You Are Contacted by a Local Preschool for Children from Low-Income

You are contacted by a local preschool for children from low-income families to develop a comprehensive oral health program for the school. You begin by researching best practices for community oral health program planning and community oral health programs.
-Assessment results indicate high rates of early childhood caries, untreated caries, oral pain, and inadequate oral hygiene practices among the children. Assessment of the parents indicates lack of understanding of the importance and value of oral hygiene, preventive practices, and treatment of dental caries; limited general knowledge about how to achieve and maintain oral health; and low oral health literacy. Most families have a family income below the federal poverty level, speak a language other than English in the home, have limited formal education, and have recently immigrated to the United States. Based on the theoretical framework of determinants of health, which of the following would be most likely to result in improved oral health outcomes for this population?

A) A supervised daily toothbrushing program for the children at school
B) A fluoride varnish program twice a year at the school
C) Oral health counseling at required monthly parent meetings combined with home visits
D) A combination of these and other programs