Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district

  • Lucina N. Koyio University of Nairobi Dental Teaching Hospital,, Kenya.
  • Wil JM J.M. van der Sanden | w.vandersanden@dent.umcn.nl Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands.
  • Andre van der Ven Radboud University Nijmegen Medical Centre,, Netherlands.
  • Nico Creugers Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands.
  • Matthias A.W. Merkx Radboud University Nijmegen Medical Centre,, Netherlands.
  • Jo E. Frencken Radboud University Nijmegen Medical Centre, College of Oral Sciences,, Netherlands.

Abstract

Background. An estimated 90% of HIV-infected people are likely to develop oral lesions in the course of HIV infection. Oro-pharyngeal candidiasis (OPC), an early marker for HIV-infection, can be diagnosed during an oral examination (OE). Primary healthcare (PHC) providers in Kenya are neither trained nor sufficiently equipped to perform this simple, cheap and non-invasive examination. The PHC system in Kenya offers an opportunity to integrate early recognition and management of oral lesions into general health care. This study aims to estimate the effect of a multifaceted intervention for PHC providers in training them to perform an OE. Specifically, our primary objective is to establish whether the intervention is effective in increasing: i) the frequency of early detection of HIV-related oral lesions; and ii) referral rates for HIV-testing. Design and methods. The study has been designed in two parts: a retrospective clinical data record study and a prospective cohort study with pre-post control group design, carried out in 2 administrative divisions in Nairobi East district. The intervention group will receive one day of training on recognition of HIV-related oral lesions and other common oral conditions. Reminder sessions will be held at individual health facilities. Routine tally sheets will be used to record all patients with HIV-related oral lesions, dental caries and periodontal disease. A convenience sample of all the PHC in a division will be used. It will not be possible to blind investigators or assessors. Expected impact of the study for Public Health. Early recognition and treatment of HIV infection influences long-term survival rates and will reduce healthcare expenditure.

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Author Biographies

Lucina N. Koyio, University of Nairobi Dental Teaching Hospital,
Department of Oral and Maxillofacial Surgery, P.O. Box 30197, Nairobi, Kenya
Wil JM J.M. van der Sanden, Radboud University Nijmegen Medical Centre, College of Oral Science
Department of Global Oral Health, Nijmegen, The Netherlands
Andre van der Ven, Radboud University Nijmegen Medical Centre,
Department of General Internal Medicine,Nijmegen Institute for Infection, Inflammation and Immunity, The Netherlands
Nico Creugers, Radboud University Nijmegen Medical Centre, College of Oral Science
Department of Oral Function, Nijmegen, The Netherlands
Matthias A.W. Merkx, Radboud University Nijmegen Medical Centre,
Department of Oral and Maxillofacial  Surgery Nijmegen, the Netherlands
Jo E. Frencken, Radboud University Nijmegen Medical Centre, College of Oral Sciences,
Department of Global Oral Health, Nijmegen, The Netherlands
Published
2012-04-30
Section
Study Protocols
Keywords:
AIDS/HIV, detection, mucosal lesion
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How to Cite
Koyio, L., van der Sanden, W. J., van der Ven, A., Creugers, N., Merkx, M., & Frencken, J. (2012). Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district. Journal of Public Health Research, 1(2), e20. https://doi.org/10.4081/jphr.2012.e20