Quality of oral health care in Cambodia

1. Quality of oral health carein Cambodia HengSopanha University of Health Sciences Cambodia

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

3. About Cambodia The Kingdom of Cambodia Capital city: Phnom Penh, with 23 provinces The Number of the population: approximately 14,000,000 Religion: Buddhist

5. Dental situation in Cambodia The number of the dentist approximately 420 persons Dental nurse: 250 persons The 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

6. 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)

7. 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.

8. 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.

9. The situation on an aging in Cambodia Mobile treatment in a village

10. The situation on an aging in Cambodia

11. The situation on an aging in Cambodia

12. The situation on an aging in Cambodia

13. The situation on an aging in Cambodia

14. The situation of dental care in Cambodia Ultra sonic scaler in Dental Bus

17. 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.

18. 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.

19. 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.

20. Faculty of Odo (cont) Duration of Study: 7 years The first three years: Students attend course in Basic Sciences (First Phase) 1st year 2nd year 3rd year The next two years: Emphasize Basic Dental Sciences and pre-clinical Practice. (Second Phase) 4th year 5th year

24. Faculty of Odo (cont) The final two years: Focus on Clinical Dentistry (Third Phase) 6th year 7thyear By 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.

25. National Oral Health Preventive Program Ministry of Education (MOE) School Health Department Ministry of Health (MOH) Faculty of Odonto stomatology Research and Planning Office NGO, OI Support WC 1991-1997 AOI 1998-2004 OISDE. Working group implementation on National Oral Health Preventive Program in Cambodia Private Support Colgate

26. Oral health preventive program

27. 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

29. 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.

35. 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

36. 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.

37. 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.

38. Shihanoukvillein Cambodia Thank you for your attention !!