Oral healthcare provision at long-term care facilities in eThekwini: Perspectives of coordinators

Abstract

Background: The prevalence and impact of oral disease among long-term institutionalised residents highlight the need for a scale-up of preventive and promotional oral health services that include oral health education and training for caregiving staff. However, opportunities to improve oral healthcare services are met with challenges. Aim: This study was undertaken to establish coordinator perspectives on oral health provision. Setting: Seven long-term care facilities in the eThekwini district, South Africa. Methods: An in-depth exploratory study was conducted with 14 purposively selected coordinators (managers and nurses). Semi-structured interviews were conducted and focused on coordinators’ experience and perspectives on oral healthcare. Data were analysed using thematic analysis. Results: The following themes emerged from the study: A lack of comprehensive oral health care practices, inadequate support from the dental sector, insufficient oral health prioritisation, limited funding for oral health, and challenges associated with coronavirus disease (COVID-19). All respondents reported that no oral health initiatives existed. Plans for oral health training workshops presented with coordination and funding challenges. Oral health screening initiatives have ceased since COVID-19. Conclusion: The study findings indicated that prioritisation of oral health services was inadequate. There is a need for continual oral health in-service training for caregivers and support from coordinators in guiding the implementation of oral health training programmes. Contribution: It is envisaged that the findings of this study will bring about greater coordinator involvement and collaboration with the public and private dental sectors to improve oral healthcare at long-term care facilities.

Keywords

• oral health provision
• coordinator perspectives
• long-term care facilities
• caregivers
• institutionalised residents.