Abstract

EXPLORING FACILITATING AND INHIBITING FACTORS FOR SCHOOL HEALTH INTERVENTIONS: A BARRIER ANALYSIS APPROACH IN RURAL PARTS OF WARDHA DISTRICT IN CENTRAL INDIA

Mohnish Giri, D. G. Dambhare and R. Naveen Shyam Sundar*

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Abstract

Introduction: This research examines the determinants influencing oral self-examination behaviors among school-going boys in India. Barrier Analysis, a rapid assessment tool, is utilized to identify the factors affecting oral health practices in this population. The study aims to shed light on the facilitators and inhibitors of oral selfexamination, providing insights for effective intervention strategies to improve oral health outcomes among adolescents. Methodology: Four government-run schools were randomly selected from the Wardha district of central rural India, each hosting a total of 100 boys spanning from Class 5th to Class 9th. From each school, 60 boys were randomly chosen, resulting in a sample size of 240 boys overall. Nine semistructured interview questions, addressing various behavioral determinants, were administered to school-going boys. Responses were coded to identify patterns among those who reported performing oral self-examination (Doers) versus those who did not (non-doers). A coding guide was developed to categorize responses, and percentages were calculated to assess the prevalence of specific determinants among both groups. Findings were reviewed by faculty colleagues to ensure the trustworthiness of the results. Results: Facilitating factors for oral self-examination among Doers included regular peer-led sessions at school, early lesion detection, parental support, and perceived improvements in oral hygiene. Inhibiting factors among non-doers included forgetfulness, lack of practice, and the perception that oral health issues are inconsequential to overall health. Discrepancies between Doers and Non-Doers' responses highlight key determinants influencing oral health behaviors among school-going boys. Conclusion: This study underscores the importance of addressing facilitators and inhibitors of oral self-examination among school-going boys in India. Interventions focusing on regular peer-led sessions, parental involvement, and increasing awareness about the significance of oral health may help improve oral health practices in this population. By understanding the factors influencing oral health behaviors, tailored interventions can be developed to promote oral self-examination and enhance oral health outcomes among adolescents.

Keywords: Oral health, School-based intervention, Barrier Analysis, Behavioral determinants, Oral self-examination, Parental involvement.