Publications by authors named "Mutave R"
This executive summary can be used by all key stakeholders involved in creating, disseminating, implementing, monitoring, and evaluating oral health policies in the African region to leverage research and accelerate the implementation of the WHO Global and African Regional Strategies on Oral Health.
View Article and Find Full Text PDFBackground: Globally, oral health training has shown positive influence on knowledge, competency and practices for both oral and non-oral health-care workers towards integration of oral health into primary health care (PHC). Sub-Saharan Africa has very divergent social-cultural-political-economic settings. Since healthcare is contextual, it is necessary to review oral health training programs in this region to establish if their formulation, implementation and evaluation are context-reliant.
View Article and Find Full Text PDFArticle Synopsis
- * The article suggests three strategies for low and middle-income countries to address this challenge: adopting universal health coverage, integrating HIV care with NCD management, and developing a coordinated governance system.
- * Implementing these strategies is essential for maintaining and improving healthcare outcomes for people living with HIV and addressing the growing impact of NCDs in the region.
Article Synopsis
- People Living with HIV (PLHIV) in Kenya, especially key populations such as female sex workers (FSWs) and men who have sex with men (MSM), have a high but underreported burden of non-communicable diseases (NCDs).
- A study analyzed medical records of 1,478 individuals from the Sex Workers Outreach Program in Nairobi, showing that 18.3% had an NCD diagnosis, primarily cardiovascular diseases like hypertension.
- Results indicated that FSWs were significantly affected, making up 95.2% of the documented NCD cases, with most patients being at an early clinical stage of HIV treatment.
Article Synopsis
- The Kenyan HIV treatment program has significantly improved survival rates among people living with HIV (PLHIV), while noncommunicable diseases (NCDs) have emerged as a major health concern over the past decade.
- A study reviewed medical records from over 3,000 HIV-infected adults to assess the prevalence and incidence of four major NCDs: cardiovascular diseases, cancer, chronic respiratory diseases, and diabetes.
- Findings revealed that 11.5% of PLHIV had a documented NCD, with elevated blood pressure being the most common, yet only a small fraction had a diagnosis of hypertension in their records; men were found to have a higher incidence rate of NCDs compared to women.
Although there have been major improvements in oral health, with remarkable advances in the prevention and management of oral diseases, globally, inequalities persist between urban and rural communities. These inequalities exist in the distribution of oral health services, accessibility, utilization, treatment outcomes, oral health knowledge and practices, health insurance coverage, oral health-related quality of life, and prevalence of oral diseases, among others. People living in rural areas are likely to be poorer, be less health literate, have more caries, have fewer teeth, have no health insurance coverage, and have less money to spend on dental care than persons living in urban areas.
View Article and Find Full Text PDFDental fluorosis, caries experience and snack intake of 13-15 year olds in Kenya.
East Afr Med J
March 2009
Objectives: To determine the dental caries experience in relation to the severity of dental fluorosis and; to evaluate the dietary snacking habits of adolescents.
Design: A descriptive cross-sectional study.
Setting: A peri-urban primary school in Nairobi, Kenya.
Objective: To determine the range of ablative surgery and rehabilitative procedures performed on maxillofacial structures.
Design: A retrospective descriptive study.
Setting: University of Nairobi Dental Teaching Hospital.