Optimizing the role of health cadres in dental and oral health based on primary service integration
Abstract
Oral and dental health is a reflection of a community's quality of life. However, the incidence of oral and dental diseases remains high. Therefore, the prevention of these diseases requires cross-sectoral collaboration by optimizing the role of health cadres. The objective of this community service program was to enhance cadres' knowledge of oral and dental health and their social support for early detection of oral and dental diseases. The implementation method involved a training program for 10 health cadres from Petaranga Village who are concerned with oral and dental health. The training utilized lectures, discussions, demonstrations, and practical sessions. Post-program evaluation results showed a significant increase in the health cadres' knowledge and skills regarding oral and dental health, as well as the social support they can provide to individuals with these diseases. Quantitatively, the average knowledge score increased from 70 to 90, which was statistically significant (p=0.000), proving the effectiveness of the primary service integration-based training program.
Keywords
Health cadres' role; Oral and dental; Primary service integrationReferences
- Akera, P., Kennedy, S. E., Lingam, R., Obwolo, M. J., Schutte, A. E., & Richmond, R. (2022). Effectiveness of primary school-based interventions in improving oral health of children in low- and middle-income countries: a systematic review and meta-analysis. BMC Oral Health, 22(1), 264. https://doi.org/10.1186/s12903-022-02291-2
- Aryal, A., Garcia Jr, F. B., Scheitler, A. J., Faraon, E. J. A., Moncatar, T. R. T., Saniel, O. P., & Ponce, N. A. (2023). Evolving academic and research partnerships in global health: a capacity-building partnership to assess primary healthcare in the Philippines. Global Health Action, 16(1), 2216069. https://doi.org/10.1080/16549716.2023.2216069
- Benzian, H. (2021). The WHO Global Oral Health Status Report. World Health Organization.
- Bhayat, A. (2021). Community-based oral health promotion: A rural health approach. Journal of International Society of Preventive & Community Dentistry, 11(6), 605–611.
- Bland, A., Meyer, A., Orrantia, E., Hale, I., & Grzybowski, S. (2024). Rural physician–community engagement: Building, supporting and maintaining resilient health care strategies in three rural Canadian communities. Australian Journal of Rural Health, 32(5), 930–937. https://doi.org/10.1111/ajr.13154. Epub 2024 Jun 24
- Fisher, J., Berman, R., Buse, K., Doll, B., Glick, M., Metzl, J., & Touger-Decker, R. (2023). Achieving oral health for all through public health approaches, interprofessional, and transdisciplinary education. NAM Perspectives, 13. https://doi.org/10.31478/202302b
- Foláyan, M. O., Ishola, A. G., Bhayat, A., Tantawi, M. El, & Ndembi, N. (2025). Strengthening health systems to tackle oral diseases in Africa: Africa CDC’s role. Frontiers in Public Health, 23. https://doi.org/10.3389/fpubh.2025.1539805
- Gallagher, J. E., Mattos Savage, G. C., Crummey, S. C., Sabbah, W., Varenne, B., & Makino, Y. (2023). Oral health workforce in Africa: a scarce resource. International Journal of Environmental Research and Public Health, 20(3), 2328. https://doi.org/10.3390/ijerph20032328
- GBD 2019 Oral Disorders Collaborators. (2020). Global burden of oral diseases: A systematic analysis. The Lancet, 369(10264), 380–384.
- Jackson, S. L., Jr, W. F. V., Kotch, J. B., Pahel, B. T., & Yee, J. L. (2011). Impact of poor oral health on children’s school attendance and performance. American Journal of Public Health, 101(10), 1900–1906. https://doi.org/10.2105/AJPH.2010.200915
- Kementrian Kesehatan Republik Indonesia. (2018). Riset Kesehatan Dasar. Balitbangkes Kemenkes RI.
- Keputusan Menteri Kesehatan Nomor HK.01.07/MENKES/2015/2023 Tentang Petunjuk Teknis Integrasi Pelayanan Kesehatan Primer, (2023).
- Listl, S. (2015). The impact of dental care on work productivity and absenteeism. Health Economics, 24(4), 367–379.
- Marinho, V. C. C., Logan, S., Sheiham, A., & Higgins, J. P. T. (2004). Fluoride mouthrinses for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews, 3, CD002284. https://doi.org/10.1002/14651858.CD002284
- Mujiyati, & Syahniati, T. (2022). Analisis Peran Kader Posyandu Dalam Upaya Pemasaran Sosial Kesehatan Gigi Dan Mulut. Babul Ilmi: Jurnal Ilmiah Multi Science Kesehatan, 14(1), 109–115. https://doi.org/10.36729/bi.v14i1.817
- Nash, R., Cruickshank, V., & Elmer, S. (2024). Global perspectives of children’s health literacy. In Partnerships Between Health, Education and Communities (pp. 1–21). Springer.
- Peres, M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M. R., Listl, S., Celeste, R. K., Guarnizo-Herreño, C. C., Kearns, C., Benzian, H., Allison, P., & Watt, R. G. (2019). Oral diseases: a global public health challenge. The Lancet, 394(10194), 249–260. https://doi.org/10.1016/s0140-6736(19)31146-8
- Petersen, P. E., & Kwan, S. (2020). Equity, social determinants and public health programmes – the case of oral health. Community Dental Oral Epidemiology, 48(5), 401–408. https://doi.org/10.1111/j.1600-0528.2011.00623.x
- Varenne, B. (2015). Integrating Oral Health with Non-Communicable Diseases as an Essential Component of General Health: WHO’s Strategic Orientation for the African Region. Journal Dental Education, 79(5).
- Wang, X. (2025). Oral health issues of the disabled population: a growing concern in China. Frontiers in Public Health, 20. https://doi.org/10.3389/fpubh.2025.1585300
- Watt, R. G., Daly, B., Allison, P., Macpherson, L. M. D., Venturelli, R., Listl, S., Weyant, R. J., Mathur, M. R., Guarnizo-Herreño, C. C., Celeste, R. K., Peres, M. A., Kearns, C., & Benzian, H. (2020). Ending the neglect of global oral health: time for radical action. The Lancet, 394(10194), 261–272. https://doi.org/10.1016/S0140-6736(19)31133-X
- Wirza, & Febriani, H. (2023). Pelatihan Kader Kesehatan Gigi Dalam Meningkatkan Kesiapsiagaan Pada Masa Resiliensi Pasca Covid-19 Di Kecamatan Baiturrahman Kota Banda Aceh 2022. JEUMPA: Jurnal Pengabdian Kepada Masyarakat, 2(2), 7–13.