To explore and develop a model to maintain and build upon a dental clinic open for all in developing regions, with a primary focus on India

Sugandhi, Ayushi; Mangal, Brijesh; Mishra, Amit Kumar; Sethia, Bhavna

doi:10.12998/wjcc.v2.i9.439

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Innovative financing was not a very sought-after category, with only two interventions that employed delivery point financing and one showcasing a community insurance scheme making up the representative sample (55)(56)(57)(58). Although health financing is an extremely broad category, we searched for financing schemes on both systems and facilities levels that improved coverage and financial safety for individuals whenever they wanted to access health services and financial partnerships that improved healthcare access such as PPPs (public private partnerships).…”

Section: Financingmentioning

confidence: 99%

“…Urban regions were the most common regions for these innovations. The primary beneficiaries of all the schemes were people in the lower socioeconomic status with significant burden being put on higher income strata or the government (55,56).However, all the innovations demonstrated a significantly moderate amount of success rate on ability to seek care, hospitalizations, mortality and morbidity.…”

Section: Financingmentioning

confidence: 99%

“…Outcome types were either organizational or health and wellbeing; measuring care seeking behaviour, health indicators and even early hospitalizations and reduction in adverse events (55)(56)(57)(58).The low number of financing interventions in selected clusters are reflective of the general trend seen in terms of primary health interventions.…”

Section: Financingmentioning

confidence: 99%

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Primary Healthcare Innovations in India: Synthesis from a systematic review

Chaudhuri,

Yellappa,

Parikh

et al. 2023

Preprint

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TITLE: Primary Healthcare Innovations in India: Synthesis from a systematic review Primary healthcare (PHC) serves as the first point of contact for individuals seeking care. However, the PHC system in India faces significant systemic challenges compounded by multiple disease burdens the population faces. The Astana Declaration highlighted the importance of building a comprehensive and resilient healthcare system, focused on an individual rather than a disease. While Health and Wellness Centers (HWCs) are being developed towards universal health coverage (UHC) as a part of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), several gaps still exist. A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The study involved developing a theoretical PHC framework, creating search strategies across databases (like MEDLINE, OVID, and CINAHL), and screening them. The review encompassed health innovations and included studies from 1990 to 2019. Relevant quantitative and geographically focused study designs were included, focusing on innovations that improve the efficiency, effectiveness, quality, sustainability, and economy of primary care services. A total of 239 impact evaluations were included and analyzed. The majority of these evaluations were journal articles (237), with one report and one working paper. The impact evaluations primarily focused on single innovations, although there were also 10 multilayered studies and 7 studies with multiple arms. Out of the 239 innovations, 24 were randomized controlled trials (RCTs) conducted in controlled settings. The studies predominantly took place in rural communities (53%), followed by mixed urban-rural, urban, and tribal communities. Foundations were primary funders (35.6%), with community health worker-delivered interventions, digital service innovations, and supportive mentoring programs being the key supported interventions. This systematic review offers valuable insights into the challenges and opportunities in India's PHC system. The findings can inform policymakers, researchers, and healthcare stakeholders in improving primary healthcare delivery and addressing the evolving healthcare landscape in India.

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Section: Financingmentioning

confidence: 99%

Section: Financingmentioning

confidence: 99%

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Primary Healthcare Innovations in India: Synthesis from a systematic review

Chaudhuri,

Yellappa,

Parikh

et al. 2023

Preprint

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Evaluation of oral health services and challenges faced by oral health practitioners working in Nyarugenge, Rwanda

Nzabonimana,

Malele-Kolisa,

Hlongwa

2024

PLoS ONE

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Objective Oral healthcare professionals encounter considerable challenges while providing services to curb the oral disease burden. The aim of this study was to explore the challenges faced by oral health practitioners providing oral health services in Nyarugenge, Rwanda and to appraise the availability and adequacy of oral hygiene equipment, instruments, and materials. Methods This was a cross-sectional concurrent mixed methods study. The quantitative and qualitative parts were independent during data collection and analyses and merged during the interpretation phase. All seven public health facilities and 14 dental professionals working in Nyarugenge were included in the study. Data were collected using an audit checklist and an in-depth interview guide. Descriptive statistics were used to analyze the quantitative data. The interviews were analyzed using thematic content analysis. Results Most of the dental health professionals were dental therapists (n = 11), women (n = 9), aged 31–40 years (n = 7), and with 11–20 years’ experience as oral health practitioners (n = 6). There were five health centers and two hospitals that were audited for equipment, instruments, and materials. The audit of the facilities revealed that most facilities have dental equipment and instruments, but none have adequate preventive dental instruments and materials. Four broad themes emerged from the interviews with the oral health practitioners, namely human resources, supply chain management, patients’ oral health awareness and service rendering, and strategic management and administration. The most significant challenges oral health practitioners faced included high dental practitioner/patient ratios, lack of adequate and appropriate equipment and materials, patients’ lack of oral health awareness, and a lack of administrative support. Conclusions Well-established community preventive interventions, such as a mobile oral health App, could reduce the patient/provider ratio by increasing population awareness of oral health and encouraging healthy behaviours. The management of the health facilities should address the human resource challenges and equipment supply chain issues.

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Dental caries experience using the international caries detection and assessment system among adults, Nellore District, Andhra Pradesh, India: An epidemiological survey

Emerald

Reddy

Sudhir

et al. 2019

J Indian Assoc Public Health Dent

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To explore and develop a model to maintain and build upon a dental clinic open for all in developing regions, with a primary focus on India

Abstract: The model which we propose works well for low income patients; however, it places a lot of extra burden on the higher income group. A lot of effort can be put into generating revenue from other sources, including events and donations.

Cited by 3 publications

References 6 publications

Primary Healthcare Innovations in India: Synthesis from a systematic review

Primary Healthcare Innovations in India: Synthesis from a systematic review

Evaluation of oral health services and challenges faced by oral health practitioners working in Nyarugenge, Rwanda

Dental caries experience using the international caries detection and assessment system among adults, Nellore District, Andhra Pradesh, India: An epidemiological survey

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