School Oral Health Education Research Articles

Fostering Oral Health Education as a Social Investment in Schools

Particularly in the early years of life, oral health education is crucial in determining an individual's general well-being. The need of including comprehensive oral health instruction in the school curriculum is examined in this essay as a wise social investment. The study explores the many advantages of this kind of program, highlighting how it might improve students' oral health conditions as well as their general health results. The abstract demonstrates the beneficial effects of oral health education on preventing dental problems, enhancing general health literacy, and lowering healthcare inequities by reviewing the body of research and successful case studies. Additionally, it talks on the financial benefits of funding preventive dental health initiatives, highlighting the possible long-term cost savings for patients as well as healthcare systems. The essay also discusses the societal ramifications, highlighting the ways that encouraging oral health education in schools can help to end the cycle of disparities in oral health, advance equity, and improve the standard of living. This article concludes by arguing in favor of oral health education be given priority in schools and presenting it as an important social investment that will pay off handsomely inthe long run for the health of communities and people.

Bacterial Profile and Risk Factors Associated with Dental Caries in Enugu Metropolis, Southeast Nigeria

Dental caries is one of the most prevalent and costly diseases that are a challenge to health care providers. There is limited data on the bacterial profile and risks associated with dental caries in Nigeria. The study aimed to isolate and identify bacteria and risk factors associated with dental caries in Enugu. It was a case-controlled study. A total of 336 samples were randomly collected comprising of 125 healthy subjects and 211 patients with dental caries attending various hospitals and dental clinics in Enugu, Nigeria. Samples were subjected to standard microbiological and biochemical techniques. Standardized questionnaires were used to record demographic variables and risk factors. A total of 635 and 254 microorganisms were isolated from carious lesions and healthy subjects respectively. Of these 635 isolates, 218 (34.4%) Gram-positive bacilli, 210 (33.0%) Gram-positive cocci, 46 (7.2%) Gram-negative cocci, and 43 (6.8%) yeasts were recovered. Two hundred and seven samples were (98.1%) polymicrobial while 4 samples (1.9%) were monomicrobial. Among the organisms recovered, anaerobic Lactobacillus spp (141, 66.8%) was the most prevalent followed by Streptococcus mutans (104, 49.2%), and the least were Actinomyces israelii and Capnocytophaga spp (1, 0.05%) respectively. Of the 254 isolates from apparently healthy subjects, Streptococcus sanguis ranked highest and the least was Porphyromonas gingivalis. The factors that were found to be significantly associated with dental caries were level of education P=0.005, feeding habit P= 0.001, Favourite snack P=0.004, sweet consumption P< 0.0001, type of gum P < 0.0001, history of toothache P < 0.0001, visit dentist P< 0.0001, and the bleeding gum P < 0.0001. This research highlighted the polymicrobial nature of carious lesions and associated predictors of dental caries. Hence public enlightenment and the implementation of oral health education in schools are crucial.

Effectiveness of a School Oral Health Education Program in Yangon, Myanmar

“Dental caries and periodontal diseases are the most common oral health burdens in industrialized countries and in developing...

Oral health – Knowledge, attitude, and practices of primary school teachers in Shirur, Udupi District India

Background: Oral health is an integral part of the general health of an individual. Children spend a considerable period in schools and teachers are in an enviable position to influence and guide children. School-based oral health education (OHE) is valuable as children are guided when young during the formation of their oral hygiene habits. Aim: This study was undertaken with the objective of assessing the oral health knowledge, attitudes, and practices of primary school teachers. Materials and Methods: This cross-sectional survey was conducted among primary school teachers in Shirur village of Udupi district. A validated questionnaire was used, and a total of 103 teachers were assessed for their knowledge, attitudes, and practices regarding oral hygiene. Statistical Analysis: Data description and statistical analysis were obtained using IBM SPSS Version 21-computer software (IBM Statistical Package for the Social Sciences, SPSS 21.0, Inc., Chicago, USA) in association with Microsoft Excel. Descriptive statistics were obtained, and the mean values and frequency distributions were calculated. Results: All teachers (100%) were unanimous in their agreement that oral health was an integral part of general health and 95.3% (n = 102) agreed on the need for periodic dental check up. A majority (55.8%) of the teachers brushed twice daily and 32.7% of them visited their dentist once every 6 months. All teachers were interested in delivering OHE in schools. Conclusions: School teachers can be effectively used for OHE in schools. There is a need for a comprehensive approach to include OHE in schools through activities such as dental examinations and demonstration of brushing techniques.

Knowledge and attitude of male schoolteachers towards primary dental care.

Introduction:Children are the most important natural resources. School is a location which helps to promote the health of staff, families, and community members along with the students. Teachers are the most resourceful manpower available to deliver any healthcare at school setup.Aims and Objectives:To assess the knowledge and attitude towards primary dental care among male schoolteachers at Al-Kharj Saudi Arabia.Methodology:A descriptive cross-sectional questionnaire survey was carried out involving male teachers working in primary schools at Al-Kharj KSA. A total of 350 teachers were included in this study. The data were collected using a self-administered questionnaire survey consisting of 17 questions related to knowledge and attitude towards dental care and oral hygiene practices.Results:The overall knowledge was fair among the schoolteachers (65.4%). Al-Kharj male schoolteachers were having a positive attitude. Teaching experience and knowledge showed a statistically significant relation (P < 0.05.Conclusion:Although primary schoolteachers had a fair knowledge and good attitudes towards dental care, there is a need to conduct training programs about oral health education in schools and check how teachers educate their children to maintain dental care.

The impact of an Oral Health Education (OHE) program by teachers and mothers on adolescents' oral health

Background: Adolescence is one of the most dynamic stages of human development. However, Oral health is an integral part of public health, significantly impacts on the quality of life. OHE program is an important issue that should be given to them. The aim of this study was to evaluate oral health outcomes on adolescents' oral health by teachers and mothers Materials and Methods: The study was carried out in seven schools of Diyala - Baquba city. This 14-weeks duration study assessed the effectiveness of school OHE program on oral hygiene status, gingival health, and halitosis assessment of 80, 12 year-old, both genders of school adolescents. From the selected schools, one group was supervised by the teachers and the other was supervised by the mothers. General and oral health assessments were evaluated using a questionnaire. A three days training workshop was organized for the teachers and mothers. Oral hygiene, gingival health, and halitosis assessment were assessed using plaque indices, gingival indices and halitosis scores respectively. the resulting data were statistically analyzed using SPSS version 20. Results: Plaque, gingival and halitosis scores reductions were highly significant. Results recorded gingival index, and halitosis scores were lower among the teacher-led group compared to the mother-led group. Statistically, high significant differences were found (P&lt; 0.01).But there is no significant differences were noticed between the groups for plaque index (p&gt;0.05). Conclusions: The OHE program was effective in teacher-led group than mother-led group in improving oral hygiene status, gingival health and halitosis scores of adolescents.

Schools as opportunity for oral health promotion: Existing status in India

Childhood is a significant stage in people’s lives where they are more receptive toward behavior shaping; thus, schools have been considered important foundation in addressing the health and social issues. School oral health education programs have produced affirmative results in improving the overall health of the child. The aim of the current review was to explore the history of school health, models of school health and existing efforts of School Oral Health Programs (SOHP) in India. The review identified five existing SOHP (Indian Dental Association - Colgate’s “Young India” Bright Smiles, Bright Futures, Chacha Nehru Sehat Yojna - School health scheme [Government of Delhi], Neev - SOHP, Intensive Dental Health Care Program - Punjab, Trinity CareFoundation - Bengaluru, National Oral Health Program, AIIMS) which is either running or proposed. It is recommended that the upcoming SOHP should be crafted on the existing evidence-based guidelines and theoretical models of school health. Prompt execution of proposed programs should be the priority to target the optimum oral health of the children.

Head teachers’ views of oral health education in schools in Tamil Nadu, India

Introduction: Children and young people in India have a high prevalence of dental decay. As part of a broader epidemiological study, we interviewed 10 head teachers to understand the status of, and challenges to, inclusion of oral health education in the curricula of public and private schools in Tamil Nadu, India. Objectives: The two main objectives of this study were (1) to describe the views of head teachers about the implementation of oral health education in school curricula and (2) to identify challenges to achieving oral health education in public and private schools in Tamil Nadu. Method: Qualitative descriptive design, with a purposive sample of 10 head teachers who participated in semi-structured interviews. Thematic coding was used to analyse and report on the data. Results: There is a lack of oral health education in public and private schools in Tamil Nadu, India. Four main types of barriers to the initiation and implementation of oral health education were lack of recognition, academic burden, prioritisation of other health needs and policy inequities. Head teachers acknowledged the lack of oral health education in their schools, yet also acknowledged the importance of oral health education in promoting students’ health. Conclusion: Health curricula in Tamil Nadu schools lack integration of oral health education. Limited access to the services, cultural factors, policy deficiencies, insufficient awareness among policy-makers, the nature of the education system and lack of research contribute to the current situation. Policy-makers should address these barriers to enable and promote oral health education strategies in both private and public schools of Tamil Nadu.

Oral Health Education among Portuguese Adolescents

IntroductionOral health education is an important issue that should be given to children and adolescents, allowing the acquisition of correct oral health behaviours. The objective of this study was to determine the prevalence and assess the quality of oral health behaviours among a sample of portuguese adolescents and verify their association with socio-demographic variables. Participants and methodsA cross-sectional study was designed with a sample of 447 adolescents aged 12 to 19 years old, attending a public school in Sátão, Portugal. An interview was made questioning about socio-demographic factors and oral health behaviours to each adolescent in the classroom. Prevalence was expressed in proportions and crude odds ratio (OR) with 95% confidence intervals (CI) were used to measure the strength of association between oral health behaviours and socio-demographic factors. ResultsThe prevalence of toothbrushing (twice-a-day or more) was 90.6%. Five point eight percent of adolescents reported daily flossing, more frequent among female gender (female,OR=2.03 95%CI=1.35-3.05) and adolescents older than 15 years (>15years,OR=1.90 95%CI=1.24-2.92). Sixty-seven percent had at least one dental appointment in the previous twelve months. The prevalence of dental appointments was associated with socio-economic variables such as the fatheŕs professional situation (unemployed,OR=0.33 95%CI=0.17-0.65) and crowding index (>1,OR=0.4 95%CI=0.16-0.98). ConclusionConsidering the results of the present study, oral health community programs and primary preventive strategies, such as improvement of oral health education in schools should be considered in order to reduce the risk level of oral diseases and develop better oral health behaviours.

Oral Health Behaviors in a Sample of Portuguese Adolescents: An Educational Issue

Introduction: Oral health education is an important issue that should be given to children and adolescents, allowing the acquisition of correct oral health behaviors. The objective of this study was to determine the prevalence of oral health behaviors among a sample of portuguese adolescents and verify the association with socio-demographic factors, in order to analyze the main needs related with oral health education to improve oral health status among adolescents. Methods: A cross-sectional study was designed with a sample of 447 adolescents aged 12 to 19 years old, attending a public school in Sátão, Portugal. A self-administered questionnaire was applied questioning about socio-demographic factors and oral health behaviors to each adolescent in the classroom. Prevalence was expressed in proportions and crude odds ratio (OR) with 95% confidence intervals (CI) were used to measure the strength of association between oral health behaviors and socio-demographic factors. Results: The prevalence of tooth brushing (twice-a-day or more) was 90.6%. Five point eight percent of adolescents reported daily flossing, more frequent among female gender (female, OR = 2.03, 95% CI = (1.35 to 3.05)) and adolescents older than 15 years (>15 years, OR = 1.90, 95% CI = (1.24 to 2.92)). Sixty-seven percent had at least one dental appointment in the previous twelve months. The prevalence of dental appointments was associated with the father’s professional situation (unemployed, OR = 0.33, 95% CI = (0.17 to 0.65)) and crowding index (>1, OR = 0.4, 95% CI = (0.16 to 0.98)). Thirty-two point nine percent of adolescents referred having at least one episode of dental pain during their lives. Conclusion: Considering the results of the present study that show the need of improvement of some aspects related with oral health among adolescents, oral health community programs and primary preventive strategies, such as improvement of oral health education in schools should be considered in order to reduce the risk level of oral diseases and develop better oral health behaviors.

Oral health status of 5 years and 12 years old school going children in rural Gurgaon, India: An epidemiological study

Oral health is an essential component of health throughout life. Hardly any information is available on the oral health status of children in Gurgaon. Thus, the present study was conducted among 5-year-old and 12-years-old children in schools in rural Gurgaon. A total of 1003 children were examined of which 619 were in 5 years age group and 384 in 12 years group. The prevalence of dental caries was studied using dentition status and treatment needs index. For dental calculus criteria of Community Periodontal and for dental fluorosis Dean's index was used. In 5 years age group prevalence of dental caries was 68.5%, dental fluorosis was 22.5% and treatment needs were 63.7%. In 12 year age group prevalence of dental caries was 37.5%, dental fluorosis was 76.04%, highest community periodontal index score was 2, seen in 80.2% and overall treatment needs were 44.3%. Preventive approaches seem to be a viable alternative to tackle the overwhelming problem of dental caries and other oral diseases. Provision of oral health education in schools and school based preventive programs are important for improvement of this situation.

An audit of school oral health education program in a developing country.

Objective:The increasing prevalence of oral diseases in children in developing countries is a major public health concern and creates the need to review various preventive strategies put in place on oral health promotion. In the absence of formal national programs, tertiary health institutions have adopted low-budget school oral education programs targeted at improving oral health awareness and behavioral changes in school children. The aim of this study was to review the school oral health education programs conducted by the Community Dentistry Unit of a tertiary hospital in a major city in Nigeria.Materials and Methods:An evaluation of the school oral health education programs conducted in the city over a 5-year period was done. Data collected included: venue of the program, the number of students and teachers educated in each school, screening and referrals, adequacy of teaching aids, desire for revisit, and barriers noted in its conduct.Results:A total of 104 oral health education programs were conducted during this period involving 16,248 participants. The majority (80%) of the schools visited were primary schools and 54% were privately owned. Over half of the programs was conducted on assembly grounds, 21% in classrooms, and 13% in school halls. Challenges encountered included: lack of audiovisual aids, transportation problems, inadequacy of screening tools, and insufficient promotional materials. All the schools visited requested for (subsequent) regular visitation.Conclusion:The study showed the feasibility of low-budget oral health education and willingness of schools to benefit from such programs. There are barriers to effective communication, which can be mitigated in order to achieve an optimal school oral health education program in a low resource setting.

Evaluation of school oral health education program- A review

The objectives of this review were to examine the various methods of school oral health instruction process and to identify success factors for oral health promotion along with the development of a future framework of action for Oral Health Promotion. In this review, the members of the working groups performed the systematic literature search, screening process, rating of the evidence, assessment of the evidence and presentation of the contents of the evidence to the reader. In this study we performed literature searched published between1990 to 2013. Using database including MEDLINE, PUBMED, HINARI, Google and yahoo health. A total of 31 articles were retrieved and 15 of them were selected for review. Inclusion and exclusion criteria were chosen by working group such as studies reported any oral health promotion intervention in school were eligible for inclusion, Study conducted in the school for adult education or handicapped or disables were excluded, oral health education for adult were excluded In this review the working group tried to synthesize the qualitative and quantitative findings from the selected article. All studies were interventiona, the main intervention was oral health education in variable format along with other activities like fissure sealant, application of fluoride, distribution of tooth brush and toothpaste. In oral health education, presentation materials such as poster, tooth brushing model, life model and multimedia presentation were used. The investigators in five studies distributed tooth brush, tooth paste, tooth brushing calendar etc. Maximum investigators concluded that school oral health education is more or less effective in all situations, the summary of this review confirmed the hypothesis that there would be better and more homogenous oral health in schools where comprehensive oral health activities were developed compared with non-supportive schools. School oral health improvement activities has a great impact for the improvement of oral health among the children. The efficacy of oral health education is well-established and it was found that Oral health education in the school decreased the development of new dental diseases among school children. Majority of students had an adequate level of knowledge on oral health but low level of oral health practices. Reinforcement and encourage to maintain the oral health will be more effective for the long term sustainable oral health. DOI: http://dx.doi.org/10.3329/bjdre.v3i2.16613 Bangladesh Journal of Dental Research &amp; Education Vol.3(2) 2013: 45-50

Utility of knowledge, attitude, and practice survey, and prevalence of dental caries among 11- to 13-year-old children in an urban community in India

BackgroundThe school oral health education program is believed to be a cost-effective method for promoting oral health. The KAP (knowledge–attitude–practice) model of oral health education is often the foundation of most health education programs.ObjectivesTo assess the existing knowledge, attitude, and oral health care practices among 11- to 13-year-old children and the association of knowledge with attitude, oral health care practices, and dental caries prevalence.DesignCross-sectional design, involving 858 children studying in class seven at various schools in the city of Mangalore, India. The children were selected using stratified random sampling method. Prevalence of dental caries was determined using decayed, missing, and filled permanent teeth (DMFT) index. A self-administered questionnaire on self-care practices in oral health, knowledge, and attitude toward oral health care was filled by children. The association of different variables with knowledge was analyzed using binary logistic regression analysis.ResultsThe dental caries prevalence was 59.4%, and 54.5% had low knowledge. They lacked knowledge regarding use of fluoridated toothpaste and did not use them. Children with low knowledge had significantly higher odds of having DMFT ≥ 1, not using fluoridated toothpaste, and being afraid of going to the dentist due to possible pain. There was no association of other oral health care practices and attitudes with knowledge.ConclusionOral health care practices and attitudes are not fully explained by knowledge, and other models of health education need to be considered.

일부지역 청소년의 구강건강지식 오개념에 관한 연구

본 연구는 청소년의 구강건강지식에 대한 오개념과 관련요인을 파악함으로써 올바른 구강건강지식 개념형성을 위한 방안을 마련하는데 기초자료를 제공하기 위하여 실시하였다. 연구대상자의 구강건강지식 수준은 비교적 많은 문항에서 학생들이 바른 개념을 형성하고 있었으나, 칫솔손잡이, 잇몸약 사용, 수돗물 불소 조정사업에서 오개념이 형성되어 있었다. 구강건강지식 수준은 전체 평균 10.78점을 나타내었으며, 집단 간 오차범위 내에서 차이를 보이지 않았다. 구강건강지식 오개념의 집단별 연관성은 성별과 학력에서 차이를 보이지 않았으나 구강보건교육 이수 학생 보다 올바른 개념이 형성되어 있는 것으로 나타났다(p<0.001). 구강건강지식을 얻는 경로는 인터넷, 대중매체(35.4%)에서 습득 비율이 가장 높았고, 학교(9.6%)에서 습득 비율이 가장 낮았으며, 구강건강지식 수준은 학교에서 10.56점으로 가장 낮았다. 따라서 청소년의 바른 구강건강행동을 위한 학교 구강건강교육 활성화 및 교육기회를 부여할 수 있도록 구강건강교육자 양성이 매우 중요함을 알 수 있다. This study was conducted to provide basic data in establishing a method for helping adolescents form the concept of correct oral health knowledge, by searching for their misconceptions about oral health knowledge and figuring out relevant factors. Results showed that they had appropriate knowledge on a relatively large number of questions regarding the level of oral health knowledge, but they also had misconceptions about the toothbrush grip, how to use medicines for gum diseases, and the project of fluorine concentration adjustment in water. It was shown that the score of oral health knowledge turned out to be 10.78 on average as a whole and the mean difference was within the error range. As for the correlations of misconceptions about oral health knowledge by group, it was noted that there were no differences in gender and education level, but those who completed oral health education had more appropriate concepts than those who did not (p < 0.001). In terms of the paths that they obtained oral health knowledge, the Internet and mass media (35.4%) had the highest rate and school (9.6%) had the lowest rate. With regards to the level of oral health knowledge, school had 10.56, which was the lowest score. In this regard, in order for adolescents to form adequate oral health knowledge, the following should be done. therefore, it would be necessary to activate school oral health education so as for adolescents to exercise adequate oral health behavior and to train many oral health educators so as for them to be provided with more educational opportunities.

ORAL HEALTH EDUCATION IN SCHOOLS

Traditionally health was considered as “absence of disease” and the health professionals duty was to “treat” the disease. In a long term it was recognized that prevention was the key. This kind of approach and emphasis in dealing with diseases has shown that Health Education is one of the fundamental approaches in primary prevention. The goal of Oral Health Education is to improve knowledge in school children which may lead to the adoption of favorable Oral Health behaviours that contribute to better Oral Health. Schools are powerful places to shape the health, education and well-being of our children. Now the emphasis in dentistry is shifting from treatment to prevention of Oral disease and promotion of Oral Health thereby increasing one’s quality of life. There is a marked downward trend in Childhood caries in developed countries where as upward trend is seen in developing countries. Effective Education for Oral Health in children can create awareness thereby demand for treatment. So, Interdisciplinary approach is required to start educational activities. The teaching of Oral Health Education aims at preventing the dental disease and promoting dental health at early stages. It is important to take all possible action and opportunities for providing proper dental care along with good oral health education for children. Thus convincing the public and the community that oral health is an important part of general health, should be practiced right from school going age to be effective and meaningful. Schools can provide a supportive environment for promoting oral health, school policies and education in attainment of oral health and control of risk behaviours related to diet and nutrition, tobacco use and alcohol consumption.

Oral health education in schools: promoting health agents

The aim of this study was to verify the influence of preschool children participating in an oral health education programme on daily health practices of their families, through parent's perception. A sample of 119 parents of 5- to 6-year-old preschool children were selected. Data were collected using a structured open-closed questionnaire, self-administered. The questions focused on parents' knowledge about activities of oral health education conducted in school, the importance given by them to these activities, learning from their offspring and the presence of habit change at home. In total, 63 (52.9%) parents agreed to participate. Ninety-eight per cent knew about educative and preventive activities developed at school and all of them affirmed that these activities were important, mainly because of knowledge, motivation and improvement in children's health. Ninety and half per cent of parents reported that they learned something about oral health from their children and, among these, almost half (47.8%) cited toothbrushing as the indicator for better learning. Besides this, 87.3% of participants revealed the change in oral health habits of their family members. Preschool children were able to transmit knowledge acquired at school to their parents that included change in oral health routine of their family members.

Periodontal Status of Adolescents in Surulere, Lagos State, Nigeria.

Objective: The objective of this study was to assess the periodontal status, treatment needs and dental visit practice of adolescents in Lagos, Nigeria. Methods: 600 subjects were selected by stratified random sampling from 6 schools, 3 secondary and 3 primary schools in Surulere Local Government Area of Lagos state, Nigeria. About one hundred subjects in each age category of 11 to 16 years were selected. A questionnaire was designed seeking biographic data such as age, sex, occupation of parent, and dental visit attendance and a section for recording periodontal clinical examination using the Community Periodontal Index of Treatment Needs (CPITN) was included. The periodontal status, treatment needs and dental visit practices of adolescents were determined. Results: Only 3% were found to be healthy periodontally. 83% of the subjects presented predominately with the worst condition recorded, code 2 (i.e. calculus), which is a reversible condition. A mean of 0.6 healthy sextants, 2.3 bleeding sextants and 3.1 calculus-accumulated sextants was calculated. A statistical difference in periodontal status was noted with age, the younger adolescents (11-13 years) presenting predominately with bleeding sextants when compared to the older adolescents (14-16 years) who presented more calculus-accumulated sextants. Nearly all subjects required periodontal treatment. 83% needed professional prophylaxis (TN2). Conclusion: There is a need for a school oral health education programme within the LGA with a focus on periodontal disease prevention and provision of oral prophylaxis by dental surgeons, therapists and volunteer dental students. Keywords: CPITN, Dental visits, 11–16 year-olds, Adolescents Nigerian Journal of Health and Biomedical Science Vol. 6 (1) 2007: pp. 88-92

Oral health related knowledge, behaviours, attitude and self-assessed status of primary school teachers in Tanzania

To assess the oral health related knowledge, attitudes, behaviours and self-assessed status of primary school teachers in Rungwe, Tanzania. 195 final year teacher trainees and 239 in-service teachers. A structured questionnaire. School teachers were generally well informed and had moderate attitudes and behaviours to oral health related issues. However, a few but important deficiencies in this regard have been identified on which recommendations are presented. A substantial proportion of teachers reported having dental problems. However, the teachers had positive attitudes towards oral health education to pupils as part of a teaching curriculum. A professional support is called upon for teachers from the oral health personnel in terms of oral health education training at teachers' colleges, to prepare the teacher trainees for their future task. In-service teachers need to be motivated to improve their awareness on sound oral health information, attitudes and behaviours. This will facilitate their role as school oral health education providers in Tanzanian primary schools.

ネパールにおける口腔保健専門家の養成プロジェクトに対する評価

Since 1994, we have trained Nepali (including school teachers and social workers) to develop their own self-reliance in oral health. 40 members have received training in this program. In December, 2000, in order to evaluate how this program is working and how much progress is being made, the program was evaluated by the Japanese staff (trainers) and Nepali trainees. Results are as follows ; 1. The Japanese evaluaters found that this program had activated oral health education in schools. 2. Nepali evaluaters found that the program was effective in the schools, but that education to the local people was not so easy and that they did not want to undertake it. 3. Primary school teachers who received this training answered that they wanted health education for local people as well as for the school students. 4. These results indicated that their needs to further education because of the gap in perceptions of the Nepali oral health worker who received this training. After that, there is a need to arrange of the program to coordinate Nepali oral health worker's consciousness. These results suggest that this program was effective. But to progress further in the Nepali oral health worker's willingness, we have to introduce a new program relating to how to coordinate their consciousness, how to include local people in this program and how to increase Nepali self-reliance.