An Approach and Evaluation of training cource program for oral health workers in a developing country (Nepal)

自1989年以来，我们参加了尼泊尔王国Thecho村牙科保健领域的国际合作努力。从1994年至2000年，与当地村社领导人一起开展了一个培训口腔保健专业人员的培训项目。这种培训每年举行一次，为期七天。在三年期间，有218人从该方案毕业，他们包括小学教师、对口人员、卫生工作者、母亲志愿者和委员会成员。培训内容包括口腔医学、龋齿和牙周病的诊断与病理学、菌斑控制的理论与实践、饮食与牙齿健康的营养指导等，学员对培训内容的评价结果如下：（1）75%的学员表示能够理解培训内容。就授课量和实习量而言，66.6%的毕业生表示满意。（2）毕业生 关于我们 毕业后想从事以下活动的占100%，想洗牙的占66%，想做口腔检查的占41.6%，想做营养指导的占33.3%。至于接受这一指导的合适地点，偏好如下：在卫生站75%，在当地房屋50%。(3)该培训项目在促进学生对社区卫生活动的理解和积极性方面取得了很大的成功，理论与实践相结合。（4）该项目通过培训教师成为卫生工作者和在学校开展口腔健康教育，在促进发展中国家的口腔健康活动方面非常成功。另一方面，由于城市化和食物、饮料和糖果中糖的消费量增加，该村庄学童的龋齿患病率最近有所增加。1994年12月对某小学50名儿童进行了含氟漱口。6年后，该方案的参与者是15所小学的2397名儿童。这种参与式项目可以提高自力更生的健康。这个计划可能会被尼泊尔的村庄采用。少

Since 1989, we have taken part in an internatioutal cooperative effort in the field of dental health care in Thecho village, the Kingdom of Nepal. From 1994-2000, a training project to train professional staff for oral health care was carried out with the local leaders of the village community. This training was held once a year for seven days. During three years 218 persons graduated from the program, They consisted of primary school teachers, counter-parts, health workers, mother volunteers and committee members. The subjects of the training sessions were dental medicine, diagnosis and pathology of dental cavities and periodontal disease, theory and practice for plaque control and nutrition guidance for eating and dental health.The results of the evaluations of these programs by the students were as follows : (1)75% of the graduates reported that they could understand the programs. As far as the amounts of lectures and practice, 66.6% of the graduates respond favorably. (2)Graduates … More wanted to do the following activities after graduation : brushing 100%, scaling 66%, oral examination 41.6% and nutrition guidance 33.3%. As for a suitable place to receive this instruction, preferences were as follows : at the health post 75%, in a local house 50%. (3) To promote students understanding and motivation for health activities in their own community, this training program was very successful, that combined both theory and practice . (4)This project was very successful in the area of promoting oral health activities in a developing country through training teachers as health workers and introducing the oral health education into the schools.On the other hand, The prevalence of dental caries of school children in this village has recently shown an increase due to urbanization and increaseingsugar consumption from food, beverages and sweets. The fluoride mouth-rincing program was performed in December 1994 with 50 children of one primary school. After 6 years, the participants of this program were 2397 children of 15 primary school. This kind of participatory project can increase self-reliance for healtk This program might be adopted by Nepalese villages. Less