quality of oral health care in cambodia

Quality of oral health care in Cambodia

Heng SopanhaUniversity of Health Sciences

Cambodia

Contents

About Cambodia Dental situation in Cambodia Dental Education in Cambodia Preventive of oral healthcare Issue and point of improvement

About Cambodia

The Kingdom of Cambodia

Capital city: Phnom Penh, with 23 provinces

The Number of the population: approximately 14,000,000Religion: Buddhist

Dental situation in Cambodia

The number of the dentist approximately 420 persons Dental nurse: 250 personsThe number of the dental schools: 2(1

Government and 1 private sector). Duration of the training: 7 years There are approximately 70 % medical institutions in Phnom Penh because of infrastructure

Oral Health Problem

National survey on DMFT, 12 year old in 1990-91

Phnom Penh DMFT 3.2

Provinces DMFT 1.0

Whole country DMFT 1.6

Dental services are minimal with most of the care provided being for the relief of pain.

High rates of carries in primary teeth (dmft age 6>10)

Oral Health problem

Mekong river water in Cambodia 0.5 ppm(WC & MOH surveillance data, 1993)

Most carries was untreated, ¾ of caries affected the molar teeth mostly the occlusal surfaces.

Plaque accumulation status, and unsanitary environment have very significant influences to the periodontal inflammatory status.

The situation on an aging in Cambodia

Total fertility rate: 3.4 (2009)

Average of Life expectancy in Cambodia: Approximately 60 years old

There are many the elderly people in the rural area.

The situation on an aging in Cambodia

Mobile treatment in a village

The situation on an aging in Cambodia

The situation on an aging in Cambodia

The situation on an aging in Cambodia

The situation on an aging in Cambodia

The situation of dental care in Cambodia

Ultra sonic scaler in Dental Bus

Dental Education in Cambodia

Faculty of Odonto stomatology (UHS) Oral-Health office (MOH) School health Department (MOE) Dentists, Dental Nurses, Dental workers School directors, hygienist teachers, teachers and school children.

Faculty of Odonto stomatology

Is the Faculty to produced graduate till now over 400 person, they are work in the city and rural area.

To improve oral health education and Services in Cambodia

Promote the competencies for teaching and learning to build up the capacity of the dental practitioners among Cambodia, such as upgrade the knowledge, share experiences, expertise, advanced technologies.

Faculty of Odon tostomatology

Program:- Program title: Doctor of Dental Surgery- Degree: Doctor of Dental Surgery.Objectives:The graduates from this program should:- Have adequate knowledge in basic medical sciences and research

in dental profession.- Have the ability in examination, diagnosis, treatment of oral

diseases and appropriate rehabilitation of oral cavity and related organs, base on the holistic approaches. Including awareness of self-limitation for the highest benefit of the patient.

Faculty of Odo (cont)

Duration of Study: 7 years The first three years: Students attend course in Basic Sciences(First Phase) 1st year

2nd year3rd year

The next two years: Emphasize Basic Dental Sciences and pre-clinical Practice.

(Second Phase) 4th year5th year

Faculty of Odo (cont)

The final two years: Focus on Clinical Dentistry(Third Phase) 6th year

7th yearBy the end of the first Phase, students obtain a Certificate of Basic

Sciences.By the end of second Phase, students have to pass a theory and

clinical practice and they will get a Bachelor of Dentistry.After the Bachelor of Dentistry , students can continue in the third

Phase. The third Phase in for 2 to 3 years. The study in third Phase conduced to degree:

Diploma of Doctor of Dental Surgery.

National Oral Health Preventive Program

Ministry of Health

(MOH)

Ministry of Education (MOE)

School Health Department

Faculty of Odonto stomatology

Research and Planning Office

Working group implementation on National Oral Health Preventive Program in Cambodia

Private Support

Colgate

NGO, OI Support

WC 1991-1997

AOI 1998-2004

OISDE.

Oral health preventive program

Dental health Activities in school

Tooth brushing - organized in primary schools- Are directed by class monitors and teachers.- Toothbrush and toothpaste are provided to the grade

3 and 4, the others have to buy those by themselves.

Mouth ringing - Weekly mouth rinsing sessions with NaF Powder

(2g/l).- Monthly supervising and monitoring is made by

Dentists and School Directors

Prevention of oral health care

Oral health education- strategy for oral health education to communities- strategy for oral health education to schools- strategy for oral health education to pregnancy women

and expectant mothers.

Issue and point improvement

- The role of dentist and dental nurse in public oral service in Cambodia- Provider of dental service in Cambodia

. The new area in Dental education in Cambodia . Few cases of elderly patients in Cambodia . Few opportunities to know about the situation of elderly (To see hospitals...) - Utilization and financing of public of dental service in Cambodia

. Equipment and instruments . Materials and items . Essential drug for public oral service

Basic learning on

- Communities oral health research and research methodology

- Oral health and quality of life- Oral health as part of general health- Barriers to oral health care - Health system of Cambodia- National oral health policy and national oral health

planning.

Conclusion

For education of geriatric dentistry in Cambodia has just been started, and we are tackling to organize the curriculum.

We think that the most important thing is to pay attention to not only dental treatments for the elderly but an aging society because they will be in charge of the future’s situation at the present.

Thank you for your attention !!

Shihanoukville in Cambodia