Building oral health research infrastructure: the first national oral health survey of Rwanda.

Autor: Morgan JP; a Department of Public Health and Community Service , Tufts University School of Dental Medicine , Boston , USA., Isyagi M; b Department of Oral Medicine and Oral Surgery, School of Dentistry , University of Rwanda , Kigali , Rwanda., Ntaganira J; c School of Public Health , University of Rwanda , Kigali , Rwanda., Gatarayiha A; d Department of Community and Preventive Dentistry, School of Dentistry , University of Rwanda , Kigali , Rwanda., Pagni SE; a Department of Public Health and Community Service , Tufts University School of Dental Medicine , Boston , USA.; e Division of Biostatistics and Experimental Design , Tufts University School of Dental Medicine , Boston , USA., Roomian TC; e Division of Biostatistics and Experimental Design , Tufts University School of Dental Medicine , Boston , USA., Finkelman M; a Department of Public Health and Community Service , Tufts University School of Dental Medicine , Boston , USA.; e Division of Biostatistics and Experimental Design , Tufts University School of Dental Medicine , Boston , USA., Steffensen JEM; a Department of Public Health and Community Service , Tufts University School of Dental Medicine , Boston , USA., Barrow JR; f Department of Oral Health Policy and Epidemiology , Harvard School of Dental Medicine., Mumena CH; g School of Dentistry , University of Rwanda , Kigali , Rwanda., Hackley DM; a Department of Public Health and Community Service , Tufts University School of Dental Medicine , Boston , USA.; f Department of Oral Health Policy and Epidemiology , Harvard School of Dental Medicine.; h Department of Preventive and Community Dentistry , University of Rwanda School of Dentistry , Kigali , Rwanda.
Jazyk: angličtina
Zdroj: Global health action [Glob Health Action] 2018; Vol. 11 (1), pp. 1477249.
DOI: 10.1080/16549716.2018.1477249
Abstrakt: Background: Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions.
Objective: To implement the first National Oral Health Survey of Rwanda to assess the oral disease burden and inform oral health promotion strategies.
Methods: In this cross-sectional study, sample size and site selection were based on the World Health Organization (WHO) Oral Health Surveys Pathfinder stratified cluster methodologies. Randomly selected 15 sites included 2 in the capital city, 2 other urban centers and 11 rural locations representing all provinces and rural/urban population distribution. A minimum of 125 individuals from each of 5 age groups were included at each site. A Computer Assisted Personal Instrument (CAPI) was developed to administer the study instrument.
Results: Nearly two-thirds (64.9%) of the 2097 participants had caries experience and 54.3% had untreated caries. Among adults 20 years of age and older, 32.4% had substantial oral debris and 60.0% had calculus. A majority (70.6%) had never visited an oral health provider. Quality-of-life challenges due to oral diseases/conditions including pain, difficulty chewing, self-consciousness, and difficulty participating in usual activities was reported at 63.9%, 42.2% 36.2%, 35.4% respectively.
Conclusion: The first National Oral Health Survey of Rwanda was a collaboration of the Ministry of Health of Rwanda, the University of Rwanda Schools of Dentistry and Public Health, the Rwanda Dental Surgeons and Dental (Therapists) Associations, and Tufts University and Harvard University Schools of Dental Medicine. The international effort contributed to building oral health research capacity and resulted in a national oral health database of oral disease burden. This information is essential for developing oral disease prevention and management strategies as well as oral health workforce and infrastructure.
Databáze: MEDLINE
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