|Budget Amount *help
¥1,600,000 (Direct Cost : ¥1,600,000)
Fiscal Year 2000 : ¥500,000 (Direct Cost : ¥500,000)
Fiscal Year 1999 : ¥500,000 (Direct Cost : ¥500,000)
Fiscal Year 1998 : ¥600,000 (Direct Cost : ¥600,000)
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)Graduate
s 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.