The role of health insurance in the coverage of oral health care in Senegal

Diop, Mbathio; Kanouté, Aida; Massamba, Diouf; Ndiaye, Amadou Diaw; Lo, Cheikh Mouhamadou Mbacké; Faye, Daouda; Cissé, Daouda

doi:10.4081/jphia.2018.772

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…27 The reasons seem related to their low level of oral health perception or concern. 28,29 Men did not appear to use dental services more often after the health insurance expansion. 6 Annual dental scaling has been covered by insurance since 2013 for everyone aged ≥20 years.…”

Section: Discussionmentioning

confidence: 88%

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Kim

Kawachi²

2020

Journal of Epidemiology

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Background: In 2009, the South Korean government expanded universal health insurance to include oral health services. In the present study, we sought to examine whether improved access resulted in a reduction in income-based self-reported oral health inequalities. Methods: We analyzed repeated cross-sectional data from the Korea National Health and Nutrition Examination Survey (KNHANES) waves IV through VI (2007-2015). We analyzed self-reported oral health status among 68,431 subjects. Changes in oral health inequalities across four income levels (low, middle-low, middle-high, and high) were assessed with the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII). Results: The average oral health status of children and adolescents improved the most over the observation period. The absolute magnitude of oral health inequalities (measured by the SII) improved for most groups, with the notable exception of young male adults. By contrast, the ratio of poor oral health between high-and low-income groups (measured by the RII) changed little over time, indicating that relative inequalities remained resistant to change. Conclusions: The expansion of dental health insurance may not be sufficient to move the needle on self-reported oral health inequalities among adults.

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Section: Discussionmentioning

confidence: 88%

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Kim

Kawachi²

2020

Journal of Epidemiology

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“…Dental treatment can be costly for an average Burundian family. Implementing policies to ensure affordability and accessibility of dental services can reduce barriers to oral healthcare, as safety nets, insurance coverage, and public health initiatives are not reported [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Oral Health Survey in Burundi; Evaluation of the Caries Experience in Schoolchildren Using the DMFT Index

Lamloum,

Dettori,

La Corte

et al. 2023

Medicina

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Background and objectives: There are no data on oral health in the population of Burundi. This study aimed to describe the oral health status of schoolchildren in Burundi using the dmft/DMFT index for the first time. Materials and methods: The study was designed as a cross-sectional population-based epidemiological survey. The survey was designed according to the WHO methodology for oral health surveys. Oral examinations were conducted in school rooms using a dental mirror, probe, and headlight. The following characteristics of primary dentition status were recorded: decayed (d/D), missing (m/M), and filled (f/F) teeth, and the dmft/DMFT (d + m + f t/D + M + F T) index was calculated for each subject. Quantitative and qualitative variables were represented by measures of position and variability. One-way ANOVA was used to assess differences between parametric variables. Logistic regression was performed for total caries experience and gender, age groups, living area, and geographical provinces. Results: A total of 1902 children were examined, 1007 (52.94%) six-year-olds and 895 (47.06%) in the older group. The dmft/DMFT and subgroups were statistically significantly different in terms of age groups, living areas, and geographical regions (dmft/DMFT d-subgroup and D-subgroup p < 0.01), but only for DMFT for sex. The ORs estimated by logistic regression by total caries experience showed a protective effect for 12 year old subjects and those living in southern provinces, an OR of 0.52 (95%CI 0.43–0.64) and an OR of 0.26 (95%CI 0.21–0.32), respectively. Conclusions: Dental caries in African countries, including Burundi, remains a major problem affecting the general health and wellbeing of the population. Tackling untreated caries requires a multifaceted approach, including strengthening oral health infrastructure, promoting oral health education, providing affordable dental services, and encouraging healthier eating habits.

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“…In this regard, a study carried out in Senegal on the financial accessibility of health care showed that these difficulties were related to the lack of information of insured persons on the covered care and the inadequacy of the covered care that did not meet the needs of the insured [20]. Indeed, oral health care accounts for a significant portion of the health portfolio of insurance companies because of its perceived high cost [21]. For financial profitability, some care (prosthetic and orthodontic care) is poorly or not reimbursed by them.…”

Section: Discussionmentioning

confidence: 99%

“…This situation encourages some people to forego oral health care. Finally, insurance does not meet their health needs [21].…”

Section: Discussionmentioning

confidence: 99%

Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire

Dramane¹,

Mamadou²,

David³

et al. 2019

SJPH

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In many developing countries, the establishment of insurance mechanisms is recommended to remove the financial barrier related to access to care. In Côte d'Ivoire, the General Mutual of State Employees and Agents (Mugefci) pursues this objective. However, concerns remain about the ability of this prepayment mechanism alone to ensure effective consumption of oral health care. The purpose of this paper, which is to contribute to the optimal use of insurance mechanisms, was to assess the accessibility of the oral health care of Mugefci beneficiaries. The cross-sectional study, which was conducted by the Medical Service for Civil Servants, concerned Mugefci beneficiaries who had come for medical consultation. The data collected included decayed tooth indices, absent due to caries or obturated, the DMF index, the time of the recourse and the reasons for giving up dental care as well as the willingness to pay for the care. The numbers and frequencies related to these variables have been calculated. 216 Mugefci beneficiaries participated in the study. The prevalence of caries was 50.9%, with a DMF index of 4.2. Self-medication was the first therapeutic remedy (47.7%) and 18.1% of beneficiaries reported that they had given up care due to lack of money. 47.2% of beneficiaries had a poor perception of dental care. The study showed that the existence of health insurance does not guarantee effective access to care. The availability of a quality care offer, the improvement of insurance coverage and the information of the beneficiaries about the services offered are factors to be taken into account to ensure effective consumption of oral health care.

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The role of health insurance in the coverage of oral health care in Senegal

Cited by 7 publications

References 5 publications

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Oral Health Survey in Burundi; Evaluation of the Caries Experience in Schoolchildren Using the DMFT Index

Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire

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The role of health insurance in the coverage of oral health care in Senegal

Cited by 7 publications

References 5 publications

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Oral Health Survey in Burundi; Evaluation of the Caries Experience in Schoolchildren Using the DMFT Index

Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d&apos;Ivoire

Contact Info

Product

Resources

About

Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire