Table 5

Recommendations developed and validated in design phase

1.Expanding promotion of oral healthcare
  • Extending oral health promotion and prevention to all age groups.

  • For children and families: Involvement of social workers and community workers in oral health promotion for families; involving young parents in oral health promotion; Full-time dental hygienist or at least more frequent dental hygienist rotation for AWASH, to introduce oral health promotion into school curriculum.

  • For elders and people with special needs: Integration of home-based oral healthcare; expanding oral health promotion and prevention at multiservice day centres.

  • Recognising and engaging community innovators such as elders, youths, local community leaders for oral health promotion.

  • Facilitating oral health prevention and promotion in public health programmes and community activities such as oral health nights, parents’ nights, sports events, festivals, cultural activities; provision of dental weeks or dental day; raising competitive behaviour by organising competitions like beautiful teeth’.

  • Promotion via audio-visual aids and information technologies such as pamphlets, flyers and posters, radio, local monthly newsletter, social media websites, creating promotion videos (in Cree language especially for elders), conducting workshops and presentations.

  • Provision of mobile dental vans for promotion and services for people with limited accessibility.

  • Provision of tele-oral health services by engaging native care providers.

2.Facilitating access to care
  • Regular dental check-up especially for people at risk such as those with chronic illnesses.

  • Extending hours of work such as weekend clinics, evening clinics to assure better services for working adults and younger population.

  • Emergency walk-in at dental clinic during weekends and holidays.

  • Provision of more frequent specialised services in all the communities.

3.Augmenting organisational management
  • Reinforcement of recruitment of additional and permanent oral healthcare providers by offering financial and non-financial benefits.

  • Custom training of local/ Indigenous people to become professional healthcare providers.

  • Regular training, continuing education and workshops for dental primary care providers including dental assistants, secretaries, CHRs.

  • Infrastructural developments.

4.Strengthening care -coordination
  • Development of uniform protocol for appointment scheduling.

  • Strengthening protocols for better care coordination.

  • Developing a case management system by appointing case manager for every patient.

  • Oral healthcare training for non-dental primary care providers such as dental triage training.

  • Expanding the digitalisation of health records.

5.Promoting cultural integration
  • Proposing a new job position of ‘Dental CHR’.

  • Engaging the Cree communities and elders to collaborate in the development of a Cree language dental glossary to help improve communication.

  • Researching and adopting traditional practices related to oral health as well as acknowledging elders’ experiences.

  • Development of specific cultural competency training for non-Indigenous healthcare professionals.

  • Educating community people on the role of traditional medicine.

  • Having Sign Boards at CMC in the Cree language particularly for elders.

  • CHR, community health representative; CMC, Community Miyupimaatisiiun Centre.