A ppt of the dental project by dr amit saini

A Blue-Print For The
Rural Dental Center Project by
Dr. Amit Saini , President of Global Oral Health
Foundation Society

ORAL HEALTH A PERSPECTIVE
a.Dental diseases are a significant public health burden in
India, with dental caries affecting 60 to 65 % and
periodontal diseases affecting an estimated 50 to 90 % of
the general population, depending on age, with research
suggesting that higher rates of dental diseases occur in
Rural areas.
b.The consequences of widespread poor oral health can be
seen on the personal, population, and health systems
level, as caries and periodontal disease deteriorate
individual health and well being, decrease economic
productivity, and act as significant risk factors for other
systemic health ailments.

ORAL HEALTH A PERSPECTIVE
c.Oral diseases qualify as major public health problems
owing to their high prevalence and incidence in all
regions of the world. The greatest burden of oral
diseases is on disadvantaged and socially marginalized
populations.
d. Dental diseases in rural India are primarily due to socio-
cultural factors, such as inadequate or improper use of
fluoride products and a lack of knowledge about oral
health and hygiene, and systemic infrastructure
deficiencies that prevent proper screening and dental
care of oral diseases, especially in rural areas.

DENTAL CARIES & PERIODONTAL
1.Dental caries are the most common non-communicable disease in
the world (Beaglehole, et al., 2009); Periodontal disease and Dental
caries are the two dominant disease burdens in oral health. ( By Dr
Klinge Beaglehole, Department of Dental Medicine, Division of
Periodontology, Karolinska Institutet, Stockholm, Sweden.)
2.The need to address these oral health concerns is especially
evident in India, because Dental caries affect 60 to 65 percent
of the general population (Kaur, et al., 2010). Additionally,
Periodontal disease is estimated to occur in 50 to 90 percent
of the population in India, depending on age. ( By Dr Arundeep
Kaur, Professor & HOD, Department of Periodontology, Maulana Azad
Institute of Dental Sciences, New Delhi, India. )
3.The WHO has considered dental caries and periodontal
disease to be two of the most important global health burdens
because ofthe high worldwide prevalence of both conditions.(
Petersen,2003 ). ( By Poul Erik Petersen, Chief, Oral Health Programme,
WHO, Geneva, Switzerland. )

ORAL CANCER
1.Oral cancer is the most common cancer in India amongst
men (11.28% of all cancers), fifth most frequently
occurring cancer amongst women (4.3% of all cancers)
and the third most frequently occurring cancer in India
amongst both men and women.( Globcan study )
2.Oral cancer is a major problem in the Indian subcontinent
where it ranks among the top three types of cancer.
3.Oral cancer is of significant public health importance to
India. Firstly, it is diagnosed at later stages which result
in low treatment outcomes and considerable costs to the
patients who typically cannot afford this type of
treatment.

ORAL CANCERS CONTD:
4.Secondly, rural areas in middle- and low-income countries
also have inadequate access to trained providers and
limited health services. As a result, delay has also been
largely associated with advanced stages of oral cancer.
5.Earlier detection of oral cancer offers the best chance for
long term survival and has the potential to improve
treatment outcomes and make healthcare affordable.
6.Thirdly, oral cancer affects those from the lower
socioeconomic groups, that is, people from the lower
socioeconomic strata of society due to a higher exposure
to risk factors such as the use of tobacco.

OBJECTIVES
1.At present the prevention and treatment of oral
diseases is virtually unavailable to majority of the
population. An Oral Health Strategic Plan is needed to
improve the oral health of the people.
The Oral Health Strategic Plan addresses the following
health outcomes:
1.Reduced incidence & prevalence of dental caries(decay)
2.Reduced incidence of oral cancers.
3.Reduced incidence and prevalence of periodontal
Diseases.(gum disease)
4.Reduced disability and handicap resulting from
oro-facial defects.(cleft lips and cleft palates)
5.Reduced incidence of oral and facial trauma.

MISSION
1.The Project aims to start a fully functional Dental Centre in the
village and connecting it with 25 to 30 other surrounding
villages thereby covering at least a minimum of 25 villages
where the BPL families can get quality dental care under the
supervision of Dental Doctor and supporting staff at highly
subsidized costs to them. Also, the middle class & affluent
section of people living in these villages can access dental
care at a reasonable cost to them thereby cross subsiding the
Dental treatment expenses towards the BPL families.
2.Dental Awareness Camps to be held twice a month by the
NGO in the surrounding villages with the assistance of
the ASHA Workers so as to make the people aware of the
Oral Health Diseases and also to discuss preventive
methods with regards to Oral Health.

HAS THE NGO TESTED THE SOLUTION?
A. I had in this mission, conceptualised and set up the
Dental Department at Shri Nabh Kanwal Raja Sahib
Charitable Hospital at Village Mazara Nau-Abad in
Nawanshahr-Punjab in the year 2007. This Dental
Department went on to provide Dental Healthcare
Treatment to the people living in the village and also to
the surrounding villages at highly subsidised costs. It
revolutionized Oral Healthcare among the rural areas in
approximately around a belt of 150 Villages.
B. Many patients had come for their First visit to a
Dentist such was the neglect about their Oral Health.
This translates into the lack of knowledge/awareness

INTRODUCTION
1.I have seen from close quarters while working as a
Consultant and Head In-Charge of the Dental
Department with a Charitable Hospital situated in the
rural hinterland, the day to day hardships borne by the
poor and the marginalized sections of people in
receiving quality dental care at the hands of the Dental
Professionals.
2.Public Expenditure on Health as percentage of GDP by
Government has varied from 1.12% ( 2009-2010) to 1.18%
(2016-17 ). Meanwhile, States spending in the same
period has risen from 0.7% of their GDP to 0.9% the
health ministry claims. This, experts suggest, is a
measly amount when compared to the country’s needs.

INTRODUCTION-1
3.With government spending on healthcare stagnating over
the past decade, the private healthcare industry has
boomed. This has meant that people continue to spend
high amounts from their pockets as costs of medical
care rise over time.
4.That public spending is not meeting people’s health care
expenditure needs is evident from out-of-pocket-
expenditure data compiled by the World Bank. In the
year 2014-’15, 62.42% of health spending was borne by
citizens. Ideally, when a country’s public healthcare
system is improving, the out-of-pocket-expenditure as a
percentage of total health expenditure should come
down. In India’s case it only has reduced marginally,
from 63.37% in 2010 to 62.4% in 2015.

INTRODUCTION-2
5. National Health Mission (NHM)one of the main
programmes of the Government includes 4 Components.
Mission Flexipool covers as many as 29 activities/
Programme/Scheme out of which NOHP is one. NOHP
comes under the NHM in the category Flexible Pool for
Non-Communicable Diseases, Injury & Trauma. Thus Oral
Health has to compete along with the Other Programmes
for Funds.
6.The Govt. has decided now that National Oral Health
Program (NOHP),would be a part of Health system
strengthening under NRHM (also known as Mission
Flexible pool). Approvals will be given to the states in
NOHP under Health system strengthening under NRHM.
The Utilization Certificate(UC)under the pool of system
strengthening will cover the utilization of NOHP.

INTRODUCTION-3
7. The most accessible and Principal healthcare provision
facilities for rural India, Primary Health Centers (PHC)do not
provide Dental Services and only 20-25% of Community
Health Centers, the point of secondary healthcare for rural
villages within the Indian Healthcare System, provide Dental
Care.
8. In Rural India, the dentist to population ratio is as high as
1 Dentist for every 250,000 residents whereas in Urban
India the ratio is I Dentist per 10,000 population. This vast
striking imbalance seen of the Dental Professionals not
working in the rural areas acts as a major barrier for the
rural people to access quality dental care.
9.Another major factor that acts as an Barrier is the high
cost of dental treatment. The poor and underprivileged
sections of people in the rural areas thus cannot access
the Private Dental Clinics in the nearby towns because of
the high costs involved.

INTRODUCTION-4
10.Thus they are left with no option but to avail the
services of the Quacks (Unqualified Professionals)
because of the low costs .There are about 100,000
Quacks who are providing crude dental care in the rural
parts of India. Thus the villagers often end up with
serious consequences to their Oral Health at the hands
of these Quacks.
11.It has been established that Rural India is experiencing
wide-spread challenges in oral health. It can be further
said that these challenges exist at every level of the
healthcare infrastructure, from a lack of dissemination
about preventative oral health education to severely
restricted access to curative dental treatments.

INTRODUCTION-5
12.Only 15-20% of people living in India are able to get dental
services through national schemes. 80-85% of people are
spending money from their pocket. Although huge unmet
treatment needs exists; striking inequality in delivery system,
and absence of an adequate community-oriented prevention
system is further aggravating the lack of reach of dental
facilities in rural parts of India.
13.Thus this Project plans by the opening of Rural Dental
Centres in the villages across India aims to:
a.Increase awareness of the importance of Oral Health.
b.Improve access to Dental Services in Rural India under
the supervision of a qualified dental surgeon and
supporting staff.
c.Prevention of Oral Cancer.

PLEDGE
 It is to this section of society that I would
like to target and bring back smiles on
their faces.

THE PROPOSED PLAN-PAGE 1
A.The Project aims to start a fully functional Dental Centre
in the village and connecting it with 25 to 30 other
surrounding villages thereby covering at least a minimum
of 25 villages where the BPL patients can get quality
dental care under the supervision of Dental Doctor and
supporting staff at highly subsidized costs to them.( HUB
& SPOKE Method)
B. Also,Dental Awareness Camps to held twice a month by
the NGO with the assistance of the ASHA Workers so as
to make the people aware of the Oral Health Diseases and
also to discuss preventive methods with regards to Oral
Health.
C.The middle class & the affluent section of people in these
villages will get dental treatment at a reasonable cost
thus cross subsidizing the Dental Treatment to the BPL
Families.

THE PROPOSED PLAN IN GRAPHIC
RURAL
DENTAL
CENTER
ORAL
PRODUC
TS &
MEDICINE
S
DENTAL
CHAIR &
EQUIPME
NT
DENTAL
OUTREACH
CAMPS
WITH ASHA
WORKERS
DENTIST
&
SUPPORT
ING
STAFF

THE PROPOSED PLAN—PAGE2
2. The Various Manufacturers of Dental Equipment's can
help in sponsoring a Dental Chair Unit and Dental
Equipment's for basic dental procedures.
3. The Dental Chair Unit can be sponsored by Confident, a
Leading dental chair manufacturer in India.
4. The toothpaste and other Oral Products can be
sponsored by Colgate India as part of their Bright Smiles
Bright Future Initiative.
5. Recruitment of a Computer Professional who will digitally
record the patients history & Clinics work.
6.Desktop Computer to be sponsored by HP alongwith 3-in-
1( Print/Copy/Scan )to be sponsored by Canon India.

THE PROPOSED PLAN-PAGE 3
7.The medicines can be sponsored by SUN PHARMA
as part of their Corporate Social Responsibility.
8.Recruitment of a Dental Doctor willing to work in
the rural hinterland to serve the people.
9.Recruitment of a Dental Assistant to be done from
the local population who will help in taking care
of dental emergencies after doctor’s duty hours.
10.Construction of a Toilet in the Dental Center by
Sulabh International for the patients and the Staff.

THE PROPOSED PLAN—PAGE 4
11.The Dental Center will be equipped with
Teleconferencing facility so as to interact with
Dental Experts via Airtel 4G Broadband Services.
12. The Dental Center will have clean drinking water
facility on its premises which can be provided by
Tata Swach RO Filters for the patients and the staff.
13. The Dental Center will be equipped with a
Generator of 5KVa which can be provided by
Kirloskar Gensets for uninterrupted electricity in
the smooth running of the Dental Center.
14. The Dental Center will be equipped with a Camera
and DVR to see the working of the Center on daily
basis by both the Parties.

TRANSPARENCY & ACCOUNTABILITY
This Project will be transparent and accountable to its various
stakeholders by the following proposals:
 Stock Registrar on dailybasis reporting
 Receipt &Payment, Income Expenditureand BalanceSheet to
be prepared on a Quarterly basis and provided to the NGO &
the Facilatator.
 Facilatatorand the NGO willshare the area reviewsand
Project screeningon periodicallybasis.
 Camera to see the workingof the Dental Centre in real time
mode to be viewedby both the NGO and the Facilatator.

TRANSPARENCY IN GRAPHIC
TRANSPARE
NCY &
ACCOUNTAB
ILITY
MONTHLY AUDITS
TO SEE THE
WORKING OF THE
DENTAL CENTER
AREA REVIEWS &
PROJECT
SREENING
STOCK REGISTER
ON DAILY BASIS &
CAMERA+ DVR

ASSESSINGEFFECTIVENESS
 MonthlyAudits to see the workingof the Dental Centre with
regards to:
1.How many patients treated andtheir monthlytreatment plan.
2.Verify the above claimby meeting selected patients through a
random sampling.
3.AllComplete Denture Cases to be verifiedevery month by
personal physical inspectionand takingtheir photograph
withthumb impression/signaturefor officialrecord.

WAY FORWARD
a. Because fluoridated toothpaste is a highly effective
means of caries control, every effort must be made to
develop affordable fluoridated toothpastes for use in
developing countries. The use of fluoride toothpastes
being a public health measure, it would be in the interest
of countries to exempt them from the duties and taxation
applied to cosmetics.
b. Salt fluoridation as a means of population-wide fluoride
supplementation should be considered. This method of
salt fluoridation could be easily implemented across the
rural hinterland in India as a low economic cost to the
Governments especially targeting the rural people in
prevention of caries.

WAY FORWARD
This is the Blue Print to rollout an effectiveprogramof
ruraldental health servicesacrossthe villages pan
India.
This programcan be effectively rolledout across the
length and width of state/country in a phased manner.
I have made my presentation andnow I await the
responseof the Stakeholdersin this noble endeavor.

Prevention is better than cure

AWARDS BYTHE NGO
1.The Project was awarded the Karmaveer Chakra, 2012 by
International Confederation of NGO’s( iCONGO ) during the
REX Conclave held in Delhi in 2012 in association with UN.
Website of the
Organization: http://www.rexideas.com/
2. Have spoken lately via Skype to the Delegates of the India
Development Coalition of America (IDCA) on the Rural Dental
Center Project at their 6th North India Conference held at IIIM,
Jaipur on 3rd March 2017.
Website of the
Org: https://www.idc-america.org/

RECOGNITIONS TO THE NGO:
3. My Nomination for Participation as Innovator/Startup has
been selected for RISC 2017 being held in Hyderabad on
23-24 March 2017. The Event is being conducted by
National Institute of Rural Development & Panchayati
Raj( NIRDPR ).
Website of the Org: www.nird.org.in // www.risc2017.com
4. I have also been selected for the South Asia Leaders
Program being conducted by Common Purpose India for
the Event to be held from 22 - 25 May 2017, Mumbai &
22 - 25 August 2017, Colombo respectively.
Website of the Org: www.commonpurpose.org

RECOGNITIONS TO THE NGO:
5. Today as on 29 May 2017, I received a mail from MaD (
Make a Difference ) Festival for their Event Participation
in Hong Kong.
Confirmation Letter of MaD Festival 2017 - International
Assembly
This is to certify that Mr. Amit Saini is selected as one of
the participants of the MaD Festival 2017 - International
Assembly in Hong Kong under the Asian Subsidy
Scheme which partially financially supports the
accommodation and airfare of our participants. Details of
the event is provided below:
Date: 21 - 23 July, 2017
Venue: Kwai Tsing Theatre, Hong Kong
Website of the Organisation: http://www.mad.asia/

RECOGNITIONS CONTD:
6.Invitation by DESHPANDE FOUNDATION for their
Development Dialogue Conference 2018 to my good self
Development Dialogue 2018!
Development Dialogue is India's most awaited social
entrepreneurship ecosystem conference, hosted by the
Deshpande Foundation at Hubballi, Karnataka.
You are invited for the 2018 Dialogue scheduled for
February 3rd and 4th. Pre-events include a Sandbox
immersion field visit on February 2nd and a week-long
community-driven conclave from 25th to 29th January.
To learn more visit www.developmentdialogue.org

7. SENIOR DENTAL LEADERSHIP- 12
 I have been invited by Dr Raman Bedi for the Senior
Dental Leadership Programme in the UK in 2018. Mr
Bedi has said that I wish to come then the Global
Child Dental Fund will waive off 50% of my
registration fee of 10,000 US Dollar.
 It is the best opportunity to learn from the Leaders
in Oral Health and get the same replicated back
home in India. Though it is an excellent opportunity
but the remaining 5000 US Dollars is still too High
for myself to attend.
 It is my earnest appeal to Organisations /
Foundations to back me so that I can contribute
towards Oral Health in a more meaningful way and
contribute towards the Oral Health Sector in India by
working with them.

WORK DONE BY THE NGO TILL DATE:
I am sharing withyou allthe Consolidated Statistics of the First
20 Dental Camps conducted by the NGO along withthe
Results . In this,I was helped by a Technology Partner. The
Technology partneris helpingthe Foundation record, track
and manage the patient visits to bring accountabilityand
transparency inthe operations.
I am sharing the Link withyou allwitha Brief Write-up of my
Observations during these Camps:
https://drive.google.com/open?id=0B8-CdGuIFX4-
enQzN3lfQl91OTA

THE CLINICAL FINDINGS OF THE DENTAL CAMPS:
1. About 50% of the Female Patients were from 20-40 yrs
Group.
2. 70% of the Male Patients were from below 40 years.
3. 50% of the patients examined ( male & female both ) had
poor Oral Hygiene and were advised Oral Prophylaxis (
professionally cleaning of teeth by a Dentist / Dental
Hygienist )
4. A majority of the Children over 40% under the 20 years Age
Group had Carious teeth. This was because of lack of
knowledge about Oral Health & Hygiene among Children.

8. EXECUTIVE PROGRAM IN SOCIAL IMPACT STRATEGY
Dear Amit,
Congratulations!On behalf of University of Pennsylvania’s School of Social
Policy and Practice (SP2) and the Center for Social Impact Strategy(CSIS), we
are delighted to offer you admission into the January 2018 cohort of the
Executive Program in Social Impact Strategy. You were selected because we
believe you offer a unique perspective to this diverse and talented group of
emerging leaders, innovators, and changemakers.
With more applicants than we were able to admit, we took care to select those
who have demonstrated commitment to a big idea, an openness to new
ways of thinking, and a diversity of personal and professional experiences.
You will join a global network of changemakers who will support your impact
work throughout and after the program.
Welcome aboard! You’ve helped set an exciting tone for the 2018 cohort, and
we’re very much looking forward to getting to know you better.
Congratulations again, Amit!
Sincerely,
Ariel Schwartz
CSIS Admissions

8. EXECUTIVE PROGRAM IN SOCIAL IMPACT STRATEGY
CSIS Admissions
3815 Walnut St
Philadelphia, PA 19104

9. SELECTED AS AN GAP CHANGEMAKER
Dear Changemaker,
Welcome to the GAP Community!
We are delighted to inform you that you have been selected to be a GAP Changemaker. We believe that
you are making a great impact through your initiative in the lives of people living in poverty and we truly
appreciate your efforts towards making the world a better place.
GAP EMPOWERMENT PROGRAMS
We aim to support you through some powerful and relevant programs that we offer to all our Changemakers
pro bono (free of cost) or at subsidized fees. These programs can support you in providing resources such
as innovative ideas & research, volunteers, accounting, legal or marketing support and funding. We also
support your development as a leader through our mentoring, coaching, leadership and learning programs.
NEXT STEP GOING FORWARD
As a first step, we request all GAP Changemakers to create a clear plan for your organization. To enable
the same, we will be connecting you to a professional GAP Coach who will help you in fine tuning your
organization’s plan for the coming year. We call this the Change Plan.
Following the Change Plan creation, you will be connected to our programs and partners based on your
requirements.

SELECTED AS A GAP CHANGEMAKER 2018
Once again, a warm welcome
to the GAP community. We
look forward to the opportunity
of supporting you in your
changemaking journey.
Awaiting to meet you all
virtually in the Video
Conference on 15th of March
2018 or the following working
day.
Thank you
Warm regards,
Renuka

Thanking you for sparing time and lending a
patient ear to the Dental Project.
HQ Address : House. No. B-6/313,
Baba Deep Singh Nagar
Rahon Road, Nawanshahr-144514
District:SBS Nagar, Punjab-India.
Email: gohfs.nsr@gmail.com Contact:+919878208105
You can also follow us on the Official page of the
NGO on Facebook via the Link below:
https://www.facebook.com/gohfs

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A ppt of the dental project by dr amit saini