Primary oral health care in Nigeria; four decades after the Alma Ata declaration

Amedari, McKing Izeiza

doi:10.11604/pamj-oh.2020.2.13.24357

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present day, Nigerian PHCs rarely or sparingly provide oral health care ( 15 ). The direct connection of the PHCs to communities and individuals makes it the ideal platform for reaching the “ last mile ” population, primarily found in rural and underserved areas ( 7 , 15 , 17 ). PHC staff, including community health workers and nurses, are trusted members of the community.…”

Section: Introductionmentioning

confidence: 99%

“…In Nigeria, there is persistent difficulty in accessing oral care and inequalities in oral health outcomes as the oral health care system is characterized by limited resources, an overstretched workforce, high out-of-pocket expenses, the predominance of a private dental service model and little or no access for rural communities (8)(9)(10)(11)(12)(13)(14). Despite the appearance of progress in oral health-related matters, as evidenced by the introduction of the 2012 National Oral Health Policy (NOHP), which highlighted the role of PHC workers in integrating oral health with general health, efforts made to implement this comprehensively have failed due to limited resources (15). Furthermore, the persistent shortage and current decline in the Nigerian oral health workforce (1 dentist to 40,000 people) highlight the ongoing challenge of inadequate personnel in this country (9) and further bolsters the need to utilize and train midlevel and allied health workers to share and shift the current task burden (2, 8, 16).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Study protocol for a pilot quasi-experimental study on oral health education for nurses and community health workers in Nigeria

Oladayo,

Lawal,

Sofola

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

IntroductionThe primary health care system provides an ideal setting for the integration of oral health into general health care as well as equitable access to oral health care. However, the limited oral health knowledge of primary health care workers necessitates appropriate training before they can participate in health promotion efforts. This pilot training was designed to examine the impact of the Oral Health Education module for Nurses and Community Health Care Workers on their oral health awareness and referral practices.MethodsThis study will utilize a quasi-experimental design (pre-and post with a non-equivalent control group) to assess the impact of a five-day pilot oral health education program on the knowledge and referral practices of Nurses and Community Health Workers in primary health care centers in three states in Nigeria-(Lagos, Oyo, and Kano). The training modules were developed based on the six iterative steps described in the intervention mapping framework – needs assessment, highlighting program objectives and outcomes, selection of theory and mode of intervention, designing program based on theory, designing implementation plans, and developing an evaluation plan. Only the intervention group will participate in the full educational training sessions but both groups will complete the pre-and post-intervention questionnaires.DiscussionThis pilot training combined the standardized training modules from the recently launched “Oral Health Training Course for Community Health Workers in Africa” and a newly developed maternal and child oral health module by our group using an evidence-based approach. To the best of our knowledge, this is the first program to examine the impact of the standardized OpenWHO modules. The success of this training will lay the foundation for developing a sustained channel for providing oral health education at the primary health care level in Nigeria, West Africa, and Africa.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Study protocol for a pilot quasi-experimental study on oral health education for nurses and community health workers in Nigeria

Oladayo,

Lawal,

Sofola

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…The present state of the primary health care systems in Nigeria is awful as only about 20% of the PHCs across Nigeria are working (Aregbeshola & Khan, 2017). Inadequate financing, poor governance poor human resources has been identified as some of the many challenges primary health center implementation suffer in Nigeria (Audu, 2020). Findings from a study conducted by Al-Mailam (2015) to find out why women do not make use of primary health centers during pregnancy revealed quality of care as one of the reasons and it was expressed in the form of providers incompetence, negligent and unfriendly attitudes of Primary health care providers, physical environment and facilities, inadequate supply of drugs and inadequate providers, long waiting time and inappropriate referrals.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Quality of Maternal Health Services in Selected Primary Health Centers in Rivers State

Aliche,

Aluko

2023

IJPH

View full text Add to dashboard Cite

The quality of care a woman experience during the prenatal, intrapartum and postpartum period has a direct impact on her health and the health of her child, and it might also affect her decision to seek care in the future. This study evaluated the quality of maternal health services in selected primary health centers in Rivers State. The study design was cross-sectional study design. Multistage sampling was used to select seven Primary health centers (PHCs) while simple random sampling was used to select 384 post-natal mothers across the selected PHCs. Self-administered questionnaire and checklist were used to assess the postnatal mothers and primary health centers respectively. The questionnaire collected data on socio-demographic variables, levels of satisfaction and factors influencing the quality of maternal health services while the checklist collected data on the extent to which the facilities have the capacity to support quality maternal health services. Three hundred and forty-one questionnaires and the entire checklist used for the survey were retrieved. SPSS V22 was used in the analytical process and data was analyzed using descriptive statistics. Results revealed that 40.2% of the postnatal mothers were within age 26-33 years, 54.8% had secondary school as their highest educational level and 85% were married. Majority of the mothers were satisfied with the maternal healthcare services in PHCs in Rivers State, mean was 102.24±11.68; the perceived factors influencing the quality of maternal health services in PHCs in Rivers State include, healthcare delivery (96.2%), adequate human and material resources (94.1%), staff conduct and practice (86.2%) and physical facilities (84.5%); although PHCs with facilities that are available and in good condition were 85.7% they are not fully equipped to support quality basic obstetric emergency care.

show abstract

Sexual health risk indicators and their associations with caries status and gingival health of adolescents resident in sub-urban South-West Nigeria

Folayan,

El Tantawi,

Yassin

et al. 2024

Open Res Africa

View full text Add to dashboard Cite

Background Adolescents are at high risk of poor sexual and oral health. We investigated for sexual risk factors associated with caries experience and gingival health among adolescents in Nigeria. Methods This cross-sectional study collected data from 10-19-year-old adolescents in Ile-Ife, South-West Nigeria through a household survey conducted between December 2018 and January 2019. Information collected included age; sex; socioeconomic status; sexual practices (vaginal, oral, anal sex); sexual (transactional sex, multiple sex partners, condom use at last sexual intercourse) and oral health (frequency of tooth brushing, use of fluoridated toothpaste, dental service utilization in the last 12 months, consumption of refined carbohydrates in-between meals) risk behaviors; caries experience; and gingival health. Logistic regression was used to determine associations between explanatory variables (sexual and oral health risk behaviors) and outcome variables (caries experience and gingivitis). Results There were no significant associations between caries experience and history of sexual intercourse (OR:1.00); condom use at last sex act (OR:0.68); and having one (OR:2.27) or more sexual partners. Also, there was no significant association between moderate/severe gingivitis and a history of anal (OR:2.96), oral (OR:2.69), or vaginal (OR:1.40) sex; and a report of having one (OR:1.71) or more (OR:2.57) sex partners. Conclusions Some sexual health risk indicators insignificantly increase the risk for caries and moderate/severe gingivitis. Screening for sexual risk behaviors during dental care may be a suitable wellness programs approach for adolescents.

show abstract

Primary oral health care in Nigeria; four decades after the Alma Ata declaration

Cited by 4 publications

References 0 publications

Study protocol for a pilot quasi-experimental study on oral health education for nurses and community health workers in Nigeria

Study protocol for a pilot quasi-experimental study on oral health education for nurses and community health workers in Nigeria

Evaluation of Quality of Maternal Health Services in Selected Primary Health Centers in Rivers State

Sexual health risk indicators and their associations with caries status and gingival health of adolescents resident in sub-urban South-West Nigeria

Contact Info

Product

Resources

About