Education for Health

ORIGINAL RESEARCH PAPER
Year
: 2010  |  Volume : 23  |  Issue : 2  |  Page : 241-

Brighter Smiles Africa - Translation of a Canadian Community-based Health-promoting School Program to Uganda


AJ Macnab1, N Radziminski3, H Budden3, A Kasangaki2, R Zavuga4, FA Gagnon4, M Mbabali4 
1 University of British Columbia, Vancouver, British Columbia, Canada; Stellenbosch Institute for Advanced Study (STIAS), Wallenberg Research Centre,Stellenbosch University, Stellenbosch, South Africa
2 Makerere University, Kampala, Uganda; Stellenbosch Institute for Advanced Study (STIAS), Wallenberg Research Centre,Stellenbosch University, Stellenbosch, South Africa

Correspondence Address:
A J Macnab
4480 Oak Street, Vancouver, British Columbia, V6H 3V4, Canada

Project goal: To adapt a successful Canadian health-promoting school initiative to a Ugandan context through international partnership. Rationale: Rural children face many health challenges worldwide; health professionals in training understand these better through community-based learning. Aboriginal leaders in a Canadian First-Nations community identified poor oral health as a child health issue with major long-term societal impact and intervened successfully with university partners through a school-based program called «DQ»Brighter Smiles«DQ». Makerere University, Kampala, Uganda (MUK) sought to implement this delivery model for both the benefit of communities and the dental students. Key steps/hurdles addressed: MUK identified rural communities where hospitals could provide dental students with community based learning and recruited four local schools. A joint Ugandan and Canadian team of both trainees and faculty planned the program, obtained ethics consent and baseline data, initiated the Brighter Smiles intervention model (daily at-school tooth-brushing; in-class education), and recruited a cohort to receive additional bi-annual topical fluoride. Hurdles included: challenging international communication and planning due to inconsistent internet connections; discrepancies between Canadian and developing world concepts of research ethics and informed consent; complex dynamics for community engagement and steep learning curve for accurate data collection; an itinerant population at one school; and difficulties coordinating Canadian and Ugandan university schedules. Accomplishments: Four health-promoting schools were established; teachers, children, and families were engaged in the initiative; community-based learning was adopted for the university students; quarterly team education/evaluation/service delivery visits to schools were initiated; oral health improved, and new knowledge and practices were evident; an effective international partnership was formed providing global health education, research and health care delivery.


How to cite this article:
Macnab A J, Radziminski N, Budden H, Kasangaki A, Zavuga R, Gagnon F A, Mbabali M. Brighter Smiles Africa - Translation of a Canadian Community-based Health-promoting School Program to Uganda.Educ Health 2010;23:241-241


How to cite this URL:
Macnab A J, Radziminski N, Budden H, Kasangaki A, Zavuga R, Gagnon F A, Mbabali M. Brighter Smiles Africa - Translation of a Canadian Community-based Health-promoting School Program to Uganda. Educ Health [serial online] 2010 [cited 2020 Dec 4 ];23:241-241
Available from: https://www.educationforhealth.net/article.asp?issn=1357-6283;year=2010;volume=23;issue=2;spage=241;epage=241;aulast=Macnab;type=0