Impact of Health Centre Nurses on the Reduction of Early Childhood Cariesin Lima, Peru

Pesaressi, Eraldo; Villena, Rita; Sanden, W.J.M. van der; Frencken, Jo E.

doi:10.9734/bjmmr/2015/13331

Cited by 7 publications

(8 citation statements)

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“…The intervention period lasts 3 years, and the methodology has been described on a previous publication. 23 The sampling unit for the RCT was the healthcare centre. The inclusion criterion was a well-functioning mother-andchild health clinic in the centre situated within a district under the jurisdiction of the Ministry of Health and with a low socio-economic status (SES).…”

Section: Study Design and Samplingmentioning

confidence: 99%

Dental caries and oral health‐related quality of life of 3‐year‐olds living in Lima, Peru

Pesaressi

Villena

Frencken

2019

Int J Paed Dentistry

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Historically, oral health has been assessed through clinical and objective methods, which do not measure the full impact of disease on the daily living of the individual. 1 An Early Childhood Caries (ECC) percentage as high as 62.3 has been reported in Peruvian children under 6 years of age. 2 Untreated, ECC can trigger a number of negative consequences, including pain, difficulty in chewing, reduced appetite, weight loss, sleep problems, behavioural alterations, low academic performance, and need for hospitalisation. It can also contribute to increased health cost. 3,4 The concept 'quality of life' is considered a valid parameter for patient assessment in virtually every area of

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Section: Study Design and Samplingmentioning

confidence: 99%

Dental caries and oral health‐related quality of life of 3‐year‐olds living in Lima, Peru

Pesaressi

Villena

Frencken

2019

Int J Paed Dentistry

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“…OH education, which is an important component of current IOHP interventions, cannot alone produce lasting change among schoolchildren (56,57). To increase access to IOHP interventions and data about their impact, it would be necessary to extend OH promotion initiatives to other health professionals such as nurses (9,24,47,51,52) and to involve more local stakeholders such as teachers, parents, and community members (communal assemblies, school parent associations, local health promoters, community shopkeepers) in the development, implementation, and deployment of interventions (8,45,50,51). The development of collaboration with communities' stakeholders and other health professionals would enable the identification of local challenges and assets (54), which could lead to interventions to improve socio-economic conditions in rural communities (7).…”

Section: Discussionmentioning

confidence: 99%

“…However, their actual deployment is uneven across the country (21), particularly in the remote rural Andean areas (22), and the form and level of involvement of community stakeholders are not clear. Certain factors partially explain this situation, including the shortage of OH professionals (23), the low involvement of other health professionals in IOHP (24), and the fragmentation of the Peruvian health system where policies are developed by the Ministry of Health while implementation is managed at regional and local levels (25).…”

Section: Introductionmentioning

confidence: 99%

Intersectoral oral health promotion interventions for schoolchildren living in remote rural Andean communities: a realist evaluation

2019

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Background: Intersectoral oral health promotion entails the participation of local communities. IOHP interventions were introduced in Peru in primary schools in 2013 but oral health among schoolchildren living in rural Andean communities remains suboptimal. Objectives: To understand the contextual elements and the underlying mechanisms associated with intersectoral oral health promotion interventions’ current effects on schoolchildren living in remote rural Andean communities. Method: A realist evaluation was carried out in three rural Andean communities where intersectoral oral health promotion interventions aimed at schoolchildren have been implemented. Following an evaluation of the effects among schoolchildren, contextual elements and mechanisms were explored with various stakeholders involved in intersectoral oral health promotion through focus groups and semi-structured interviews. Subsequently, an iterative data analysis and a validation process resulted in the identification of context-mechanism configurations. Results: Previous positive experiences of collaboration, a focus on communication, feelings of being respected and considered, and development of leadership and trust among stakeholders involved in intersectoral oral health promotion were elements of configurations that positively influence intersectoral oral health promotion. On the other hand, unfavorable physical, social and political environments, previous negative health experiences, feelings of not being respected or considered, demotivation, development of mistrust and insufficient leadership were shown to negatively influence outcomes. Conclusion: This research highlights the complexity associated with the deployment of intersectoral oral health promotion interventions in rural communities. Local stakeholders should be further involved to build trust, to facilitate coordination processes among remote rural communities and oral health professionals, and to optimize deployment of intersectoral oral health promotion interventions.

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“…23 35 Currently in Peru, OHPP is a responsibility of dentists working in health centres. In the face of a shortage of dentists and low involvement in OH by other health professionals, 40 current deployment of OHPPs is rather uneven in the different regions of the country. 41 In some places, non-governmental organisations are working with health authorities to ensure programme deployment.…”

Section: Ohpp Interventionsmentioning

confidence: 99%

Realist evaluation of intersectoral oral health promotion interventions for schoolchildren living in rural Andean communities: a research protocol

2017

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BackgroundIntersectoral collaboration, known to promote more sustainable change within communities, will be examined in an oral health promotion program (OHPP). In Peru, an OHPP was implemented by the Ministry of Health, to reduce the incidence of caries in schoolchildren. In rural Andean communities, however, these initiatives achieved limited success. The objectives of this project are: (1) to understand the context and the underlying mechanisms associated with Peruvian OHPP's current effects among school children living in rural Andean communities and (2) to validate a theory explaining how and under which circumstances OHP intersectoral interventions on schoolchildren living in rural Andean communities produce their effects.Methods and analysisThrough a realist evaluation, the context, underlying mechanisms and programme outcomes will be identified. This process will involve five different steps. In the first and second steps, a logic model and an initial theory are developed. In the third step, data collection will permit measurement of the OHHP's outcomes with quantitative data, and exploration of the elements of context and the mechanisms with qualitative data. In the fourth and fifth steps, iterative data analysis and a validation process will allow the identification of Context-Mechanism-Outcome configuration, and validate or refine the initial theory.Ethics and disseminationThis research project has received approval from the Comité d’éthique de la recherche en santé chez l'humain du Centre hospitalier universitaire de Sherbrooke. The initial theory and research results will be published in relevant journals in public health and oral health. They will also be presented at realist evaluation and health promotion international conferences.

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Impact of Health Centre Nurses on the Reduction of Early Childhood Cariesin Lima, Peru

Cited by 7 publications

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Dental caries and oral health‐related quality of life of 3‐year‐olds living in Lima, Peru

Dental caries and oral health‐related quality of life of 3‐year‐olds living in Lima, Peru

Intersectoral oral health promotion interventions for schoolchildren living in remote rural Andean communities: a realist evaluation

Realist evaluation of intersectoral oral health promotion interventions for schoolchildren living in rural Andean communities: a research protocol

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