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Updated: Aug 7, 2026
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Community Implementers as Dual Agents in an Oral Health Programme: A Qualitative Exploration
Devi Shantini Rata Mohan1, Kalvina Chelladorai1, Zalilah Abdullah1
1Institute for Health Systems Research, National Institutes of Health, Ministry of Health, Shah Alam, Malaysia.
Summary
Community implementers in the Program Kampung Angkat Pergigian (PKAP) bridge oral healthcare gaps. Their experiences highlight the need for support and trust to effectively engage communities.
Area of Science:
- Public Health
- Community Health Programs
- Oral Healthcare Delivery
Background:
- Persistent structural barriers hinder oral healthcare access.
- Community-based programs are crucial for overcoming these challenges.
- The Program Kampung Angkat Pergigian (PKAP) utilizes community leaders and dental icons as implementers.
Purpose of the Study:
- To explore the roles and experiences of community implementers in the PKAP.
- To understand how community implementers mediate between healthcare professionals and the community.
Main Methods:
- Exploratory qualitative design.
- Purposive sampling across urban, suburban, and rural districts.
- 10 in-depth interviews analyzed using codebook thematic analysis.
Main Results:
- Key themes: navigating expectations, trust influencing engagement, and bridging health systems and community.
- Community implementers' effectiveness is linked to operational support, trust, and contextual awareness.
- Systemic limitations impact the delivery of home visit services by these representatives.
Conclusions:
- Community implementers are valuable in delivering community-driven oral health interventions.
- Sustaining the relationship between community implementers and healthcare systems is vital.
- Addressing operational and systemic factors is essential for program success.
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