{"id":5016,"date":"2023-03-29T10:56:53","date_gmt":"2023-03-29T08:56:53","guid":{"rendered":"https:\/\/www.jphres.org\/?p=5016"},"modified":"2023-04-03T06:22:42","modified_gmt":"2023-04-03T04:22:42","slug":"effect-of-education-of-primary-health-care-workers-on-hiv-related-oral-lesions-in-nairobi-east-district","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/jphr.2012.e20\/","title":{"rendered":"Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2012.e20\">https:\/\/doi.org\/10.4081\/jphr.2012.e20<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\">Lucina N. Koyio<\/span><span class=\"affiliation\">University of Nairobi Dental Teaching Hospital,, Kenya.<\/span><\/li>\n<li><span class=\"name\">Wil JM J.M. van der Sanden |\u00a0Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands.<\/span><\/li>\n<li><span class=\"name\">Andre van der Ven<\/span><span class=\"affiliation\">Radboud University Nijmegen Medical Centre,, Netherlands.<\/span><\/li>\n<li><span class=\"name\">Nico Creugers<\/span><span class=\"affiliation\">Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands.<\/span><\/li>\n<li><span class=\"name\">Matthias A.W. Merkx<\/span><span class=\"affiliation\">Radboud University Nijmegen Medical Centre,, Netherlands.<\/span><\/li>\n<li><span class=\"name\">Jo E. Frencken<\/span><span class=\"affiliation\">Radboud University Nijmegen Medical Centre, College of Oral Sciences,, Netherlands.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>. 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.\u00a0<em>Design and methods.\u00a0<\/em>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.<\/p>\n<\/div>\n<div><\/div>\n<div><span style=\"color: #111111; font-family: Roboto, sans-serif; font-size: 22px;\">AUTHOR BIOGRAPHIES<\/span><\/div>\n<div>\n<div class=\"sub_item\">\n<div class=\"label\">Lucina N. Koyio,\u00a0<span class=\"affiliation\">University of Nairobi Dental Teaching Hospital,<\/span><\/div>\n<div class=\"value\">Department of Oral and Maxillofacial Surgery, P.O. Box 30197, Nairobi, Kenya<\/div>\n<\/div>\n<div class=\"sub_item\">\n<div class=\"label\">Wil JM J.M. van der Sanden,\u00a0<span class=\"affiliation\">Radboud University Nijmegen Medical Centre, College of Oral Science<\/span><\/div>\n<div class=\"value\">Department of Global Oral Health,\u00a0Nijmegen, The Netherlands<\/div>\n<\/div>\n<div class=\"sub_item\">\n<div class=\"label\">Andre van der Ven,\u00a0<span class=\"affiliation\">Radboud University Nijmegen Medical Centre,<\/span><\/div>\n<div class=\"value\">Department of General Internal Medicine,Nijmegen Institute for Infection, Inflammation and Immunity, The Netherlands<\/div>\n<\/div>\n<div class=\"sub_item\">\n<div class=\"label\">Nico Creugers,\u00a0<span class=\"affiliation\">Radboud University Nijmegen Medical Centre, College of Oral Science<\/span><\/div>\n<div class=\"value\">Department of Oral Function, Nijmegen, The Netherlands<\/div>\n<\/div>\n<div class=\"sub_item\">\n<div class=\"label\">Matthias A.W. Merkx,\u00a0<span class=\"affiliation\">Radboud University Nijmegen Medical Centre,<\/span><\/div>\n<div class=\"value\">Department of Oral and Maxillofacial \u00a0Surgery Nijmegen, the Netherlands<\/div>\n<\/div>\n<div class=\"sub_item\">\n<div class=\"label\">Jo E. Frencken,\u00a0<span class=\"affiliation\">Radboud University Nijmegen Medical Centre, College of Oral Sciences,<\/span><\/div>\n<div class=\"value\">Department of Global Oral Health,\u00a0Nijmegen, The Netherlands<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2012.e20 Lucina N. KoyioUniversity of Nairobi Dental Teaching Hospital,, Kenya. Wil JM J.M. van der Sanden |\u00a0Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands. Andre van der VenRadboud University Nijmegen Medical Centre,, Netherlands. Nico CreugersRadboud University Nijmegen Medical Centre, College of Oral Science, Netherlands. Matthias A.W. MerkxRadboud University Nijmegen Medical Centre,, Netherlands. Jo &#8230; <a title=\"Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/jphr.2012.e20\/\" aria-label=\"More on Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-5016","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/jphr.2012.e20\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Effect of education of primary health care workers on HIV-related oral lesions in Nairobi East district - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2012.e20 Lucina N. KoyioUniversity of Nairobi Dental Teaching Hospital,, Kenya. Wil JM J.M. van der Sanden |\u00a0Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands. Andre van der VenRadboud University Nijmegen Medical Centre,, Netherlands. Nico CreugersRadboud University Nijmegen Medical Centre, College of Oral Science, Netherlands. Matthias A.W. MerkxRadboud University Nijmegen Medical Centre,, Netherlands. Jo ... 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KoyioUniversity of Nairobi Dental Teaching Hospital,, Kenya. Wil JM J.M. van der Sanden |\u00a0Radboud University Nijmegen Medical Centre, College of Oral Science, Netherlands. Andre van der VenRadboud University Nijmegen Medical Centre,, Netherlands. Nico CreugersRadboud University Nijmegen Medical Centre, College of Oral Science, Netherlands. Matthias A.W. MerkxRadboud University Nijmegen Medical Centre,, Netherlands. Jo ... 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