Kinga Africa: “We have to work for a world free of Infant Oral Mutilation”
By Milena Rampoldi and Denise Nanni, ProMosaik. In
the following our interview with Francis Muthama of the organization Kinga Africa,
engaged in Kenya against INFANT ORAL MUTILATION.
Part II of the interview can be found here.
IOM is a traditional practice
violating children’s health rights. Before the interview a definition of this
practice from the article “Infant Oral Mutilaton – A Child Protection Issue? By
Girgis S., Gollings J., Longhurst R., Cheng L., 2016.
the following our interview with Francis Muthama of the organization Kinga Africa,
engaged in Kenya against INFANT ORAL MUTILATION.
Part II of the interview can be found here.
IOM is a traditional practice
violating children’s health rights. Before the interview a definition of this
practice from the article “Infant Oral Mutilaton – A Child Protection Issue? By
Girgis S., Gollings J., Longhurst R., Cheng L., 2016.
Infant oral mutilation (IOM) is a primitive
traditional practice involving the ‘gouging out’ of an infant’s healthy primary
tooth germs. This can lead to transmission of blood-borne diseases such as HIV/
AIDS, septicaemia and death. Other complications include eradication and/ or
malformation of the child’s permanent dentition. IOM is usually performed by
village healers in low income countries as an accepted remedy for common
childhood illness. The gingival swelling of the unerupted teeth is mistakenly thought
to indicate the presence of ‘tooth worms’. Crude methods to remove these are
employed using unsterile tools. IOM has been reported in many African
countries. More recently, some immigrants living in high income countries, such
as the UK, have shown signs of IOM. Our aim is to raise awareness among
clinicians about the existence of IOM practice being carried out among
respective African immigrant groups. We encourage clinicians, particularly
those working with paediatric patients to inform parents and carers of children
with a history of IOM about the risks and consequences. As part of child
safeguarding policies, dental practitioners and health care professionals
should intervene if they are aware of any perceived plan that IOM is to be
carried out in the future.
We would like to thank Mathama so much for his
answers, and the photos he sent us. Infant Oral Mutilation is not spread only
in Kenya, but in many other African countries. It is related HIV/AIDS
transmission. And it is a pratice which must be stopped by awareness campaigns,
education, and real dentists, helping people in the poor villages.
answers, and the photos he sent us. Infant Oral Mutilation is not spread only
in Kenya, but in many other African countries. It is related HIV/AIDS
transmission. And it is a pratice which must be stopped by awareness campaigns,
education, and real dentists, helping people in the poor villages.
How was Kinga Africa founded?
Kinga Africa was founded in the year 2011 by
Francis Muthama and registered as a charity in Kenya on the 5th of
January 2012. It was inspired by an urge to curtail dental pains after Francis’
mother and wife suffered dental problems. Looking at the oral situation in
Kenya, a great need for intervention was born. Kenya has less than 1000
registered dentists serving over 42 million people. Only half of these dentists
work in public hospitals hence the great need for dental clinics. Oral health
education is very minimal among the populace especially from parents to their
children.
Francis Muthama and registered as a charity in Kenya on the 5th of
January 2012. It was inspired by an urge to curtail dental pains after Francis’
mother and wife suffered dental problems. Looking at the oral situation in
Kenya, a great need for intervention was born. Kenya has less than 1000
registered dentists serving over 42 million people. Only half of these dentists
work in public hospitals hence the great need for dental clinics. Oral health
education is very minimal among the populace especially from parents to their
children.
What are the main factors that lead to lack of
access to health education in Kenya?
access to health education in Kenya?
One of the contributing factors especially in lack
of oral health education is that oral health is not considered to be a major
part of the general human health. This is the same across the divide; the poor,
rich, learned, illiterate, young, old, name them, to a bigger percentage of the
population, the teeth do not mean a lot.
of oral health education is that oral health is not considered to be a major
part of the general human health. This is the same across the divide; the poor,
rich, learned, illiterate, young, old, name them, to a bigger percentage of the
population, the teeth do not mean a lot.
The inadequacy of dentists and hygienists in the
country has also challenges the implementation of oral health education
programs.
country has also challenges the implementation of oral health education
programs.
Health financing is either by the individual or by
a national health insurance scheme that does not cover dental treatment. This
locks out the poor from accessing dental services
a national health insurance scheme that does not cover dental treatment. This
locks out the poor from accessing dental services
There are always competing priorities as far as
government budgeting and expenditure is concerned. You realize dental pain does
not necessarily cause death as malaria, diarrhea and other ailments. This hinders health education. Building of
roads and other developmental projects come before this very important area of
life. I always fear that 20 years from now we may have all the roads tarmacked,
no one dying of malaria, electricity and internet connectivity for all etc, but
half of the population is toothless!!!
government budgeting and expenditure is concerned. You realize dental pain does
not necessarily cause death as malaria, diarrhea and other ailments. This hinders health education. Building of
roads and other developmental projects come before this very important area of
life. I always fear that 20 years from now we may have all the roads tarmacked,
no one dying of malaria, electricity and internet connectivity for all etc, but
half of the population is toothless!!!
The fact that Kenya has only two universities that
are training dentistry and they each admit around twenty students for the six
year course, dictates the increase in people to offer the much needed services
including education.
are training dentistry and they each admit around twenty students for the six
year course, dictates the increase in people to offer the much needed services
including education.
How do you identify and select the communities
where you intervene?
where you intervene?
Upon registration, the organization was given some
communities to work with. A majority of rural communities all over Kenya have
no access to dental health and so the project moves from school to school,
community to community educating them on oral health. Because of the prevalence
of Infant Oral Mutilation among some communities, the project targets such with
aim to clear the myth around the deadly practice.
communities to work with. A majority of rural communities all over Kenya have
no access to dental health and so the project moves from school to school,
community to community educating them on oral health. Because of the prevalence
of Infant Oral Mutilation among some communities, the project targets such with
aim to clear the myth around the deadly practice.
What are the topics of your education programs?
In the schools
·
The importance
of the teeth
The importance
of the teeth
·
How to take
care of the teeth
How to take
care of the teeth
·
Teeth
destroying foods
Teeth
destroying foods
·
How to brush
and floss the teeth
How to brush
and floss the teeth
·
When to brush
When to brush
·
General
hygiene including hand washing
General
hygiene including hand washing
To the communities
·
All the above
All the above
·
Teething
process
Teething
process
·
What causes
diarrhea in infants (majorly poor hygiene)
What causes
diarrhea in infants (majorly poor hygiene)
·
What to do
when diarrhea strikes
What to do
when diarrhea strikes
·
The dangers of
Infant Oral Mutilation
The dangers of
Infant Oral Mutilation
To teachers and community health workers
·
All the above
All the above
·
Main dental
diseases, their causes, development, prevention and treatment
Main dental
diseases, their causes, development, prevention and treatment
·
Their role in
oral health promotion
Their role in
oral health promotion
Do you cooperate with local authorities and
institutions? If yes, how?
institutions? If yes, how?
We work in partnership with the ministry of health
(MOH) and that of education (MOE) at the county level of administration. MOH
gives us nurses and clinicians during our free dental clinics. Our school
health program runs in collaboration with the public health school program
(which is not operational in many rural areas).
MOH also organizes Community Health Workers for trainings on health
promotion by our project. (The ministry of education arranges our visits to the
schools and mobilizes teachers when we organize trainings for teachers.
(MOH) and that of education (MOE) at the county level of administration. MOH
gives us nurses and clinicians during our free dental clinics. Our school
health program runs in collaboration with the public health school program
(which is not operational in many rural areas).
MOH also organizes Community Health Workers for trainings on health
promotion by our project. (The ministry of education arranges our visits to the
schools and mobilizes teachers when we organize trainings for teachers.
Our project is the only one in Kenya that is
promoting oral health. We pride in what we have been able to achieve so far;
educating over 500,000 children on oral health and providing them with free toothbrushes
and paste. Training over 5000 teachers and community health workers on oral
health and offering free dental treatment to over 9000 patients. We host
volunteers who offer free treatment and other services to the needy
communities. Just like any other charity, we have challenges including limited
and sometimes absence of funding. Finding dental volunteers in Kenya is a
problem so we majorly depend on international volunteers who are only available
a few times a year.
promoting oral health. We pride in what we have been able to achieve so far;
educating over 500,000 children on oral health and providing them with free toothbrushes
and paste. Training over 5000 teachers and community health workers on oral
health and offering free dental treatment to over 9000 patients. We host
volunteers who offer free treatment and other services to the needy
communities. Just like any other charity, we have challenges including limited
and sometimes absence of funding. Finding dental volunteers in Kenya is a
problem so we majorly depend on international volunteers who are only available
a few times a year.
The project is looking forwards to building a first
dental referral centre in Kenya. We are sourcing for partners.
dental referral centre in Kenya. We are sourcing for partners.
To learn more about the deadly infant oral
mutilation watch this video:
mutilation watch this video:
