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BMC Oral Health

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Open Access 01-12-2023 | Caries | Research

Barriers and enablers for oral health promotion programs amongst primary healthcare stakeholders in Qatar – a qualitative investigation

Authors: Asmaa Othman Alkhtib, Kamran Ali, Anand K. Sajnani, Lamyia Anweigi

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

Oral health of preschool children remains a concern globally. Primary healthcare providers are in a vital position to support preventive oral care programmes. This study explored current practices, perception and barriers of primary health care professionals towards oral health promotion program of children in Qatar.

Methods

The qualitative research used focus group discussions and interviewed a total of 108 participants that were audio recorded and transcribed verbatim. Four major themes emerged and were analysed to explore contextual patterns within the data.

Results

Participants acknowledged the high prevalence of caries in children and identified the causes in the local context which included parental practices, poor dietary habits, impact of culture lack of oral health knowledge, limitations in the healthcare system, and negative role of the media. However, complex barriers were exposed, including lack of time and ownership, system coordination between organizations, and lack of policy.

Conclusion

Health professionals and bureaucrats involved in decision-making held a positive attitude towards oral health prevention programs and were enthusiastic to initiate and support these programs.

Petersen PE. The world oral health report 2003: continuous improvement of oral health in the 21st century–the approach of the WHO Global Oral Health Programme. Commun Dent Oral Epidemiol. 2003;31(Suppl 1):3–23. https://doi.org/10.1046/j.2003.com122.x.CrossRef

Petersen PE. Global policy for improvement of oral health in the 21st century–implications to oral health research of World Health Assembly 2007, World Health Organization. Commun Dent Oral Epidemiol. 2009;37(1):1–8. https://doi.org/10.1111/j.1600-0528.2008.00448.x.CrossRef

Douglass JM, Douglass AB, Silk HJ. A practical guide to infant oral health. Am Family Phys. 2004;70(11):2113–20.

Javed F, Feng C, Kopycka-Kedzierawski DT. Incidence of early childhood caries: a systematic review and meta-analysis. J Invest Clin Dent. 2017;8(4). https://doi.org/10.1111/jicd.12238.

Uribe SE, Innes N. The global prevalence of early childhood caries: a systematic review with meta-analysis using the WHO diagnostic criteria. 2021, 31(6):817–30. https://doi.org/10.1111/ipd.12783.

Shrivastava R, Couturier Y, Simard-Lebel S, Girard F, Aguirre NVB, Torrie J, Emami E. Relational continuity of oral health care in indigenous communities: a qualitative study. 2019, 19(1):287. https://doi.org/10.1186/s12903-019-0986-z.

Preventive oral health intervention for pediatricians. Pediatrics. 2008;122(6):1387–94. https://doi.org/10.1542/peds.2008-2577.CrossRef

Chou R, Pappas M, Dana T, Selph S, Hart E, Fu RF, Schwarz E. Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years: Updated Evidence Report and Systematic Review for the US Preventive ServicesTaskForce.Jama2021,326(21):2179–2192. https://doi.org/10.1001/jama.2021.15658.

Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015. Lancet (London, England). 2017, 390(10091):231–266. https://doi.org/10.1016/S0140-6736(17)30818-8.

10.

Cheema S, Maisonneuve P, Al-Thani MH, Al-Thani AAM, Abraham A, Al-Mannai GA, Al-Emadi AA, Al-Chetachi WF, Almalki BA, Hassan Khalifa SEA, et al. Oral health behavior and factors associated with poor oral status in Qatar: results from a national health survey. J Public Health Dent. 2017;77(4):308–16. https://doi.org/10.1111/jphd.12209.CrossRefPubMed

11.

Alkhtib A, Ghanim A, Temple-Smith M, Messer LB, Pirotta M, Morgan M. Prevalence of early childhood caries and enamel defects in four and five-year old Qatari preschool children. BMC Oral Health. 2016;16(1):73. https://doi.org/10.1186/s12903-016-0267-z.CrossRefPubMedPubMedCentral

12.

Alkhtib A, Temple-Smith M, Messer LB, Pirotta M, Morgan M, Sajnani A. Knowledge, attitudes and practices of primary health care providers towards oral health of preschool children in Qatar. J Prev Med Hyg 2020,61(2):E205https://doi.org/10.15167/24214248/jpmh2020.61.2.1351.

13.

Lewis CW, Grossman DC, Domoto PK, Deyo RA. The role of the pediatrician in the oral health of children: a national survey. Pediatrics. 2000;106(6):E84. https://doi.org/10.1542/peds.106.6.e84.CrossRefPubMed

14.

Di Giuseppe G, Nobile CG, Marinelli A, Angelillo IF. Knowledge, attitude and practices of pediatricians regarding the prevention of oral Diseases in Italy. BMC Public Health. 2006;6:176. https://doi.org/10.1186/1471-2458-6-176.CrossRefPubMedPubMedCentral

15.

Kalkani M, Ashley P. The role of paediatricians in oral health of preschool children in the United Kingdom: a national survey of paediatric postgraduate specialty trainees. Eur Archives Pediatr Dentistry: Official J Eur Acad Pediatr Dentistry. 2013;14(5):319–24. https://doi.org/10.1007/s40368-013-0087-7.CrossRef

16.

Pope C, Mays N. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ. 1995;311(6996):42–5. https://doi.org/10.1136/bmj.311.6996.42.CrossRefPubMedPubMedCentral

17.

Gussy MG, Waters EG, Walsh O, Kilpatrick NM. Early childhood caries: current evidence for aetiology and prevention. J Paediatr Child Health. 2006;42(1–2):37–43. https://doi.org/10.1111/j.1440-1754.2006.00777.x.CrossRefPubMed

18.

Piovesan C, Mendes FM, Ferreira FV, Guedes RS, Ardenghi TM. Socioeconomic inequalities in the distribution of dental caries in Brazilian preschool children. J Public Health Dent. 2010;70(4):319–26.CrossRefPubMed

19.

Petersen PE, Kwan S. Equity, social determinants and public health programmes–the case of oral health. Commun Dent Oral Epidemiol. 2011;39(6):481–7. https://doi.org/10.1111/j.1752-7325.2010.00191.x.CrossRef

20.

Leong PM, Gussy MG, Barrow SY, de Silva-Sanigorski A, Waters E. A systematic review of risk factors during first year of life for early childhood caries. Int J Pediatr Dent. 2013;23(4):235–50. https://doi.org/10.1111/j.1365-263X.2012.01260.x.CrossRef

21.

Kotha SB. Prevalence and risk factors of early childhood caries in the Middle East region: A systematic review. Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharmacologie clinique 2022, 29(3):e43-e57. https://doi.org/10.47750/jptcp.2022.937.

22.

Thema LK, Singh S. Integrated primary oral health services in South Africa: the role of the PHC nurse in providing oral health examination and education. Afr J Prim Health Care Family Med. 2013;5:1–4. https://doi.org/10.4102/phcfm.v5i1.413.CrossRef

23.

Kimmie-Dhansay F, Barrie R, Roberts T, Naidoo S. Maternal and infant risk factors and risk indicators associated with early childhood caries in South Africa: a systematic review. BMC Oral Health. 2022;22(1):183. https://doi.org/10.1186/s12903-022-02218-x.CrossRefPubMedPubMedCentral

24.

Carlfjord S, Lindberg M, Andersson A. Staff perceptions of addressing lifestyle in primary health care: a qualitative evaluation 2 years after the introduction of a lifestyle intervention tool. BMC Fam Pract. 2012;13:99. https://doi.org/10.1186/1471-2296-13-99.CrossRefPubMedPubMedCentral

25.

Calderón C, Balagué L, Cortada JM, Sánchez A. Health promotion in primary care: how should we intervene? A qualitative study involving both physicians and patients. BMC Health Serv Res. 2011;11:62. https://doi.org/10.1186/1472-6963-11-62.CrossRefPubMedPubMedCentral

26.

Galuska DA, Fulton JE, Powell KE, Burgeson CR, Pratt M, Elster A, Griesemer BA. Pediatrician counseling about preventive health topics: results from the Physicians’ practices Survey, 1998–1999. Pediatrics. 2002;109(5):E83–83. https://doi.org/10.1542/peds.109.5.e83.CrossRefPubMed

27.

Rozier RG, Sutton BK, Bawden JW, Haupt K, Slade GD, King RS. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003;67(8):876–85.CrossRefPubMed

28.

Martinez C, Bacigalupe G, Cortada JM, Grandes G. The implementation of health promotion in primary and community care: a qualitative analysis of the ‘Prescribe Vida Saludable’ strategy. 2017, 18(1):23. https://doi.org/10.1186/s12875-017-0584-6.

29.

Watt RG. From victim blaming to upstream action: tackling the social determinants of oral health inequalities. Commun Dent Oral Epidemiol. 2007;35(1):1–11. https://doi.org/10.1111/j.1600-0528.2007.00348.x.CrossRef

30.

Watt RG. Social determinants of oral health inequalities: implications for action. Commun Dent Oral Epidemiol. 2012;40(Suppl 2):44–8. https://doi.org/10.1111/j.1600-0528.2012.00719.x.CrossRef

31.

Buerlein JK, Horowitz AM, Child WL. Perspectives of Maryland women regarding oral health during pregnancy and early childhood. J Public Health Dent. 2011;71(2):131–5. https://doi.org/10.1111/j.1752-7325.2010.00211.x.CrossRefPubMed

32.

Vann WF Jr., Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res. 2010;89(12):1395–400. https://doi.org/10.1177/0022034510379601.CrossRefPubMedPubMedCentral

33.

Stone J, Wiegand AW, Cooper J, Aronson E. When exemplification fails: hypocrisy and the motive for self-integrity. J Personal Soc Psychol. 1997;72(1):54–65. https://doi.org/10.1037//0022-3514.72.1.54.CrossRef

34.

Batson CD, Thompson ER. Why don’t Moral people Act morally? Motivational considerations. Curr Dir Psychol Sci. 2001;10(2):54–7. https://doi.org/10.1111/1467-8721.0011.CrossRef

35.

Valdesolo P, DeSteno D. Moral hypocrisy: social groups and the flexibility of virtue. Psychol Sci. 2007;18(8):689–90. https://doi.org/10.1111/j.1467-9280.2007.01961.x.CrossRefPubMed

36.

Kolisa Y. Assessment of oral health promotion services offered as part of maternal and child health services in the Tshwane Health District, Pretoria, South Africa. Afr J Prim Health Care Fam Med. 2016;8(1):e1–8. https://doi.org/10.4102/phcfm.v8i1.794.CrossRefPubMed

37.

Joufi AI, Claiborne DM, Shuman D. Oral Health Education and Promotion Activities by Early Head Start Programs in the United States: a systematic review. J Dent Hygiene: JDH. 2021;95(5):14–21.

38.

Fadl AE, Blair R, Hassounah M. S: Integrating Maternal and Children’s Oral Health Promotion into Nursing and Midwifery Practice- A Systematic Review.PloSone2016,11(11):e0166760.https://doi.org/10.1371/journal.pone.0166760.

39.

Le M, Riedy C, Weinstein P, Milgrom P. Barriers to utilization of dental services during pregnancy: a qualitative analysis. J Dentistry Child (Chicago Ill). 2009;76(1):46–52.

40.

Beil HA, Rozier RG. Primary health care providers’ advice for a dental checkup and dental use in children. Pediatrics. 2010;126(2):e435–441. https://doi.org/10.1542/peds.2009-2311.CrossRefPubMed

41.

Rocha JS, Arima L, Chibinski AC, Werneck RI, Moysés SJ, Baldani MH. Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies. Cadernos De Saude Publica. 2018;34(8):e00130817. https://doi.org/10.1590/0102-311X00130817.CrossRefPubMed

42.

Hall P. Interprofessional teamwork: professional cultures as barriers. J Interprof Care. 2005;19(Suppl 1):188–96. https://doi.org/10.1080/13561820500081745.CrossRefPubMed

43.

Leach MJ, Veziari Y. Enablers and barriers to evidence implementation in complementary medicine: a systematic review. Integr Med Res. 2022;11(4):100899. https://doi.org/10.1016/j.imr.2022.100899.CrossRefPubMedPubMedCentral

44.

Braun PA, Quissell DO, Henderson WG, Bryant LL, Gregorich SE, George C, Toledo N, Cudeii D, Smith V, Johs N et al. A Cluster-Randomized, Community-Based, Tribally Delivered Oral Health Promotion Trial in Navajo Head Start Children. Journalofdentalresearch2016,95(11):1237–1244.https://doi.org/10.1177/0022034516658612.

45.

Albino JE, Orlando VA. Promising directions for caries prevention with American Indian and Alaska Native children. Int Dent J. 2010;60(3 Suppl 2):216–22.PubMed

46.

Kyoon-Achan G, Schroth RJ, DeMaré D, Sturym M, Edwards JM, Sanguins J, Campbell R, Chartrand F, Bertone M, Moffatt MEK. First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study. Int J Equity Health. 2021;20(1):134. https://doi.org/10.1186/s12939-021-01476-5.CrossRefPubMedPubMedCentral

47.

Mouradian WE, Wehr E, Crall JJ. Disparities in children’s oral health and access to dentalcare.Jama2000, 284(20):2625–2631.https://doi.org/10.1001/jama.284.20.2625.

Title: Barriers and enablers for oral health promotion programs amongst primary healthcare stakeholders in Qatar – a qualitative investigation
Authors: Asmaa Othman Alkhtib
Kamran Ali
Anand K. Sajnani
Lamyia Anweigi
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Caries
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03633-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Barriers and enablers for oral health promotion programs amongst primary healthcare stakeholders in Qatar – a qualitative investigation

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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