September 2021

Volume 38, Issue 3

A scoping review of the roles, training, and impact of community health workers in oral health

Authors: Dina T. Garcia Jaime A. Lawson Erica R. Brody Susan C. McKernan Sarah E. Raskin Nixon R. Arauz Maghboebah Mosavel Tegwyn H. Brickhouse
doi: 10.1922/CDH_00370Garcia11


Objective: To synthesize English or Spanish-language literature on community health workers’ (CHWs’) roles, training, and impact in oral health. Basic research design: A scoping review conducted in accordance with the Arksey and O’Malley (2005) methodological framework. Method: Electronic literature searches were conducted in Medline (Ovid), Embase (Ovid), DOSS, CINAHL, Web of Science, and Global Health CAB from inception of the databases to April 2020. Three reviewers independently conducted the title and abstract and full-text reviews. This was followed by data charting by three reviewers and data summarizing by two reviewers. Results: Out of the 36 articles that met the inclusion criteria, most took place in the United States (n=15) with most published between 2012 and 2019 (12). CHWs were incorporated in programs that focused on access to dental care (n=10), oral health promotion only (9), early childhood caries (8), oral health promotion and services (5), and oral cancer screening (4). Common roles included providing oral health education and behavior change motivation to community members, facilitating utilization of dental services, and the delivery of diagnostic and dental services to community members. Training and outcomes were not consistently described across studies. Conclusion: CHWs have been used in oral health programs and interventions across a wide range of locations and contexts. The implementation and scaling-up of oral health CHW programs requires appropriate provision of training as well as community embedded monitoring and evaluation structures based on rigorous methods with clearly defined outcomes. Keywords: Health promotion, oral health, scoping review, dental care delivery, community health workers


Other articles in this issue

Article Pages Access
EADPH Congress 2021 Abstract Presentations 0-0 Download
Editorial: Community Water fluoridation 158-160 Download
Dental Public Health in Action: Utilising a telephone triage system to run an Urgent Dental Care Hub during the COVID-19 pandemic 161-164 Download
Older Patients’ Views of Oral Health Care and Factors which Facilitate or Obstruct Regular Access to Dental Care-Services: A Qualitative Systematic Review 165-171 £10 single article
Is Malocclusion Associated with Dental Caries among Children and Adolescents in the Permanent dentition? A Systematic Review 172-177 £10 single article
Risk factors for developmental defects of enamel in children from southeastern Brazil 178-181 £10 single article
Professional dental care provision systems for persons with disabilities by prefecture in Japan 182-186 £10 single article
Street-level implementers of population-based oral health policies: the case of water fluoridation supply in Brazil’s small towns 187-191 £10 single article
Socioeconomic inequalities and temporomandibular joint disorders in adolescents: contributions from a Maranhão cohort 192-197 £10 single article
A scoping review of the roles, training, and impact of community health workers in oral health 198-208 Download
Impact of cancelled General Anaesthetic dental extraction appointments on children due to the COVID-19 pandemic 209-214 £10 single article
School Teachers’ Knowledge and Attitudes about the Emergency Management of Traumatic Dental Injuries in Turkey 215-219 £10 single article
Letter to the Editor 220-220 £10 single article


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.