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Basic Oral Health Training Programme

 

Basic oral health training programme

 
             .. For the Health Workers of Ramechhap District

By Raj B Shreshta

Map's modified from National Geographic


Introduction

Due to the geographical and economical condition of the country, it takes time to access much needed dental health care services in rural and small communities in Nepal.

Supported by Araniko Dental Hospital, (Bhaktapur), District Health Office, (Ramechhap) (Ministry of Health) and Swiss Agency for Development and Co-operation/Rural Health Development Project (Ramechhap), the Basic Oral Health Training of Health Workers programme, was successfully implemented in December 2007 in Ramechhap district, Nepal, in order to help provide dental health care services to needy rural children and adults.


Background

The Government of Nepal has already declared primary health care policy approach and needs adequate health care stations with skilled manpower in rural and communities. Oral health is frequently not perceived as a priority amongst the deprived communities, hence oral health related problems are increasing day by day in these communities. There are no oral health care facilities in the health posts in the rural areas and most of the people from rural communities do not receive essential dental care services. Hence there is an acute need for appropriate dental health service and made accessible and affordable in the community.


Instructor Dr. Kushal Bimb Demonstrating Instruments
Instructor Dr. Kushal Bimb Demonstrating Instruments


Project Outline

Keeping this in mind, the Basic Oral Health Training of the Health Workers from the Health Post/Primary Health Care Centers in Ramechhap district was planned and implemented. Newly trained Health Workers mean increase in the dental care services manpower.


The trained Health Worker would be able to

Diagnose common oral diseases.
Perform simple tooth extractions.
Minimize gums problems, performing scaling.
Instruct the use of fluoride tooth paste.
Spread oral health education in the communities as well as in the schools.
Carry out ART fillings.
Provide first aid facilities of mandible and maxillary fractures.


Programme Methodology:

One week of Theoretical Classes, Demonstration Presentations
One week of Practical Training (Dental Camp)


Training Place:

Theoretical Class: Ramechhap District Hospital, Ramechhap
Practical (Dental Camp): Ramechhap District Hospital and Different Villages of Ramechhap District


Basic Oral Health Training Schedule

Date Programme Place
6th to 12th December, 2007 Theoretical Class Ramechhap District Hospital
13th to 15th December, 2007 Practical (Dental Camp) Ramechhap District Hospital
18th to 19th December, 2007 Practical (Dental Camp) Sandedada, Hiledevi Village
Development Commettee,
Ramechhap, District
22th to 23th December, 2007 Practical (Dental Camp) Betali, Betali Village
Development Commettee,
Ramechhap, District

Assistant demonstrating Glass Ionomer cement mixing method
Assistant demonstrating Glass Ionomer cement mixing method

Training Activities

Day Date Activities Place
1st 6th December, 2007 Training Inauguration & Introduction
Theoretical Class
Demonstration: Skull, Decayed tooth
Presentation: OHP, Slides
Ramechhap Hospital
2nd 7th December, 2007 Theoretical Class
Demonstration: Skull, Decayed tooth
Presentation: OHP, Slides
Ramechhap Hospital
3rd 8th December, 2007 Theoretical Class
Demonstration: Skull, Decayed tooth
Presentation: OHP, Slides
Ramechhap Hospital
4th 9th December, 2007 Theoretical Class
Demonstration: Dental Instruments & Equipments
Ramechhap Hospital
5th 10th December, 2007 Theoretical Class
Demonstration: Tooth Extraction
Ramechhap Hospital
6th 11th December, 2007 Theoretical Class
Demonstration: Tooth Filling (ART) & Hand Scaling
Ramechhap Hospital
7th 12th December, 2007 Course Revision
Demonstration: Oral Health Education
Practical: School Dental Health Program
1. Ramechhap Hospital,
2. Bal Mandir Primary School Ramechhap
3. Gaurishanker Secondary School, Primary Wing, Ramechhap
8th, 9th, 10th 13th, 14th & 15th December, 2007 Dental Camp Ramechhap Hospital
11th& 12th 18th& 19th December, 2007 Dental Camp Sandedanda, Hiledevi VDC, Ramechhap
13th& 14th 22th& 3th December, 2007 Dental Camp Betali, Betali VDC, Ramechhap


Trainee in Spoting Test
Trainee in Spoting Test


School Dental Health Programme
School Dental Health Programme

Dental Camp Summary

Place Number of Patient Treatment Provided
Ramechhap District Hospital, Ramechhap Total: 342
Male:154
Female: 188
Dental Check-up: 243
Tooth Extraction: 137
Tooth Filling (ART): 64
Hand Scaling: 11
Sandedanda, Hiledevi Village Development Committee, Ramechhap Total:205
Male: 82
Female: 123
Dental Check-up: 205
Tooth Extraction: 87
Tooth Filling (ART): 37
Hand Scaling: 5
Betali, Betali Village Development Commettee, Ramechhapt Total: 245
Male: 116
Female: 129
Dental Check-up: 245
Tooth Extraction: 98
Tooth Filling (ART): 38
Hand Scaling: 3
Total Patient: 792
Male: 352
Female: 440
Dental Check-up: 792
Tooth Extraction: 322
Tooth Filling (ART): 139
Hand Scaling: 19


Dental Camp
Dental Camp


As part of the training, the Trainees visited Schools with the Team and participated in oral health education activities in class rooms demonstrating proper tooth brushing methods to school children. They carried out ART fillings and other activities in the Dental Camps.


Trainee performing ART
Trainee performing ART



Achievements

All together in December 2007, 12 Health Care workers were trained. They were from Different health posts in Ramechhap district.


Working Places of the Trainees

Doramba Health Post

Tokarpur Sub-health Post

Salu Sub-health Post

Gunsi Health Post

Manthali Primary Health Centre

Gumdel Sub-health Post

Tilpung Sub-health Post

Rakathum Sub-health Post

Rasnalu Sub-health Post

Ramechhap District Hospital

Okhreni Sub-health Post

Sukajor Sub-health Post


Conclusion

Access to dental care and lack of trained manpower in the rural areas of Nepal has been a problem. Training Health Workers in Health posts and Sub-health posts in performing simple dental care activities would bring relief to many children and adults living in small communities and rural areas in Nepal. If the example in Ramechhap District is successful, hopefully the rest of the country could perhaps follow this programme successfully.


Dr. Kurshal Bimb & Training Co-ordinator Mr. Raj B. Shrestha
Dr. Kurshal Bimb & Training Co-ordinator
Mr. Raj B. Shrestha



Reference

Final Report of the Basic oral Health Training Program to the health workers of Ramechhap District, Dec 2007.


Acknowledgement

We would like to thank Mr Raj B Shreshta, Director, Araniko Dental Hospital for helping us with this presentation and providing pictures of the programme.

 

Link to: ART explanation

Last updated by Gisela Ladda Tayanin