| Abstract: | ![]()
Planning of community health programmes requires a comprehensive "community diagnosis" as its basis, taking into account a complex range of health related factors. The family and particularly the mother play a crucial role in oral health. Thus, the social context, the source and extent of health information, as well as their oral health behaviour, can determine the mothers' function in promoting oral health. This study examined the social characteristics and oral health behaviour of families in Riverlea. One hundred and fifty seven mothers were interviewed in their homes using a structured questionnaire. The results reveal a picture where the percentage of 'broken' or single mother families is high. There is overcrowding in the homes combined with a low level of education and employment in mainly non-skilled, low-paid jobs. The utilisation of existing dental services was poor despite the fact that 43 per cent of the families are members of medical aid schemes. Almost one third of the mothers were edentulous. Although cost and other factors were cited as barriers for not 'going to the dentist', most of the respondents have a symptomatic approach to oral health which might be responsible for poor utilisation. The 'lay referral system' for obtaining information was common and teachers played a role in this process. The study identified various factors that adversely affect the process of development of good oral health and related behaviour in the home environment. Schools and supportive community networks as well as outside organizations could be enlisted to take part in the efforts to overcome the barriers identified and improve the situation. |
