Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators

Background: The prevalence and impact of oral disease among long-term institutionalised residents highlight the need for a scale-up of preventive and promotional oral health services that include oral health education and training for caregiving staff. However, opportunities to improve oral healthca...

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Main Authors: Sonam Balwanth, Shenuka Singh
Format: Article
Language:English
Published: AOSIS 2023-06-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/3884
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author Sonam Balwanth
Shenuka Singh
author_facet Sonam Balwanth
Shenuka Singh
author_sort Sonam Balwanth
collection DOAJ
description Background: The prevalence and impact of oral disease among long-term institutionalised residents highlight the need for a scale-up of preventive and promotional oral health services that include oral health education and training for caregiving staff. However, opportunities to improve oral healthcare services are met with challenges. Aim: This study was undertaken to establish coordinator perspectives on oral health provision. Setting: Seven long-term care facilities in the eThekwini district, South Africa. Methods: An in-depth exploratory study was conducted with 14 purposively selected coordinators (managers and nurses). Semi-structured interviews were conducted and focused on coordinators’ experience and perspectives on oral healthcare. Data were analysed using thematic analysis. Results: The following themes emerged from the study: A lack of comprehensive oral health care practices, inadequate support from the dental sector, insufficient oral health prioritisation, limited funding for oral health, and challenges associated with coronavirus disease (COVID-19). All respondents reported that no oral health initiatives existed. Plans for oral health training workshops presented with coordination and funding challenges. Oral health screening initiatives have ceased since COVID-19. Conclusion: The study findings indicated that prioritisation of oral health services was inadequate. There is a need for continual oral health in-service training for caregivers and support from coordinators in guiding the implementation of oral health training programmes. Contribution: It is envisaged that the findings of this study will bring about greater coordinator involvement and collaboration with the public and private dental sectors to improve oral healthcare at long-term care facilities.
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spelling doaj.art-1f8fb418886146bdb3ec205d8309f1412023-07-03T12:15:12ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362023-06-01151e1e1010.4102/phcfm.v15i1.38841044Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinatorsSonam Balwanth0Shenuka Singh1Discipline of Dentistry, School of Health Sciences, University of KwaZulu-Natal, DurbanDiscipline of Dentistry, School of Health Sciences, University of KwaZulu-Natal, DurbanBackground: The prevalence and impact of oral disease among long-term institutionalised residents highlight the need for a scale-up of preventive and promotional oral health services that include oral health education and training for caregiving staff. However, opportunities to improve oral healthcare services are met with challenges. Aim: This study was undertaken to establish coordinator perspectives on oral health provision. Setting: Seven long-term care facilities in the eThekwini district, South Africa. Methods: An in-depth exploratory study was conducted with 14 purposively selected coordinators (managers and nurses). Semi-structured interviews were conducted and focused on coordinators’ experience and perspectives on oral healthcare. Data were analysed using thematic analysis. Results: The following themes emerged from the study: A lack of comprehensive oral health care practices, inadequate support from the dental sector, insufficient oral health prioritisation, limited funding for oral health, and challenges associated with coronavirus disease (COVID-19). All respondents reported that no oral health initiatives existed. Plans for oral health training workshops presented with coordination and funding challenges. Oral health screening initiatives have ceased since COVID-19. Conclusion: The study findings indicated that prioritisation of oral health services was inadequate. There is a need for continual oral health in-service training for caregivers and support from coordinators in guiding the implementation of oral health training programmes. Contribution: It is envisaged that the findings of this study will bring about greater coordinator involvement and collaboration with the public and private dental sectors to improve oral healthcare at long-term care facilities.https://phcfm.org/index.php/phcfm/article/view/3884oral health provisioncoordinator perspectiveslong-term care facilitiescaregiversinstitutionalised residents.
spellingShingle Sonam Balwanth
Shenuka Singh
Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators
African Journal of Primary Health Care & Family Medicine
oral health provision
coordinator perspectives
long-term care facilities
caregivers
institutionalised residents.
title Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators
title_full Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators
title_fullStr Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators
title_full_unstemmed Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators
title_short Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators
title_sort oral healthcare provision at long term care facilities in ethekwini perspectives of coordinators
topic oral health provision
coordinator perspectives
long-term care facilities
caregivers
institutionalised residents.
url https://phcfm.org/index.php/phcfm/article/view/3884
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AT shenukasingh oralhealthcareprovisionatlongtermcarefacilitiesinethekwiniperspectivesofcoordinators