title: Barriers to restorative care as perceived by dental practitioners in Tanzania.
abstract: OBJECTIVE
  To identify barriers to restorative care, as perceived by dental practitioners.
  
  
  METHODS
  Of the total of 147 dental practitioners employed in regional and district government hospitals and municipal health centres, 138 completed a pre-tested questionnaire: a response rate of 94%. Factor analysis was performed to extract barrier factors. Chi-square test was used to test the influences of independent variables on discrete dependent variables, and ANOVA was used to test the influences of independent variables on continuous dependent variables.
  
  
  RESULTS
  Knowledge of patients and beliefs of patients were perceived as the most important barriers. Others were financial, motivation of practitioners, dentistry looked down upon by administration and patients' fear of noise from drill. Practitioners who worked in high and medium economic zones perceived patients' fear of noise from drill as a barrier to restorative care more than their counterparts in low economic zones. Practitioners who worked in low economic zones perceived dentistry looked down upon by administration as a barrier to restorative care more than colleagues in high and medium economic zones.
  
  
  CONCLUSIONS
  Knowledge and beliefs of patients about restorative care were the two main factors that hindered restorative care, as perceived by dental practitioners in Tanzania. Organized information provision to the population and regular continuing education meetings for practitioners on restorative and preventive care, plus adoption of Atraumatic Restorative Treatment in daily clinical work are considered appropriate in addressing these barriers.
authors.affiliation: Department of Preventive and Community Dentistry, School of Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
authors.forename: E N
authors.initials: EN
authors.lastname: Kikwilu
authors.forename: J E
authors.initials: JE
authors.lastname: Frencken
authors.forename: J R
authors.initials: JR
authors.lastname: Masalu
authors.forename: J
authors.initials: J
authors.lastname: Mulder
mesh_terms: D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D016009:Chi-Square Distribution; D016854:Dental Anxiety / Q000523:psychology; D003752:Dental Health Services / Q000706:statistics & numerical data*; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data*; D005163:Factor Analysis, Statistical; D005260:Female; D057220:Health Literacy; D006801:Humans; D016015:Logistic Models; D008297:Male; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D013636:Tanzania