PDM（Project design Matrix）

Ver. 1,1 2 3/June, 2013

Title of the Project（Project Duration）：The project for improving adult's lifestyle approach from oral health in the Kingdom of Tonga(From August 2013 to July 2016 (three years)
Target Area：Tongatapu, Eua Island, Vava’u Islands, Ha’apai Islands
Target Group：Tongan (more than twelve years old) (Dental staff ,Medical staff, Junior and senior high school students, pregnant and nursing mother, and normal patients)
Narrative Summary

Objectively Verifiable Indicators
1)
2)
3)
4)

Overall Goal：
Prevent non-communicable diseases/
life related diseases (NCD; including oraldisease)
Project Purpose：
・To Improve Tongan peoples’ life styleby approaching from oral health andlife-style modification.

Important Assumptions

Means of Verification
Interview
Physical examination
Progress report
Self-evaluation (Self-monitoring)・ All of the staff members must
comprehend oral health and NCD.
・ A half of the staffs give Tongans thelectures about Oral Health and NCD.
・ Preventive treatment receiver increase
50%, because they understand therelation between oral health and NCD,.
・ 10% increase of Tongan who try to
improve life-style is expected (Stopsmoking, reduce salt intake, The
improvement of overweight, The intakeof vegetables etc.).
・ 10 % increase of Tongan who do daily
exercise to prevent NCD and life-style
related diseases.

1) Interview research to the target group’s
comprehension about oral disease andNCD.
2) Dental examination
3) Report from Ministries of Health andEducation
4) Evaluation (monitoring) by SPMT andTongan dental staff

・Tongan regime won’t changeby any riot

1-1) Dental staffs must have the view point
about NCD.

1)
 Research for staff and patients byinterview (modification for cognition andbehavior ) Examination and evaluation of dental
charts Case report, record for improving of life
style, composed public announcement
 Field surveys and progress reports ofstaff.
 Evaluation (monitoring) by SPMT and・

The partnership with theKingdom of Tonga won’t
collapse

Output：1)

Both dental and medical staff
recognize relationship between oral
health and NCD, and will be able toteach how to improve patients’ life
style(Improve the total ability of staff andestablish the cooperative system)

1-1-1) All dental staff have the view pointof NCD to treat patients
1-1-2) Tooth extraction due to periodontal
disease must be reduced to50% in
all oral treatments.
1-1-3) Preventive oral care patient will
increase 10 %.
1-2) Trained Medical staffs must cooperatewith dental staffs to improve Tongan’s
life style.
1-2-1) 50 % of the patients with diabetes
shall visit dental clinic.
1-2-2) Receiver of dental check up will
increase 10 %, due to nurses’
encouragement.
1-2-3) NCD newsletters will be compiled bydental and medical staffs.
1-3) Description about improvement of life
style will be involved in Malimali
programme

Tongan dental staff2) Establish the oral health campaign
for adolescent and adult to improve
life style (early stage approach)2-1) Dental examination (including
measurement of height and weight)
shall be held annually.
2-2) 80% of all teachers will comprehend
relationship between oral health and
NCD, and are able to inform andeducate their students.(4-4)2-3) Adult Tongan who reduces the risk of
NCD will increase to 80 % throughexercise and healthy diet.

2) Interview
 Record of workshop
 Number of examined patients,
evaluation of data of dental examination

3) Establish the campaign to improveoral health for pregnant and nursing
mothers3-1) Conduct workshop for pregnant andnursing mothers more than threetimes a year.
3-2) To conserve the healthy life of mothers
and children, nurses must provide theopportunity for dental check up at theirstable period.
3-3) 80% of pregnant women who attend
our seminar will try to improve the life
style modification.

3) Interview for pregnant and nursingmothers
 Record of workshop for pregnant andnursing mothers Field survey and progress report of staff
 Evaluation (monitoring) by SPMT andTongan dental staff

4) Increase the number of Tongan
supporters who will provide further
knowledge of healthy life with therelationship between oral health andNCD to others Tongans.

4-1)

4)
 Researchfor
targetedgroup’s
understanding by interview.
Reports of health workshop for adults Field surveys and progress reports bystaff
 Evaluation (monitoring) by SPMT andTongan dental staffs.

The number of workshops andparticipants about the oral healthfor adults (supposed to be held oncea year)4-2) 50% of attendance of the workshops
will become the leader of the life-stylemodification movements.
4-3) Periodical broadcast about the oral
health and NCD prevention by Tongan
media (e.g., radio and televisionstations)4-4)

80% of Tongan teachers willcomprehend relationship between oral
health and NCD, and are able toinformandeducate
theirstudents.(2-2)
4-5) Government officers execute the oral
health and life style modification as
their government campaign.
5) Improvementofthelife-stylemodification and oral health inTongan prevailed all over theKingdom of Tonga.

5-1) Numbers of holdings and participantsof the oral and NCD health workshop.
5-2）Number of the seminars, festival andevent which were held, and number ofattendant.
5-3) Number of campaign newsletters andself- management tools.

5)Reports of health festivals
Field survey and progress report ofstaff

InputsJapan sideActivities：
1) Both dental and medical staff
recognize relationship between oralhealth and NCD, and will be able toteach how to improve patients’ lifestyle1-1)To evaluate progress of awarenessaboutlife
style
modification,questionnaire type survey will be
performed at pre-, middle- and post
programme.
1-2)Conduct workshop for both dental
and medical staffs to obtain theknowledge about the relationshipbetween oral health and NCD.
1-3)Technical workshop for dental staff
to obtain the skill of periodontal
examination and prevention of PD.
1-4)Medical staff provide the opportunity
for dental checkup for pre-NCD
patients.
1-5)Compile booklet and brochure about【Human resources】
SPMT staff
Dentists
Dental hygienists
Faculty staff of Dental School
Medical doctors
Nurses
Officers【Equipments】
・Equipment
Personal Computer
Dental camera
Mobile phase-contrast microscope
・Dental equipment
Treatment and prevent instrument forperiodontal disease
Instrument for dental examination
・Equipment of educational campaign
Scales for weight, height, BMI chart andMirror
Equipment for saliva test

Tonga side
【Human resources】
・Ministry of Health
Dental staff
Dentists
Dental therapists
Malimali program team
Malimali kindy team
Medical staff
Medical doctors
Health officers
Health nurses
Reproductive nurses
・Government officers
・Ministry of Education
Staff
Teachers【Equipments】
Allowance for utilise dental unit in theclinic【Institution】
・Ministry of HealthPre-conditions：・ It won’t be able to keep
campaign due to hurricane orearthquake
・ It won’t be able to keep
campaign due to sudden illnessof stafforal health and NCD to propagate
campaign for Tongans. （Creation ofa public-relations media :Leaflet andPoster）
1-6) Periodontal disease must be
included in. Dental treatment.
1-7)Compile case reports to educate
dental staff as well as patients.
1-8)Life style modification must beincluded for Malimali programme.
1-9)Get opinions from non-participant
and those who stopped to attend thisprogramme.
2) Establish the oral health campaign
for adolescent and adult to improve
life style(early stage approach)2-1)To evaluate transformation ofawareness and behavior of juniorand senior high school students,
questionnaire type survey will be
conduct at pre-, middle- and post
programme.
2-2)Cooperate with Ministry of Education
to confirm the detail of action.
2-3)Conduct workshop about the oral
health and life style improvement foradolescent(Program:healthinvestigation, self body check bylarge mirror, Radio calisthenics,chewing exercise)2-4)Dental checkup at grade one, threeand five (including the measurementof height and weight)
2-5)Provide appropriate support toimprove life style.
2-6)Get opinions from non-participant
and those who stopped to attend thisprogramme.
3) Establish the campaign to improveoral health of pregnant and nursing
mothers.
3-1)To evaluate transformation of【Miscellaneous】

Conference room
Dental clinic
Medical clinic
Health Centre
・Ministry of Education
Junior High and High School
Conference room
・Government office・Media office・Hall・Market (public square)
・Churchawareness and behavior about oral
health and life style modification,questionnaire type survey will be
performed at pre-, middle- and post
programme.
3-2)Cooperate with dental staff, healthstaff, reproductive nurses and so on
to confirm the detail of action.
3-3)Conduct dental examination and oral
health workshop for pregnant andnursing mothers3-4)Place educational brochure, andinstall large mirror, scales for weightand height at health center to provide
the opportunity for self-evaluation.
3-5)Provide appropriate support toimprove their life style.
3-6)Get opinions from non-participant
and those who stopped attend thisprogramme.
4) Increase the number of Tongan
supporters who will provide further
knowledge of healthy life with therelationship between oral health andNCD to others Tongans.
4-1)To evaluate the transformation ofawareness and behavior about oral
health and life style modification,questionnaire type survey will be
performed at pre-, middle- and post
programme.
4-2) Cooperate with president ofinstitution to confirm detail of action.
4-3)Place educational brochure, andinstall large mirror, scales for weightand height at health center toprovide
theopportunityforself-evaluation.
4-4) Malimali programme team conduct
workshop about oral health and life
style improvement for adult4-5) Provide appropriate support forlife style modification.
4-6) Get opinions from non- participant

and those who stopped to attend thisprogramme.
5) Improvementofthelife-stylemodification and oral health inTongan prevailed all over theKingdom of Tonga.
5-1) Include the description about
prevention of PD and life-stylemodification to the activity of Oral
Festival.
5-2) Confirm the detail about our action.
Especially cordination with Malimali
programme team and medical staff
is important.
5-3)Place educational brochure, andinstall large mirror, scales for weightand height at health center toprovide
theopportunityfor
self-evaluation.
5-4) Conduct health festivals.
5-5)Get opinions from non-participant
and those who stopped to attend thisprogramme.