sheiham, A. (2001). Dietary Effects on Dental Diseases, Public Health Nutrition 4(2B): 569-591.
Singh, S. (2003). A Critical Analysis of the Provision for Oral Health Promotion in South African Health Policy Analysis, A Final Report, Pretoria.
Swaziland Population & Census Office. (2007). Population & Housing Census. Mbabane.
Tanzania Ministry of Health. (2002). Oral Health Care in Tanzania. Dar Es Salaam.
Van der Hoeven, JS, van Palenstein Helderman, WH. (1998). Microbial specificity and dental caries. In: Guggenheim B, Shapiro S, (eds). Oral Biology at the Turn of the Century. Basel: Karger, 43-55.
Van Palenstein Helderman, WH, Matee MIN, Van der Hoeven, JS, Mikx FHM. (1996). Cariogenicity Depends more on Diet than the Prevailing Mutans Streptococci Species. Journal of Dental Research 75: 535-545.
Wiggers, J. Sanson-Fisher, R. (1998). Evidence-based Health Promotion. Cited in evaluating Health Promotion. Scott S & Weston R. (eds). London: Nelson Thornes Publishers.
World Health Organization. (1989). Monitoring and Evaluation of Oral Health. Report of the WHO Expert Committee. Geneva. (WHO Technical Report Series: no. 782).
World Health Organization. (2001). Oral Health Epidemiology [Online]http://www.afro.who.int/oralhealth/epidemiology.html (Accessed August 2004).
World Health Organization. (2003). The World Oral Health Report 2003, Continuous Improvement of Oral Health in the 21st Century, The Approach of the WHO Global Oral Health Program. Geneva.
World Health Organization. (2005). Writing Oral Health Policy: A Manual for Oral Health Managers in the WHO African Region. Regional Office for Africa. Brazzaville.
World Health Organization. (2006). Diet, nutrition and the prevention of dental diseases [Online]http://www.who.int/oral_health/en/html, Accessed August 2006).